One health map · One practical plan · Clear responsibility
A human layer around the health system—not another system to manage.
Next Move Care brings review, education, in-home advocacy, observational home-safety assessment, medication-list reconciliation, administrative appeal support, aging-well planning, and independent professional connections into one practical process without taking over the responsibilities of physicians, pharmacists, dietitians, hospitals, agencies, attorneys, or families.
Who the model is built around
One adult, one real-life situation, and the people they choose to involve.
Support begins with the person—not a diagnosis, facility, insurer, or product. The adult client stays at the center, whether they are navigating for themselves, asking a caregiver to help, planning ahead, or authorizing communication with professionals.
Individuals & families
Make sense of a new diagnosis, a complicated health picture, an appointment, or an important decision.
Caregivers near or far
Organize questions, responsibilities, updates, and resources with the adult’s permission or appropriate authority.
Adults planning ahead
Clarify priorities for aging well, home safety, future support, and staying connected before a crisis.
Professionals & community partners
Coordinate within written authorization while each clinician, agency, and organization remains responsible for its own work.
Three connected forms of support
Navigation, advocacy, and coordination—shaped to the situation.
01
Navigate
Organize the health picture, translate complexity into plain language, and identify questions, options, resources, and deadlines.
Situation and transition review
General health education
Neutral resource options
02
Advocate
Prepare the client to use their voice, keep their stated priorities visible, and document the questions that need an answer.
Appointment and meeting preparation
Question lists and written summaries
Administrative appeal organization
03
Coordinate
Connect the authorized people and responsibilities around the next move without replacing the client or responsible professional.
Caregiver and resource coordination
Limited authorized communication
Follow-through and responsibility tracking
The engagement
Know what happens before paid work begins.
1
Complimentary conversation
Discuss the broad concern, timing, location, and fit without sending records or a private health narrative.
2
Written scope and fee
Choose the level of support, deliverables, communication, limits, and cost before either side commits.
3
Work alongside the client
Navigate, advocate, coordinate, and close with the written summary or My Next Move Plan named in the agreed scope, plus clear responsibility for what comes next.
4
Review and close the loop
Confirm what changed, what remains unresolved, and who owns each next action.
The Next Move Method
Four moves turn uncertainty into responsible action.
1
Listen
What outcome matters to the person?
2
Map
What is known, missing, time-sensitive, and owned by which professional?
3
Move
Which actions, questions, and independent connections make sense next?
4
Review
What changed, what remains unresolved, and who owns the next action?
Who remains responsible
Coordination without blurred accountability
Next Move Care
Adult RN-led review, general health and nutrition education, advocacy, accepted residence visits, observational home-safety assessment, medication-list reconciliation, administrative appeal support, authorized communication, and a written My Next Move Plan.
Treating clinician
Diagnosis, medical advice, orders, treatment, monitoring, and decisions about medications or supplement changes.
RDN, pharmacist, and other professionals
Medical nutrition therapy, pharmacy recommendations, and each professional's own licensed services, records, billing, and outcomes.
Client or representative
Consent, choices, accurate information, and final decisions unless lawfully delegated.
How the models differ
Different services solve different parts of the care journey
No single model replaces the others. The useful question is which organization is responsible for each need—and where an independent RN-led service can organize the conversation without steering the choice.
01
Next Move Care
Purpose
Independent, private-pay RN-led health coaching and patient advocacy for adults age 18 and older, remotely or through an accepted residence visit
Relationship
Chosen directly by the patient or an authorized representative; partners, family members, and chosen family may participate when the patient wants them involved and authority and privacy requirements are met
Strength
A written My Next Move Plan combining situation review, observational home-safety assessment when scoped, medication-list reconciliation, question preparation, caregiver and resource coordination, administrative appeal support, and zero-commission professional options
Limit
Does not diagnose, prescribe, perform a pharmacist's prescription-safety review, direct medication or supplement changes, provide hands-on personal care, practice law, adjust claims, determine benefits or medical necessity, or guarantee an outcome
02
Hospital case management
Purpose
Support safe transition planning within a hospital encounter
Relationship
Part of the hospital team and its discharge workflow
Strength
Hospital-based coordination, discharge needs, referrals, and communication with the treating team
Limit
Scope and follow-up are generally tied to the hospital episode and available hospital resources
03
Health-plan navigation
Purpose
Help members understand benefits, networks, authorizations, and plan processes
Relationship
Provided by or through the insurer or health plan
Strength
Plan-specific coverage information and internal escalation routes
Limit
Works within the plan’s benefits, contracts, rules, and available programs
04
Geriatric care management
Purpose
Assess and coordinate longer-term needs, often for older adults and families
Relationship
Usually hired privately for ongoing planning and oversight
Strength
Local resources, housing and care options, family coordination, and longitudinal support
Limit
Credentials, clinical scope, availability, and services vary by professional and organization
05
Home health
Purpose
Provide ordered skilled services in the home for eligible patients
Relationship
A licensed agency working under an authorized plan of care
Strength
Part-time or intermittent skilled nursing, therapy, or other covered home-health services when eligibility applies
Limit
Not a general-purpose advocate; eligibility, orders, coverage, visit frequency, and service area apply
06
Palliative care
Purpose
Relieve symptoms, stress, and burdens associated with serious illness, including alongside disease-directed treatment
Relationship
A clinical service delivered by appropriately licensed professionals, sometimes through a hospital, clinic, or home-based program
Strength
Specialized symptom support, goals-of-care discussion, and serious-illness communication
Limit
Availability, setting, eligibility, staffing, billing, and visit frequency vary; it is not an independent representative of the client
07
Hospice
Purpose
Provide interdisciplinary comfort-focused care for eligible people with terminal illness
Relationship
A hospice team operating under an elected hospice plan of care
Strength
Symptom support, nursing, psychosocial and spiritual care, equipment, medications related to the terminal diagnosis, and family support
Limit
Eligibility and services are tied to hospice requirements and the hospice plan of care
08
Nonmedical home care
Purpose
Provide personal care, companionship, supervision, meals, errands, or respite in the home
Relationship
A home-care organization or caregiver hired privately or through an eligible program
Strength
Practical day-to-day help with activities that support living at home
Limit
Usually does not provide independent clinical decision support or cross-system advocacy; services, training, and oversight vary
09
Private-duty nursing
Purpose
Provide extended one-to-one skilled nursing when ordered, arranged, and clinically appropriate
Relationship
A licensed nurse or agency working under applicable orders, scope, contracts, and payment arrangements
Strength
Longer-duration skilled observation and nursing tasks for people with substantial clinical needs
Limit
Cost, coverage, orders, staffing, service area, and licensing requirements apply; it is not replaced by advocacy
10
Skilled nursing & rehabilitation
Purpose
Provide facility-based nursing or rehabilitation after illness, injury, surgery, or functional decline
Relationship
A licensed facility working under admission criteria, orders, coverage rules, and an interdisciplinary plan
Strength
Daily nursing availability, rehabilitation, and structured transition support
Limit
Admission, coverage duration, therapy intensity, staffing, and discharge decisions depend on individual facts and responsible organizations
11
Concierge medicine
Purpose
Provide enhanced access to a physician or practice through a membership or retainer model
Relationship
A direct relationship with the participating clinician or medical practice
Strength
More access, continuity, or visit time depending on the specific membership
Limit
Clinician-centered and usually private pay; it does not automatically provide cross-setting advocacy, home care, or coverage
12
PACE
Purpose
Coordinate comprehensive medical and social services for eligible older adults who can safely live in the community
Relationship
An integrated Program of All-Inclusive Care for the Elderly serving a defined geographic area
Strength
Interdisciplinary care, medications, transportation, adult day services, and other covered supports through one program
Limit
Age, location, nursing-home-level eligibility, enrollment, and program availability apply
Current services
Only what is available now
The Next Move Review is the flagship service. Focused Start offers one smaller question, Guided Navigation is a broader package that includes the Review, and Aging Well at Home is the leading specialty pathway. For adults age 18 and older, an accepted written scope may include a residence visit, observational home-safety assessment, medication-list reconciliation and pharmacist/prescriber question preparation, administrative appeal support, caregiver and resource coordination, general nutrition and movement education, and independent professional options.
Personal training is preparing to launch—not available to book yet.
Ali brings personal-training education and experience and maintains a current daily movement practice. Direct individualized training will not open for booking until its separate credential, screening, safety, documentation, scope, and operating requirements are complete. Until a credential is awarded, the website will not describe Ali as a Certified Personal Trainer or use the CPT title.
The current service remains RN-led advocacy, education, observation, organization, residence-based navigation when accepted, and authorized communication within a written scope and applicable law. Treating providers remain responsible for diagnosis, prescribing, treatment orders, monitoring, and direct care. Next Move Care does not provide bathing, dressing, transfers, medication setup or administration, client transportation, emergency response, continuous monitoring, legal representation, or other hands-on personal care.