Care management is a holistic, client-centered approach to caring for those facing ongoing health challenges.  Working with families, a care manager can assist individuals with all aspects of their lives including their medical, social, emotional, familial, fiduciary, and spiritual well-being.

Karen Allard, RN BSN CCM is our nurse and certified care manager on staff.  She has extensive nursing skills and knowledge that allow her to perform a comprehensive evaluation for each client.  She can then assist the client and their family through health crises while providing RN oversight in the medical and personal care you will need.  A careplan tailored for each individual's circumstances is prepared after the comprehensive evaluation. 


While a majority of certified care management is focused toward elderly individuals, Commencement Bay Guardianship Services (CBGS) is also well versed in assisting clients of any age with physical disabilities, developmental disabilities, autism, brain injuries, mental health problems, chronic and serious illnesses, and families in crisis.


Areas of Expertise:

  • assisting with the monitoring of medications
  • assisting families in positive decision-making
  • finding appropriate solutions to avoid a crisis
  • coordinating the efforts of key support systems
  • overseeing and directing care provided in the home
  • taking steps to establish a careplan and keeping it current
  • advocating for the care recipient and their family caregiver
  • coordinating medical appointments and medical information
  • managing the care of a loved one on behalf of out of town clients
  • developing long term plans for individuals not currently needing care
  • ensuring care is received in a safe and disability-friendly environment
  • resolving family conflicts and other family issues related to long term care
  • conducting ongoing assessments to monitor and implement changes in care
  • providing assistance with placement in assisted living facilities, adult family homes, or nursing homes


If you do not see the service you are looking for here, please ask if we can accommodate your specific needs


Care Management

ph (253) 627-7605 / fx (253) 572-0912 /

911 South I Street, Tacoma, Washington 98405

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