Services

Counsel Concierge Nursing offers private, professional nursing oversight for independent adults who prioritize consistency and proactive care. We support aging in place while providing families with assurances of clinical expertise and professionalism.

We operate on a private-pay, retainer-based model, allowing care to be tailored to each client’s unique circumstances without the constraints of traditional home health or insurance-based services.

Situational clinical support outside of standard service arrangements is offered on an individual basis following consultation.

Monthly Retainer Services

Following an initial consultation, a retainer is structured around the specific oversight, coordination, and clinical support your situation requires. Listed below are the full scope of services available.

  • Ongoing clinical monitoring. In-home visits to assess health status, observe changes in condition, and establish a consistent clinical baseline over time.

  • Provider communication & follow-through. Direct communication with primary care and specialist teams to ensure recommendations are understood, followed, and coordinated across providers.

  • Discharge & recovery support. Structured oversight during the high-risk post-discharge & post-surgical window. Medication review, follow-up coordination, and early identification of complications.

  • Clinical monitoring and management of chronic disease. Living with chronic conditions requires requires consistent, knowledgeable oversight. Whether you're managing a single condition or navigating the complexity of several at once, we provide the clinical expertise and personal attention that helps you stay ahead of your health.

  • Thorough teaching and instruction giving our clients the tools and comprehension they need to become active participants in their care.

  • Comprehensive reconciliation of all medication, including OTC and supplements, with attention to interactions, high-risk agents, and compliance.

  • Appointment preparation, accompaniment, and follow-up. Pre-visit preparation to maximize clinical encounters, in-person accompaniment as appropriate, and post-visit follow-up with the family.

  • Structured updates & reporting. Scheduled family updates that translate clinical observations into clear, actionable information. Client& family access to Counsel Portal.

  • Proactive risk identification. Anticipating problems before they surface: fall risk, functional decline, polypharmacy, etc. Addressing them with clinical precision to prevent crisis.

  • ADL assistance and company. While providing professional, supportive nursing services, we assist with ADLs and provide several opportunities for companionship (walks, errands, meals).

Situational Clinical Support

In certain circumstances, we provide case-specific, clinical involvement outside of standard service arrangements. Availability and pricing is determined on an individual basis following consultation. When appropriate, this may include:

Travel

We help clients and families prepare for travel with the same attention we'd bring to any care transition.

  • Packing medication and preparing any needed medical supplies

  • Notifying care team

  • Anticipating needs before departure

  • Accompanying clients and families on business or leisure travel

Hospitalizations

We support clients and families through the hospital stay and the days that follow.

  • Communicating with the care team

  • Participating in rounds with family

  • Overnight presence and support when needed

Afterwards, we support a safe discharge:

  • medication reconciliation

  • follow-up appointments

  • monitoring for early signs of setback

Pre & Post-Surgical Support

Post-operative recovery in the comfort of your home. We prepare clients and families in the days before surgery.

  • Understanding & setting expectations

  • Preparing the home for a safe and comfortable recovery

  • Compliance with pre-procedure orders

Post-op, we provide in-home monitoring, support, and coordination through recovery

  • Monitoring for complications

  • Medication reconciliation

  • Communication with surgical team

What Our Services Are — and Are Not

  • Private, concierge nursing services & oversight

  • Proactive, relationship-based support

  • Designed to preserve independence and aging in place for clients and families

Counsel is:

  • A home health or skilled nursing agency

  • Task-based personal care

  • Insurance based care

Counsel is not:

Not Sure Where to Start?

That’s exactly what your consultation is for. All services begin with a complimentary discovery call to assess suitability and appropriateness of our services, followed by a private in-person consultation to evaluate needs and create a personalized care plan.

Request Private Consultation

Frequently Asked Questions

Have additional questions? Please Contact Us or reach us directly at (615) 933-9208.

  • No. Counsel operates entirely on a private-pay basis. It allows our services to be proactive, flexible, and structured around the client's actual needs rather than coverage criteria.

  • Home health provides skilled nursing services ordered by a physician and billed through insurance. Home care agencies provide non-clinical caregiving: bathing, meals, companionship. Counsel operates differently. Services are private-pay, ongoing, and clinical in nature, focused on oversight, coordination, and proactive management rather than task completion or episodic skilled care.

  • Geriatric care managers are typically social workers or nurses who assess needs and arrange services. Counsel provides direct, ongoing clinical nursing oversight — not a one-time assessment or a referral to other services. The relationship is continuous and clinically active.

  • Most Counsel clients are independent adults managing one or more chronic conditions, often with adult children or family members who are geographically distant or professionally occupied. Families typically come to Counsel after a hospitalization, a concerning diagnosis, or the recognition that navigating the healthcare system on their own is no longer sustainable. We work best with proactive families who value time and peace of mind.

  • Every consultation request begins with a complimentary discovery call to assess appropriateness. The initial consultation is a focused clinical assessment and family meeting conducted in the home to assess the client's current health status, health history, medications, functional independence, and family goals. It concludes with a written care plan and recommended retainer structure. There is no obligation to proceed with our services at the conclusion of the consultation process.

  • Yes. Client needs evolve. Our retainer structure is designed to flex in either direction based on what the clinical situation requires.