For geriatric care managers and Aging Life Care professionals
You wrote the plan. We staff it, and we stay out of your lane.
Home care in Connecticut and New Jersey; companion care only in New York, built to sit underneath a care manager rather than beside one. Your assessment stands, your client hears advice from you, and what happens in the house comes back to you in writing.
How does Endurance Home Care work with a geriatric care manager?
Endurance Home Care implements a care manager’s plan rather than authoring a competing one. The care manager keeps assessment, care planning, and all advice to the family; In Connecticut and New Jersey, Endurance provides the home caregivers, scheduling, supervision, and cover when somebody calls out. In New York, Endurance staffs companion care only. In every market, the team returns dated observation from inside the home so the care manager can see what changed between visits. Endurance is a corporate partner of the Aging Life Care Association, which is a membership relationship with that organisation and not an accreditation, certification, or clinical credential. No referral fee is paid or accepted in either direction.
The current service scope names the daily-living work Endurance can staff before a plan is handed over.
The risk you are actually managing
It is not that the agency fails. A failing agency is visible, and you replace it. The risk that costs a care manager a client is the agency that succeeds: caregivers who are in the house four days a week, who the family comes to trust, and who gradually become the voice answering questions that are yours to answer. Nobody plans it. It happens because somebody is standing in the kitchen when the question gets asked, and answering is the friendly thing to do.
So the commitment is specific rather than general. When a family asks our caregiver or our advisor what they should do next, the answer is that it is a question for their care manager, and we tell you it was asked. Not because it is a rule we were given, but because a family who is getting care-management opinions from two directions is a family about to receive worse care than either of us would have given alone.
The mechanics of referral, scope, and market coverage are the same for everyone and live on our referral page for professionals. This page is the part that is specific to you.
What you receive, concretely
- Field observation, datedWhat was seen in the house on a given day, written to describe rather than to reassure.
- A named caregiver and a named backupNot "someone will come". You can tell a client who is arriving.
- Scope answers before the family is contactedA no reaches you first, always.
- Escalation routed to youA change touching the care plan goes to you before it goes to the family.
- A closed loop, including the lossesStarted, declined, or not proceeding. A partner who only hears wins cannot calibrate.
Where the line sits
Two lanes, written down before the first referral
Read the right-hand column as a set of limits we are agreeing to, not a menu of services.
| What you are comparing | You, the care manager | Endurance |
|---|---|---|
| Who assesses and writes the care plan | Yours. We implement it, we do not rewrite it. | Operational intake only: access, routine, risks in the home, and what a shift has to cover. |
| Who advises the family on level of care | Yours. We route the question back to you and tell you it was asked. | Never, including when the family asks us directly. |
| Who recommends facilities or providers | Yours. We do not maintain a recommendation list. | Never, including our own additional services. |
| Who staffs, schedules, and supervises caregivers | Not yours. That is our operational load to carry. | Ours. Hiring, matching, cover, callouts, and supervision. |
| Who reports what is observed in the home | You interpret it. Ours is the raw observation. | Ours. Dated, specific, and written to describe rather than to reassure. |
| Who bills the family, and for what | Yours, for care management, on your own terms. | Ours, for care hours only. No referral fee flows in either direction. |
| Best fit when | Always. Nothing in this column is negotiable at the point of a referral. | The plan is written and the open question is who carries it out, reliably, on the days you are not there. |
| Not the right choice when | Nothing. This column does not shrink because we are busy or because the family asked us instead. | The need is clinical, or the household actually needs a care manager and does not have one. Say so and we will not take it. |
Every row in the Endurance column is a limit we are agreeing to, not a service we are offering. That is the point of printing it before a first referral rather than after a disagreement.
The handoff
Six steps, and an artifact at every one
A step with nothing written at the end of it is a promise. These each leave something behind that you can put in front of a client.
You send the plan, not the file
Your care plan, the hours, the market, and how the family prefers to be approached. We do not need the clinical record and would rather not hold one.
- Who owns it
- You
- What you receive
- An acknowledgement naming the advisor who has it
We confirm scope and staffing before the family hears from us
Town, hours, and whether the need sits inside daily-living scope. A no arrives before your client has been given an expectation, never after.
- Who owns it
- The care advisor for that market
- What you receive
- A yes, a no, or a specific caveat, back to you
Operational intake, run against your plan
Access, routine, risks in the home, preferences, and what a shift has to cover. It reads as an implementation of your assessment, because that is what it is.
- Who owns it
- The care advisor
- What you receive
- A staffing brief, sent to you first
The match, and why it is that person
Named caregiver, the reasoning behind the match, and the backup. A care manager who has to tell a client 'someone will come' has been given nothing.
- Who owns it
- The Care Coordinator
- What you receive
- The named caregiver and the cover plan
Field observation, dated, on your cadence
What was seen in the house, written plainly. This is the part of the arrangement built specifically for you, and the part most agencies do not do.
- Who owns it
- The caregiver and the care advisor
- What you receive
- A dated observation note, with consent
Escalation goes to you before it goes to the family
A change that touches the care plan is yours to interpret. We report; you decide. That order is the whole relationship.
- Who owns it
- The care advisor
- What you receive
- A same-day note to you
Credentials and memberships
Accredited ByBBB Accredited Business, A ratingBetter Business Bureau · view the source
Corporate PartnerALCA Silver Corporate PartnerAging Life Care Association · view the source- Licensed InHomemaker-Companion Agency registration HCA.0002450Connecticut Department of Consumer Protection · view the source
- Licensed InHealth Care Service Firm registration HP0435100New Jersey Division of Consumer Affairs · view the source
Endurance Home Health
Connecticut DPH License 9915786
Separate Connecticut home-health credential issued by Connecticut Department of Public Health.
Looking for the family-facing explanation instead? What a geriatric care manager does, and whether your family needs one covers the role, the fee shape and how to vet one.
Questions
What care managers ask us first
Will your caregivers give the family care-management advice?
No, and this is the commitment that matters most on this page. When a family asks our caregiver or our advisor what they should do next, the answer is that it is a question for their care manager, and we tell you they asked. We do not recommend facilities, we do not opine on level of care, and we do not suggest a family needs more hours in a conversation you are not part of.
Do you re-assess a client I have already assessed?
No. You wrote the plan and you are accountable for it. We do an operational intake: access, routine, preferences, risks in the home, and what the shift actually needs to cover. If our intake surfaces something that appears to conflict with your plan, it comes to you rather than to the family.
What do I actually receive once care starts?
Dated field observation from the person who was in the house, written to describe what was seen rather than to reassure. Changes in routine, refusals, falls or near-falls, mood and appetite changes, and anything a caregiver noticed and could not explain. With the client's consent, it comes to you on the cadence you set.
Can you work alongside home health, hospice, or a private-duty nurse?
Yes, and it is one of the most common arrangements we run. We coordinate around a clinical schedule, we do not direct it, and we do not represent an affiliation we do not have.
Do you pay referral fees to care managers?
No. There is no fee, no commission, and nothing that would need disclosing to your client. Aging Life Care Association members operate under a code of ethics that treats that arrangement as a conflict, and we are not going to be the reason a member has to explain one.
Are you an ALCA member?
We are a corporate partner of the Aging Life Care Association, which is a membership relationship with the organisation. It is not an accreditation, not a certification, and not a clinical credential, and we will not describe it as one.
What happens if a placement is not working?
You hear it from us, and you hear it early. A caregiver match that is quietly failing costs you more than a match we replaced in week one, because the version your client remembers is the one you recommended.
To start a referral, call (203) 936-6847 or use the professional referral path. Care plans and household detail should not be sent by unencrypted email; ask for the secure route when you call.
Connecticut License HCA.0002450. Endurance Home Care provides care at home in Connecticut and New Jersey, with companion care only in New York. Skilled nursing, home health aides and physical therapy in Connecticut are provided by Endurance Home Health.