Geriatric Care Management



Our MIssion

Our mission is to provide efficient, flexible and individualized services to older adults and disabled clients. The goal is to optimize independence and safety for the client in order to attain the highest possible quality of life.  Services are also designed to provide peace of mind to family members.



Heart Choices Care Management follows the Aging Life Care Association’s Standards of Practice and Code of Ethics.

Choices Care Management

Aging Life Care

About Heart Choices Care Management


Established in Kerrville, Texas in August 2002, Heart Choices is an independent Geriatric Care Management company.  We provide an elite service to ensure quality of life and peace of mind for our clients and their family members. Our Care Managers and Client Advocates maintain the highest of ethical standards and have specialized knowledge and expertise related to aging and elder care issues.

Frequently ASked Questions

Q. What is the difference between care management, home care or a sitter?

A. The role of a Care Manager goes well beyond that of a private sitter.  The primary job of a sitter is to assist with personal care and provide companionship.  Home health care focuses primarily on health issues and is generally short term.  By contrast, Care Managers are licensed professionals who oversee many things family members would if they were able, such as making home safety checks, guidance and support with decision making, coordination of services, accompaniment to service provider appointments and regular communication with family members.

Q. Does insurance pay for care management services?
A. All services are provided on an hourly private pay basis. Currently, Medicare/Medicaid do not reimburse for care management.  Some long-term care polices will reimburse for some of our assistance depending on what the specific policy allows.”

Q. How are referrals made to Heart Choices? 
A. Often older adults call on their own behalf to request services to develop relationships for future assistance. At other times referrals are made by family members, doctors, trust officers, attorneys, care facilities and hospice.

Q. What are the benefits of having Care Management services?

  • Personalized and compassionate service focusing on the clients dignity, wants and needs, safety and quality of life
  • Accessibility to assistance.
  • Continuity of care - communications are coordinated between family members, doctors, service providers & other professionals.
  • Your loved one experiences improved functional status, increased independence and improved comfort.
  • Cost containment ​- avoiding inappropriate placements, duplication of services and unnecessary hospitalizations. 
  • Development of a consistent long term, professional relationship.