Care Coordination

What is Care Coordination?

Senior Connections Care Coordination's team work with older adults and their families to maintain and improve the quality of life of older adults in our community.  Care Coordinators answer questions, perform assessments, find and coordinate resources, help apply for benefits, and more. Think of them as the liaison for older adults in the care network focused on addressing the needs of older adults and caregivers.

Professional Care Coordination Staff:

  • Provide information, referral, assessment and coordination of services to older adults and their families.

  • Develop person-centered service plans focused on strengths, preferences and needs in conjunction with the individual.

  • Coordinate resources to help enhance quality of life.

  • Provide guidance for caregivers seeking support.

  • Collaborate with other service professionals and community organizations.

How does the Program Work?

A Care Coordinator will complete an assessment of your unique situation and needs. This can be done in the comfort of your home.

You and the Care Coordinator develop a written plan to obtain the services you need. Family members or friends may be involved in the planning process.

The Care Coordinator will follow up to confirm that these services are satisfactory to meet your needs to the fullest extent possible, and may provide advocacy for you as necessary and appropriate.

Is there a fee?

There is no charge for the service however your donation helps to fund ongoing services.

Who is Eligible?

People who are 60 or older and reside in the City of Richmond or the Counties of Charles City, Chesterfield, Goochland, Hanover, Henrico, New Kent and Powhatan.

There is no income requirement but you may be asked about your income in order to locate service for which you may be eligible.

How do I begin?

Please call (804) 343-3000 between the hours of 8:30 am and 5:00 pm and ask to speak to the Intake Coordinator. Your family or friends may call on your behalf.

Senior Connections also welcomes referrals from other service providers and professionals.

Success Story

Mr. H. is an 82 year old whose only remaining family is his dog, Lucky. For 22 years he lived at a local apartment complex for low income seniors. Confined to a wheelchair due to bone cancer and arthritis, he maintained his independence with support from Medicaid Personal Care and Senior Connections. He was evicted and left in the parking lot in his wheelchair with his dog. He made his way to a local run-down motel before we were informed of his predicament. One of our Care Coordinators received the call and went into action. She collaborated with the local DSS to find a safer place for him to stay temporarily and later to relocate to permanent housing. He is currently in a safe, stable environment receiving the services he needs with his dog, Lucky.


Henrico Resident

“We thank you for all the great support you gave us at a desperate time in our lives.  We could not have made it without your help.  Thank you, thank you, We are grateful!”

Mechanicsville Resident

“Thank you so much for helping me in my time of need.  It is because of people like you that the senior citizens of this world feel that someone truly cares.  I could tell when I met you that you really care about the people that you help.  May God forever bless you.”

Goochland Caregivers

“My husband and I just returned from a a refreshing vacation made possible by Senior Connections.  Thanks to the Care Coordinator’s tireless efforts in coordinating our respite, we were able to relax and recuperate, knowing our Granny was in good hands.  We want to express our most sincere thanks for all of the loving and generous work put forth to provide this relief. We could not face the challenge of caring for our Granny without your help.  Please do not underestimate the value of your work.  It is priceless to those of us who have benefited from it.  Thank you again and again.”