Care Management in Wellesley, for families navigating complex situations.

Care Management in Wellesley, for families navigating complex situations.

Practical support for aging parents, healthcare coordination, medications, and life transitions across MetroWest Boston.

Practical support for aging parents, healthcare coordination, medications, and life transitions across MetroWest Boston.

If you're searching for Care Management in Wellesley, you're probably in one of those moments where life has gotten genuinely complicated. An aging parent's care is fragmenting across multiple providers. A family member is navigating a new medical or psychiatric diagnosis. You're holding more medical paperwork, insurance details, and pharmacy logistics than any one person should be expected to track.


Onto Therapy offers Care Management as a standalone service, or as a complement to therapy. Our role is to bring structure, coordination, and clinical perspective to situations that have outgrown a single calendar.

Who Care Management is for

Who Care Management is for

Sandwich-generation adults. If you're balancing your own life with the care of an aging parent — medications, appointments, communication with their doctors, monitoring how they're actually doing — Care Management gives you a partner.


Families navigating mental health or medical complexity. When one family member's care touches multiple providers, systems, and decisions, having a single clinician coordinating reduces both the burden and the risk of things falling through cracks.


Adults managing their own complex care. Chronic illness, recovery from a major medical event, or managing psychiatric care alongside daily life — sometimes you need a clinical partner who can help with the practical side as well as the personal.


Onto therapy clients with concurrent needs. When a current Onto client is also managing complex care for themselves or someone they love, Care Management can be added to their treatment plan.

What Care Management includes

What Care Management includes

Coordination with physicians, psychiatrists, attorneys, and other care providers


Medication management oversight — reviewing prescriptions, tracking changes, flagging concerns


Healthcare navigation — helping you find specialists, schedule appointments, follow up


Family meetings and communication with care teams


Support during life transitions — moves, diagnoses, level-of-care changes


Clinical perspective on whether what's happening clinically is what should be happening

Why Onto for Care Management

Why Onto for Care Management

Clinical depth, not just logistics. Many Care Management services focus on logistics: scheduling, paperwork, transportation. We bring those things — plus the clinical perspective of a team trained at McLean Hospital, Mass General, and Harvard Medical School. When a question comes up about what's happening clinically, we can actually weigh in.


Hospital-trained leadership. Onto is led by Kerry Rivard, LMHC, former Program Director of the 3-East DBT Residence at McLean Hospital, with two and a half decades of clinical and program leadership experience. Our Scientific Advisor is Douglas Katz, PhD (Mass General, Harvard Medical School).


Integrated with therapy when helpful. Care Management can be a standalone engagement or layered into a broader treatment plan if you or a family member are also doing therapy with us.

How Care Management works

How Care Management works

Engagements begin with a comprehensive assessment so we understand the situation, the people involved, and what success would look like. From there, we build a Care Management plan suited to your needs — hourly or retainer-based, depending on the scope. You'll know what we're doing, what we're coordinating, and what it costs.

Serving Wellesley and MetroWest Boston

Serving Wellesley and MetroWest Boston

We provide Care Management in person in Wellesley and remotely throughout Massachusetts. Our Care Management clients come from Wellesley, Needham, Newton, Weston, Natick, Dover, Wayland, and across MetroWest. Many are sandwich-generation adults managing parents in Wellesley or surrounding towns while balancing their own demanding lives.

Billing and access

Billing and access

Care Management is private pay, billed hourly or on a retainer basis depending on scope. We accept all major credit cards, FSA, and HSA.

What happens next

What happens next

The best way to know if Onto is the right fit is a free 20-minute consultation. We'll discuss your goals, answer your questions, walk through our approach and pricing, and help you decide whether to schedule a full intake.