Aptiva Care Management specializes in managing the care for traumatic brain injury (TBI), dementia disorders, stroke recovery, behavioral conditions, and complex medical crisis situations.

Aptiva oversees the many intricate aspects of all medical and health care for your elderly, ill or injured loved one so you can focus on providing love and support.


Aptiva Care Management specializes in managing the care for traumatic brain injury (TBI), dementia disorders, behavioral conditions, and complex medical crisis situations

Aptiva oversees the many intricate aspects of all medical and health care for your elderly, ill or injured loved one so you can focus on providing love and support.

Care Management
Aptiva delivers guidance and results by overseeing all facets of your loved one’s medical care through patient advocacy and medical care management services. Aptiva works closely with your doctors to ensure optimal treatment throughout the patient’s medical journey.

Ill, Injured, or Ongoing Health Issues
There are many moving parts in healthcare when someone is ill or injured. Aptiva jumps in and assembles the necessary team of experts – physicians, physical therapists, registered dieticians, RNs, etc. Then, we coordinate and manage the team, so you can focus on providing your loved one with companionship and support. Be as hands-on as you like with care, or step back and let Aptiva Care Management handle it all.

Aging Parents
Whether you live near or far from your aging parent, issues with their care and supervision may grow to be more complex and demanding than you can comfortably manage. Aptiva Care Management, in collaboration with the family and the individual, organizes and manages all aspects of care. Aptiva’s goal is to meet an individual’s and/or family’s comprehensive health needs via coordianted resources to promote wellness, quality-of-life, coste-effective outcomes, and most important – peace of mind.

Learn More
Aptiva care managers act as your loved one’s advocate, helping to ensure they follow their doctors’ orders. This can be challenging if your loved one has memory difficulties or problems reading fine print. Below is just a sample of an extensive list of assistance Aptiva can provide:

  • Attending doctors’ appointments and facilitating communication
    between doctor, loved one, and family members, if appropriate.
  • Monitoring loved one’s adherence to medical orders and instructions,
    including reminders to take medications and exercise as directed by a physician.
  • Managing special dietary needs for conditions like diabetes, hypertension,
    or heart disease through strict shopping and nutrition guidelines.
  • Scheduling doctors’ appointments for loved ones including reminders.
  • Scheduling transportation to and from doctors’ appointments as necessary.

Aptiva Figures It Out For You

  • Professional care management is a client-centered approach to caring for older adults and people who are ill, injured, or face ongoing health challenges.
  • Aptiva Care Management has a team of specialized geriatric and adult care managers. We work with families and provide answers during times of uncertainty. Aptiva guides the family to act and make decisions that ensure quality care and optimal living for those they love. Aptiva Care Management can reduce the family’s stress, worry, and time off work.
  • At its highest level, care management in healthcare is a natural extension of primary care. A comprehensive care management program requires complex coordination among all the moving parts in healthcare. The parts include clinicians, health systems, care teams, caregivers, patients, and their communities.


  • Dementia Care:

Evaluate and assess the type of dementia and take proactive and appropriate actions to help ensure optimal quality-of-life outcome.

  • Traumatic Brain Injury (TBI):

Evaluate and assess the severity and type of brain injury taking proactive and appropriate actions focusing on quality-of-life outcome.

  • Stroke Recovery:

Oversee, manage and coordinate all aspects of stroke recovery from hospital to in-patient and out patient rehab to home integration.

  • Behavioral Health:

Evaluate, assess, and manage individual needs for behavioral and psychiatric care.

  • Geriatric Evaluation:

Assess and evaluate needs for additional and appropriate care for aging and dementia type needs.

  • Geriatric Advocacy:

Consult to find the absolute best options of care and quality-of-life for our seniors.

  • 24/7 Availability:

Dedicated health care team including clinicians, physicians, available around the clock.

  • Coordination:

Coordinate and manage all aspects of medical and healthcare needs.

  • Clinical and Caregiving Management:

Oversee all aspects of the in-home care team.

  • Manage Special Dietary Needs:

Design and Manage special diets of all types including diabetes, hypertension, stroke, and heart disease.

  • Appointment Scheduling:

Ensure primary and preventive care visits are made appropriately and in a timely manner resulting in fewer duplicative tests and procedures and higher client satisfaction.

  • Medication Management:

Ensure that all medications are administered appropriately in the correct dosage and time of day.

  • Medical Crisis Management:

Guide and direct families through medical healthcare crisis.

  • Hospital at Home:

Transition from a hospital or medical facility to a “hospital at home” environment ensuring all necessary supplies and equipment are in place allowing client to be surrounded by family and friends.

  • Communication:

Keep family members and professionals informed as to the well-being and changing needs of the client.

  • Family Counseling and Support:

Counsel families on how to successfully support, nurture, and understand the challenges facing our aging population.

  • End of Life Counseling:

Counsel and guide family and loved ones during the final stage of life.

  • Housing:

Help families evaluate and select appropriate level of housing or residential options.

  • Home Care Services:

Determine types of services that are right for a client and assist the family to engage and monitor those services.

  • Social Activities:

Provide opportunities for clients to engage in social, recreational, or cultural activities that enrich their quality-of-life.

  • Medical Billing Assistance:

Help families with the very complex and confusing insurance system.

  • Legal:

Refer to or consult with elder law attorneys, provide expert opinion for courts in determining level of care.

  • Financial:

May include reviewing or overseeing bill paying or consulting with accountant or client’s Power of attorney.

  • Entitlements:

Provide information on federal and state entitlements; connect families to local programs and provide assistance with conservatorships, grants, IHSS, and other programs

  • Safety and Security:

Monitor client at home; recommend technologies to add to security or safety; observe changes and potential risks of exploitation or abuse.

I simply love what I do, and love where I work.
I really don’t think I would want to do anything else.

In brief, I manage the care of individuals that have dementia, a traumatic brain injury, a stroke, behavioral conditions, or are in medical crisis. Making a positive difference in people’s lives when they are in these adverse situations is fulfilling and gratifying to help them get through it. When I wake up in the early morning, even if I have been up late working the night before, I’m still very excited to start the day and really can’t wait to get going – to get to our patients, get to our clients, and get to their families. I truly want to help, and I really want to make a difference for all of them.

With all that being said, I could not do it without my passionate and compassionate Aptiva team. I ask a lot of them every day and night and they always say “yes” we want to help. Sometimes I’m the one saying to them, “It’s time for you to take a rest”. Why do they do it? Well, just like me, they are driven by what we do. They too love what they do and love where they work. I, and the entire Aptiva team, hope that you and your loved ones are never in medical or health crisis. But, if that unfortunate circumstance happens, we would certainly like Aptiva to be the group that guides and helps you through this very difficult time.

Sincerely, Marc Friedman


marc friedman
managing director

jana mcfadden
director, patient services

kelly renayga
registered nurse

kathy gill
cognitive care coordinator

“Marc provides medical management for eight members
of my family. He has been with my family for over 3 years now
and handles every aspect of all my family’s needs. Where would
we be without him? I don’t even want to think about it.”


“Marc and the entire Aptiva team to say the very least did an amazing
job in every aspect of Terry Leftgoff’s medical and healthcare needs.
They oversaw and managed everything! Their very unique hospital at
home program was way beyond expectations. We could not have asked
for more, but if we needed to Aptiva would certainly deliver!”


“Hi Marc, I just wanted to let you know that the doctors, therapists,
case managers etc. at Craig Rehab Hospital have all said what a wonderful
job we did with Brett at his home hospital program and they’re very
amazed that he is so healthy and doing so well, etc. Thank you again!
We owe it all to you! You truly are our hero!”


“Aptiva Care management is my go to company for case management
and everything that goes with that. Their ability to manage complex
cases have far and away exceeded my expectations. They never
let me or my patients down. I highly recommend them!”


“Nothing is scarier than getting a cancer diagnosis. Marc Friedman and his
team at Aptiva were warm, attentive, and compassionate with helping my family
take care of my mother. I cannot imagine what it would have been like without
Marc’s experience, expertise, and compassion. Justknowing Marc and his team
were there for us whatever we needed, was a huge peace of mind.”


An Educational Presentation

A class designed to help make a very complicated topic, “the brain,” simple to understand. “Brain Made Simple” was designed by Marc Friedman, Managing Director of Aptiva Care Management. Marc is a Board Certified Gerontologist with multiple degrees in psychology. Additionally, Marc has decades of experience in senior and dementia care. “Brain Made Simple” has already impacted thousands of individuals throughout the United States and Canada.

Interactive & Entertaining

The presentation is interactive, educational, and entertaining. Brain Made Simple was created to enhance an individual’s understanding of the brain’s aging process, focusing primarily on dementia. Marc reviews several different types of dementia, highlighting the most common types. Throughout the discussion, Marc presents information using common and general terminology to make learning fun.

Gain a Better Understanding of Cognitive Decline

Family members dealing with a loved one’s cognitive decline as well as seasoned
professionals will find the presentation valuable.

Talk to us about scheduling a presentation for your group or company. It really is
THE BRAIN MADE SIMPLE! For details call Jana: (949) 439-0874

If you are interested in care management solutions for you,
your family or your organization, please fill out the form below.
It will help us to better understand your needs.

A trained care management specialist will reach out as soon as
possible to answer your questions and begin the process of creating
a specialized care management plan to best suit your needs.

(949) 459-2155


30021 Tomas, Suite 300
Rancho Santa Margarita, CA 92688