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We partner with families to create tailored plans of care and provide a greater level of support for their older loved ones.

RiverSpring Care Management is a concierge service providing older adults, their families, and caregivers with truly personalized support. With expert emergency intervention, long-distance care management, and home safety evaluations, we’re the family that families reach to in times of need. We monitor and assess our clients’ ever-changing situations and provide hands-on help with medical and safety concerns, personal and social planning, and financial and legal matters.

We are field-based around the clock in the Greater Metro New York area, and our team of experts is uniquely qualified to handle care needs in all fifty states, as well as select international locations.


Initial Visit

Our initial client visits help us create customized plans of care that can include:

  • Linkage to community resources
  • Respite care and vacation planning 
  • Hospital to home planning
  • Arrangement of and accompaniment to medical appointments
  • Coordination of home care services
  • Household staff management

When creating a care plan we focus not only on the needs for care but on how we can improve our client’s quality of life.
— Laura Miller, Care Manager

Program Highlights

  • Development and assistance in identifying alternative and holistic approaches to care
  • Activity and social planning
  • Counseling and support for senior adults and their caregivers
  • Coordination of:
    • Medical care, including appointments and follow-up
    • Home care and monitoring on an ongoing basis
    • Hospital/rehab discharge planning
  • Assistance with relocation both in and out of state
  • Concierge care management service for older adults
  • Comprehensive assessment to develop a plan of care
  • Crisis intervention available 24 hours a day, 7 days a week, 365 days a year
  • Home safety evaluations and follow up
  • Management of long-distance caregiving
  • Specialized care expertise for Alzheimer’s disease and other dementias
  • Community entitlement services such as Medicaid and insurance claim applications

Meet Our Team

Laura Miller

Care Manager

"When creating a plan of care, we focus not only on the person's individual needs, but how we can holistically improve their quality of life."

Melissa Goldberg

Care Manager

"Knowing who my client has always been is just as important as who they are now in helping them to maintain their best possible life."

Lani Crescenzi

Care Manager

"Living forward means redefining what it means to accept help. It does not mean a person is unable, but it means they are strong enough to want help in maintaining independence. It's my job to help make this new association."


Frequently Asked Questions

+ What if mom and dad are in denial about their needs and resistant towards meeting a care manager?

This is one of the most common concerns that families face. An older adult is often in denial about their needs and fearful about admitting they need help. Our team of trained professionals have experience working with older adults who are fiercely independent. After hearing about each individual we then work with families and doctors on creating an individualized approach that feels less threatening. With resistant clients our initial goal is to build rapport. Our staff is highly trained and intuitive during this phase. Families are often surprised to find that their loved one ends up really enjoying the visit and having another person in their life.

+ How do I know if it is time for an assessment?

There are many red flags that point to the need for an assessment. We encourage families to be proactive about having an assessment so that we can get to know their loved one and easily step in before an emergency. If you have any concerns about your loved one then it is most likely time for them to meet with a care manager. Red flags are often isolation, confusion, decreased personal hygiene, weight loss, bare fridge, and missed appointments. There is no risk of having an assessment too early.

+ What if my family is in discord about what mom or dad needs?

Family dynamics are often complicated and in our experience there is typically a shared concern between family members but with confusion about how to best approach their loved one. Having an outside opinion from a trained professional can offer additional insight on prioritizing a person’s needs and creating a plan on how to carefully approach a situation. Some families are also dealing with varying levels of acceptance or insight on a person’s needs. Having an assessment offers concrete examples of what your mom and dad are capable of doing on their own and what they need more assistance with.

+ How can a Care Manager help if I don’t live near mom or dad?

Family members that don’t live near their loved one often describe a Care Manager as a safety net. A Care Manager can make weekly visits or attend important medical appointments and provide updates to family members that are distant caregivers. Weekly visits allow us to closely monitor a person’s wellbeing and constantly reassess their situation. Once someone has become a client in our program then their family has access to our team on a 24/7 basis. In the event of an emergency we often serve as an advocate at the hospital to ensure that our client’s needs are being met and that families are kept up to date.

+ Do you accept any forms of insurance for payment?

Some long term care insurance companies will reimburse for Care Management Services. Our program is a fee for service program that does not take any other insurance.