Advanced Health & Wellness Services

Care coordinator consulting with a senior client and family in a bright modern living room

Let us coordinate your care in Washington, DC

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COORDINATION

Services we provide

One team owns the plan, the visits, and the paperwork so you are not left stitching care together on your own.

Care coordinator and older adult at a kitchen table reviewing a handwritten care plan with photos of family and daily routines, warm natural light, documentary photography

Person-centered treatment planning

Plans are built around your goals, routine, and what you value — then updated as your needs shift.

Nurse on a phone call at a desk beside a laptop showing a shared patient chart, medical office with stacked folders, candid photo

Care coordination with your doctors

We stay aligned with your PCP, specialists, and physical therapists so orders and follow-ups do not get lost.

Coordinator marking a wall calendar and tablet with therapy and clinic visit times, tidy home office, soft daylight

Appointment scheduling

We book, confirm, and track medical and therapy visits so you are not chasing calendars.

Clinician with a clipboard walking through a living room noting mobility and home hazards, calm observational style

Risk assessments

Ongoing reviews flag clinical and environmental concerns early, before they become crises.

Care worker checking a bathroom grab bar and night light in a modest home, practical safety inspection photography

Safety checks

In-home checks catch fall risks, hazards, and gaps in the space you live in.

Family and care coordinator helping an older adult into a car outside a hospital entrance with a packed bag, late afternoon light

Transition care support

When you move between home, hospital, or a new setting, we stay with you through the handoff.

Hospital bedside meeting with a nurse, social worker, and patient reviewing a discharge checklist and home equipment list

Discharge planning

We line up home supports, equipment, and next visits with your providers before you leave.

Hands sorting labeled Medicaid recertification forms and a deadline calendar on a wooden desk, close documentary still

Medicaid recertification

We track paperwork and deadlines so eligible coverage and services stay active.

See how we work

Who can use our services?