Case Management Services

Case Managers are patient advocates who help beneficiaries and their families navigate through complex and catastrophic health care issues. Case Managers are the essential link between the health plan and individual’s needs.

Miriam Sterk, LCSW C-ASWCM of Peak Performance Plus, offers a unique service of Health Care Advocacy and Case Management services that are designed to assist individuals and their families with obtaining quality medical and behavioral health care at affordable rates while improving the outcomes of the their care and the quality of their lives.. This service also assists facilities and providers to obtain easy access to credentialing, appeals of denials of claims and the grievance processes which are different for each insurance company.

• Enrollment/Reenrollment
• Grievance/Appeal
• Request for a Waiver of benefit
• Coordination of Long Term Care Insurance and secondary insurance benefits with local community resources facilitating a seamless transition from hospital to rehabilitation center and home care.
• Older Adult Program which includes:
  • Safety/Risk/Memory Care Assessment for all levels of Living
  • Individualized Care Plans
  • Support Groups for Residents
  • Consultation on Program Development for Owners/Program Directors on all levels of living
  • Individual and Family Counseling
  • Hypnosis for Wellness, Pain Management and Insomnia
  • Caregiver Training and Support Groups
  • Training and Education for Case Managers on Transitions of Care and Legal Matters