Caregiver with patient

Care Navigation in Island Lakes

Care Navigation. Nurse-led. Doctor-supported.

Nurse-led coordination across physicians, specialists, WRHA Home Care, insurance, and community resources — so families stop playing case manager for a system that does not talk to itself.

Care planning in Island Lakes: Island Lakes families can use an in-home assessment to combine foot care, physiotherapy, personal care, nursing, or care navigation with a realistic schedule for appointments, family relief, and overnight needs.

How this service connects to local care

A plan for the person, the home, and the schedule

How the service fits

Care navigation can organize referrals, discharge planning, equipment, public Home Care applications, Self and Family Managed Care, insurance, and the handoff between family and paid care.

Hospital and appointment handoff

If care follows a stay or appointment at St. Boniface Hospital, share the discharge date, written instructions, medication changes, mobility limits, equipment needs, and follow-up schedule. Prime provides discharge planning, hospital-to-home transportation, appointment escorts, nursing, and post-surgery support.

Home and scheduling details

The nurse assessment should review entrances, stairs or elevators, bathroom access, safe transfers, medication storage, caregiver access, parking, and whether overnight support is required. Confirm preferred visit times, appointment dates, family handoffs, language preferences, and whether overnight care means an awake shift or a live-in arrangement.

What's Included

Physician & specialist coordination
WRHA Home Care liaison
Insurance navigation & direct billing
Hospital discharge planning
Community resource referrals
Funding & benefit application support
Family care meetings
Care plan development & updates

What Your Family Gains

Family burden lifted

Adult children stop being the full-time case manager for a parent.

Funding maximised

We know the programs and paperwork most families never find.

Gaps closed

The cracks between hospital, family doc, specialist, and Home Care get bridged.

Nurse-led

Care navigation with clinical expertise — not a call centre script.

Geographic and facility context for Island Lakes, Winnipeg

Nearest hospital

St. Boniface Hospital (~7 min), Victoria General (~12 min)

Care facilities nearby

Actionmarguerite Saint-Vital · Riverview Health Centre (nearby)

Area character

1980s–90s planned community in southeast St. Boniface built around a series of man-made lakes — family-friendly with walking paths and waterfront homes.

Community context

Original 1980s–90s homeowners now aging into 60s–70s; growing aging-in-place demand.

Common Questions