Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Why You Need a Marketing Data Base Especailly Now with COVID?

September 21, 2020

COVID Has Made Marketing To Lead Sources Critical

Geriatric Care Managers Need a Marketing Database

You need a marketing or Contact Management database( CRM) to market to lead sources. An aging life or geriatric care management agency’s marketing has three key target audiences or lead sources: individual clients who need care, referral sources, and children of aging parents.  Marketing databases are the key to reaching lead sources such as 3rd party referrals like elder law attorneys, upscale assisted living, trust officers, concierge physicians.

In the Deadly Fall Confluence of COVID and Seasonal Flu You Really Need the Right Marketing DataBase

The JAMA Journal tells us “The confluence of coronavirus disease 2019 (COVID-19) and seasonal influenza this fall and winter will result in considerable morbidity and mortality, stressing the health

system. With more than 200 000 COVID-19–related deaths already, the US could see a second wave of disease later this year. In 2018-2019 (a “moderate” year for influenza), the US experienced 35.5 million influenza cases, with 490 600 hospitalizations and 34 200 deaths related to influenza.1 An effective COVID-19 vaccine is unlikely until 2021. Even though seasonal influenza vaccines have variable year-to-year effectiveness, they can significantly reduce morbidity and mortality, especially with high coverage.”

Here are some of the many choices ALCA or Geriatric Care Managers can check out

  • SalesForce For Small Business 
  • GoldMine 
  • Act!
  • Highrise is a contact management database.  Easier to use than SalesForce,  Basic account for 6 users, with 5 GB of storage and 5,000 contacts is $24.00 monthly.
  •  Zoho lets you have 3 users and up to 5,000 contacts. An Excel spreadsheet of contacts can work in a start-up if the file is set up correctly to capture the necessary information.
  • Clear care can also be used as a contact database and a client database used by Aging Life GCM who have a home health component 
  • WHY DO YOU NEED Customer Relationship Database FOR MARKETING?

  • Rolodex on Speed                                               
  • Throw away all those business cards
  • ADD all 3rd party targets you need to market to for referrals
  • all contacts in the community that help you weave a care plan- can be the same as targets
  • all the contacts that you use as your individual prescription- which is your care plan
  • Will send a form elder law letter to all elder law  or third party contacts o ( Att) track all calls or marketing visits to a concierge physician or any contact group C(P)Track your marketing visits, data, send Follow up letters
  • Adding all of your continuum of care or all contacts in the community that help you weave a care plan- physicians, elder mediators, CCRC and all housing, MFT who specialize in aging-Use all the really good contacts that you use as your individual prescription- which is your care plan-  
  • SIGN UP For FREE WebinarMARKET LIKE YOUR BUSINESS DEPENDED ON IT DURING COVIDOctober 22 @ 2:00 pm – 3:00 pm PST
  • As you are approaching the busiest season for care manager’s  the holidays when families visit remotely or in-person for the holiday and see their elderly parents skating on very thin aging iceLearn care management marketing that works at all time but especially during COVID so you can:Consult with and help client’s during COVID and post COVIDConvert Consultation into  regular clients

    Understand branding         

    Develop a positioning strategy so the caller chooses you

    Understand lead generation in care management

    Understand how to do an e-newsletter

    Get the best marketing software  

    Understand Public Relations Press, TV-Radio, Social Media Coverage

    Understand Zoom Webinars

    Create a 5 Star Marketing Plan for the top 10% of seniors who can afford you. THIS FREE  WEBINAR  FROM 2 PM – 3 PM PST October 22, 2020

     

    You are invited to a Zoom webinar.
    When: Oct 22, 2020, 02:00 PM Pacific Time (the

    US and Canada)
    Topic: MARKET THIS Fall LIKE YOUR BUSINESS DEPENDED ON IT

    Register in advance for this webinar:

    After registering, you will receive a confirmation email containing information about joining the webinar.

Filed Under: Aging, Aging Community & Covid-19, Aging deaths, Aging Families and Disaster, aging life business, Aging Life Care Assocaition, aging life care manager, ALCA Disaster Plan, Benefits of Care Management, Benefits vs Features, Coronavirus Coaching, Coronavirus emergency plan, coronavirus marketing, coronavirus quality of life virtual program, Covid 19 Webinar, COVID-19 & Care Management, COVID-19 &Shelter in Place Plan, Covid-19 and GCM SERVICES, COVID-19 Recover at Home Plan, COVID19 Deaths Essential worker, database, e-newsletter, Features vs Benefits, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Start -Up, GCM Start-Up, GCM technology, Geriatric Care Management Business, geriatric care manager, geriatric care manager start up, geriatric social worker, marketing ALCA /GCM, marketing care management, Marketing data base, marketing pitch, nurse advocate, nurse care manager Tagged With: aging life care manager, aging life or geriatric care manager, aging life target audience, benefits of ALCA, Benefits of care management, Benefits Of Geriatric Care Managers, Benefits vs Features, care manager, case manager, COVID & Christmas, COVID & Halloween, COVID & Holiday Season, COVID & Holidays, COVID & Seasonal Flu, COVID COACHING, COVID GCM Procedures, Covid-19 Telehealth, COVID& Thanksgiving, CRM care manager data base, CRM for Geriatric Care Manager, Fall Tempest of COVID&FLU, GCM contact data base, geriatric care manager, marketing data base, nurse advocate, nurse care manager, Qualifying for VA Benefits

How To Create a Team in the Long Distance Family During Covid 19?

May 16, 2020

 

OFFERING A COVID care plan product with Long Distance Care Providers

The first step for the Long-distance family members (LDF) worried about elder exposure and hospitalization of Covid-19 can be to take a team approach. This can be a call with a geriatric care manager for a consultation that will help long-distance families work as a team to keep elder family member safe while you are at a distance This Care management consultation can be done with a HIPAA-compliant video conferencing services 

 

  • The first thing that the geriatric care manager works on is to find out if the older person has the required legal documents – Advanced directives, POA/HCPOA & GCM HIPAA release because of the risk of both hospitalization and death due to age-related COVID-19. If these documents are not present, the care manager will have a discussion with senior and the long-distance family regarding their wishes, explaining older adults over 65 are at higher risk for severe illness. The care manager will discuss who is to be the health care decision-maker with the older adult and suggest they consult a family attorney or elder law attorney to complete.  If they choose not to use an elder law attorney, as time is of the essence in the pandemic,  they can suggest access AARP advanced directives documents for any state which can be executed quickly.

 

  • If documents are completed, locate in the home and provide explanations to the family that they must give a copy to emergency contacts and physicians as required and place in planning binder. In the planning “Go binder” list all emergency contacts with phone numbers/e-mail addresses – family, friends, physicians, pharmacy, professionals providing in-home services.  Also, list all medications and prescribing physicians in “Go Binder”. Upload documents into caregiving applications like caring village.com  so the long-distance from always has the updated documents.

Other problems that geriatric care managers who offer consultation can solve for  long-distance family members

  • Create a Household plan of action for prevention and possible infection with COVID 19.
  • Identification of technology tools to keep client and LDF in contact
  • Evaluate the presence of required cleaning/safety products as recommended by CDC
  • Evaluate the area of home appropriate for quarantine in the event of suspected COVID infection of client or caregiver
  • GCM can also focus on the quality of life of seniors and provide a comprehensive plan to ensure the individual is living a quality of life while providing consistent communication with the Long Distance family-like Hummingbirdproject.net Thanksgiving-Travel-2_20151119-171457_1.jpg
  • Development of client-specific communication tool for possible hospitalization to individualize client needs, status and care planning post hospitalization

 

Join my new GCM on Line Classes Working on Covid- 19

This research was done by my geriatric care management student GCM Maryann Prudhomme. My students are working on Covid-19 products in both all of my two new online classes in blackboard right now. If you are interested in joining our class and

learning tools to be a geriatric care manager go to cathycress.com online classes

 

 

 

Join Me in My New Free Webinar

Conquer Care Management Sales- 5 Steps Close the Sale on COVID-19 Products

 

Sales have severely declined in COVID_19. Learn how to increase your, clients, through all your products but especially new Covid-19 and telehealth. Sell Successfully

this and any GCM product in a 2-part intake. Closing the sale means the client signing your contract and giving you a deposit. Most care managers are untrained and terrified of this process. They are more terrified of going out of business with COVID 19

Learn the 5 steps to make and close a care management sale to get that contract signed, get a deposit, grow your business, bolster cash flow, make payroll, and stop you from being one of the 50% of new US businesses that fail after five years.

When?

Date Tuesday, June 23

Time 2:00 PM -3:30 PM

 

You will Learn

 

What are Covid-19 GCM Services you can offer

How to make the sale in the inquiry call -with a complimentary consultation

How to ” Identify needs using client” challenge questions” to find the problem you need to solve to make the sale

How to present your offer by selling solutions to the problem with a mini care plan

How to manage objections if the caller has concerns about price or product

 How to close the sale with non-aggressive closing questions to have your contract signed, get a deposit, and grow your business with a new client

SIGN UP FOR FREE 

 

 

 

 

 

Filed Under: Advanced Directives, Advanced Directives and Covid-19, Aging, Aging Family, aging family crisis, Aging Life Care, Aging Life Care Assocaition, Benefits of Care Management, Care Management Products, care manager, CAREGIVER RESOUCES, case manager, CIRCLE OF CARE, coronavirus, Coronavirus emergency plan, coronavirus marketing, coronavirus quality of life virtual program, coronavirus shut down, Covid 19, Long Distance Care, Long distance caregiver Tagged With: ADVANCED DIRECTIVES & COVID-19, aging family, aging life care manager, aging life geriatric care manager, aging parent crisis, care manager, case manager, COVID-19 PRODUCTS, geriatric care manager, long distance families, marketing during COVID-19, nurse advocate, nurse care manager

The 2 Deadliest US Sites of COVID-19 Nursing Homes & Prisons

May 2, 2020

PRISON INMATES AND NURSING HOME PATIENTS NOT  6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19.  In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection  It took the rebellion to get the coronavirus testing PPE and care. The  Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.   

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

 Two States that require testing for coronavirus of ALL  residents of nursing homes are  Maryland where 556 have died as of the Washington Post article. and Tennessee 

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing. 

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

Do SOMETHING – HELP NURSING HOMES PREVENT MORE CARNAGE

So, as someone who has spent her career in aging, I am calling out to everyone, especially professional in aging – do something. Since the feds appear to be doing little- call your congressman, write a letter to the editor.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

Filed Under: 4th of july, 7 touches marketing, adult child physical abuse, Adult children, adult emotional abuse, ADULT SIBling, Aging, Aging Alcohol Abuse, Aging Community & Covid-19, Aging deaths, Aging Family, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA & Skilled Nursing Facility, ALCA Beneifits, ALCA business Loans, ALCA Cobtract, ALCA COVID-19 Crisis, ALCA Disaster Plan, ALCA Ethical Dilemma, ALCA Financial literacy, ALCA Products for COVID_19, ALCA sales, Alcohol Abuse and Aging, Angela Jolie, Aretha Franklin, Assisted Living, Assisted Living & Geriatric Care Managers, Assisted Living Crisis, Assisted Living sales, bankruptcy, Barack Obama, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Bill Clinton, billing, Billing 85%, billing 85% of GCM 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Dementia and Spirituality, DNR, Dr. Bill Thomas, dysfunctional aging familt, Dysfunctional Aging Familu, Dysfunctional aging family, Dysfunctional Family & Holidays, Easter, Easter gifts Mom, elder abuse, elder care manager, elder fiscal abuse, elder mediator, Elderlaw Attorney, Elderly Disaster Plan, Emergency Plan, Emotional Quality of Life, Employees recognition, End of Life Care manager, End of life documents, entitled family, estranged siblings, ETHICAL DILEMMA, Ethical Will, Euology, failing business, Families, Features vs Benefits, Filial Crisis, fiscal abuse, Fiscal Elder Abuse, FREE MARKETING WEBINAR, FREE WEBINAR, GCM bankruptcy, GCM Benefits, GCM COACHING SKILLS, GCM Constract, GCM COVID 19 Crisis, GCM Disaster Plan, GCM Ethical Dilemma, GCM financial literacy, GCM Operations Manual, GCM products in COVID-19, GCM Speaker's Bureau, GCM Start -Up, GCM Start-Up, GCM technology, GCM Webinar, George Bush, Geriatric Assessment, Geriatric Care Management Business, geriatric care 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concierge client, Palliative care manager, Pandemic, parent care, Partnership, Passover, patient advocate, Paying for Long term care, Poor Nursing home staffing, positioning, POST HOLIDAY CALLS, POST HOLIDAY SEASON, postioning, PR, Pre-Emptive Move, Presentations, Private Duty Home Care, Professional class retirees, Profit, profit in ALCA, Public Relations, Public Reltions, Quality of Life, Quality of Life for elders, Quality of Life in Dying, quality of life in senior centers, Quality of Life Virtual Program, Quality of Life Virtually, Quality of Life with Dementia, Rachel Maddow, Reminiscence Therapy, Respect, Sales, Sales in geriatric care management, Sales to Assisted Living, SBA business loan, Sell Sheet, selling a relationship, Selling ALCA Business, Selling GCM Business, Selling Your Business, Senior centers, Senior Drinking, Senior Isolation, Senior Legacy, Senior Loneliness, SIBLING, sibling rivalry, sibling sharing care, Siblings, Skilled Nursing Facility, SNF death COVID-19, Social Media, Social Media for Care managers, Social Media for eldercare, social media marketing, social media marketing campaign, Speaker's Bureau, speaker's buyreau, Speakers Bureau, Speaking to Adult Children, Spiritual Quality of Life, Stanford Hospital care manager, START UP, Stepmonster, Story Worth, Sweetheart scam, telemedicine, Thanking staff, Thanksgiving, THANKSGIVING BLOG, Thanksgiving Parent crisis, Therapist Specializing in Aging, Third Party Referral, Timeline, Town Hall, Transgender Elders, Trust Departments, Trust Officer, Uncovered Long Term Care, Uncovered MedicareServices, Universal Precaution, Valentines gifts for family caregivers, value proposition, value propostion, VIP marketing, VIP Products, VIP Syndrome, VIPS markeing, Wealth Management Departments, Wealth Managers, Webinar, Webinar ALCA GCM, Written Geriatric Assessment Tagged With: aging life care manager, aging parent crisis, case manager, Covid-19, COVID-19 prisons, death and dying in COVID-19, Federal Response To Covid-19, geriatric care manager, nurse advocate, nurse care manager, nursing home deaths, nursing home saftey, Prison death

How Important are Nurse Care Managers?

February 28, 2020

 

My husband Pete and our family have our own RN case manager.

Pete had open heart surgery 3 days ago at Stanford Hospital. The utility and utter comfort of having a care manager hit me personally on this health care journey.

Our Stanford Cardiac Care Manager

Stanford’s cardiac unit is a wonder to behold. Your family touchpoint is, of course, the care manager. She is your navigator, comforter in chief, and patient-friendly-dispenser of information framed in a  digestible synopsis.

In her warm yet filled with authority voice, our care manager Christine Harris RN BSN greeted us in pre-op and explained what would happen during the surgery. She soothed our fractured nerves. Facing open heart surgery was, as with all patients, like taking a long trip you researched well but never understand the whole journey nor the wrong turns you just might take. 

It had taken Pete 7 years to get to this point as he was one of a category of 2% heart patients that had no symptoms. He had not wanted to do the surgery and they respected his wishes. In the last few months, they found his heart not getting enough oxygen, so he finally decided to do it. The day before surgery he was chopping down a plum tree, among the many, in our California yard.

12 Hours of Open Heart Surgery

As the open heart surgery was 12 hours long- most of it pre-op and then post-op, Christina our care manager became our navigator through the long hours of waiting  She came to us at every stage, shared information that calmed us and made us feel health literate about what was happening to Pete.

Trouble on the Tracks

But in the late afternoon, when we were feeling so sure he was sailing through the procedure, we became alarmed. Stanford has a color-coded electronic screen of all patents in surgery showing you their operating stage. We were watching this large electronic surgery board, much like an airline flight board with scheduled take-offs and landings. Pete was about to land in post-op then before our eyes -reversed to the operating room. Pedro, the navigator of the board,  had no idea what happened but told us Christine would be down to talk to us. My two daughters and I were then on red alert and our lovefest with the ease of all this dumped back into reality.

Tear in the Heart

As any case manager would, Christine arrived with calming information. As they were about to close up Pete’s chest after the new valve went in flawlessly, they noticed a small tear in the aorta. She explained that the aorta, like all of Pete’s body, was almost 8o- years old and thin enough to tear. Dr. Fichbine saw bleeding, along with the  30 residents who were watching, did a small patch, closed up the incision then sent him on his way to post-op. In reality, it was more serious, but she shared the steps taken and he was in truth patched up and on his way to recovery. She gave us the right information mellowing it out enough that we went from Post  9/11 color-coded red- terrorist attack imminent —to calming green – low threat. Pete arrived back in post-op and we got to see him at 7:30 that night 13 hours after his trip through the surgical theaters.

Christine is also our head discharge planner and goes to see Pete every day, along with Dr. Fishbine on rounds. She will be there at discharge when she, a Stanford pharmacist, and a cardiac nurse share discharge plans.

So thanks to all the care managers who like Christine, guide us over troubled waters, comfort us and hold our hands while they navigate us to a safer shore.

Filed Under: Adult children, Aging Family, aging family crisis, Aging Life Care, Alcohol Abuse and Aging, Benefits of Care Management, Blog, cardiac care manager, care manager, caregiver, case manager, geriatric care manager, Hospital care manager, nurse advocate, parent care, Stanford Hospital care manager Tagged With: aging family, aging life care manager, care manager, geriatric care manager, geriatric care managers, Hospital care manager, nurse care manager, open heart surgery, RN care manager, Stanford Cardiac, Stanford hospital, Stanford Hospital care manager

Close the GCM or ALCA Sale to Assisted Living With Benefits

February 19, 2020

Marketing Tactics -Use Benefits 

ALCA members need to sell the benefits of Geriatric Care Management to assisted living. Care managers are perfect professionals to help assisted living residents if they have just moved in and are unhappy with the move if they are not participating in activities and withdrawing from friends and in general when they are nor thriving in the resident community.

But marketing care management to ALF’s takes some particular marketing tactics 

 

 

Although it might seem counterintuitive, consumers rarely want to buy things for the sake of buying them – they want what they purchase to solve their problems.

To borrow from the example of an umbrella, a feature of this particular umbrella might be its unbreakable spokes or wind-resistant construction – the benefit of which is staying dry even in strong winds that might break lesser umbrellas. The benefit of staying dry in strong winds that break other umbrellas – make the sale.

Clients who purchase home care or care management want to buy benefits – what your product or service can do for them.

GCM Benefits To Assisted Living 

Let’s take a third-party. Care Managers often market to Assisted Living. ALF Directors want to hear how your ALCA or GCM  agency is going to help the Assisted Living site. Of course, you can describe your agency features, price, training of staff, gold standard service. However, benefits are what make the sale and keep the Assisted Living dry not flooded by the rain.

So here are some benefits you can offer to Assisted Living when you are seeking referrals and you have a service  for residents that involves Quality Of Life   

YOUR GCM ALCA AGENCIES BENEFITS

The problem: Assisted Living does not want residents to move out most facilities are strictly non-medical and do not have one to one companion and geriatric care management services. Your agency can solve that problem.

 

The assisted living and retirement community population sometimes have clients with needs that cannot be met with their nonmedical, non-one-on-one support services, (usually just an activities director)

  • You will help facility with residents who are not adjusting to the facility or considering moving by engaging them in activities that will enhance the quality of their life, SO WHAT so they remain in the facility
  • You will help residents not engaging in activities to participate in the ALF’s activities program or outside activities and socialization program through a quality of life assessment & companion, SO WHAT so they do not want to move out of the facility
  • You will engage with new residents who are just adjusting both to the facility and their move, to engage in socialization and activity programs. You can help them make friends & engage in outside activities through a quality of life assessment and companion, SO WHAT so they do not consider moving out
  • You will make monthly monitoring visits to make sure Companion is meeting all the client’s needs, keep in touch with the family and facility with frequent e-mails, texts or telephone updates plus sending a monthly report SO WHAT so everyone is on the same page through your great communication skills.

So, selling the benefits to the third party, who will refer your agency to families of residents who are struggling, is a much more potent selling point that features of your agency. 

 

Free Webinar –

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties to Grow Your Care Management Bottom Line

When: February,20th 2020
2 PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems you solve for wealth managers, elderlaw attorneys and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP

Filed Under: Aging Family, aging life business, Aging Life Care Assocaition, aging life care manager, ALCA Beneifits, Assisted Living, Assisted Living & Geriatric Care Managers, Assisted Living Crisis, Assisted Living sales, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Geriatric Care Management, Blog, Dementia Activities, Features vs Benefits, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Start-Up, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing to Assisted Living, marketing to concierge clients, marketing to upper 10%, Move Management, newsletters, nurse advocate, nurse care manager, Quality of Life for elders, Sales in geriatric care management, Sales to Assisted Living Tagged With: aging life care manager, aging parent crisis, benefits of ALCA, Benefits of care management, Benefits vs Features, care manager, case manager, GCM & Assisted Living, GCM Products and Services, Geriatric Care Sales Assisted Living, geriatric social worker, Marketing to Assisted Living, Monitoring Assisted Living Care, nurse advocate, nurse care manager, Quality of Life in Assisted Living

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