Frequently Asked Question's

Alzheimer’s & Dementia Care (Elder Care Focus)

Yes. BrightStar Care of Bedford/Manchester provides expert in-home memory care specifically designed for seniors living with Alzheimer’s disease, vascular dementia, Parkinson’s disease, and other neurological disorders. Our program follows a proprietary Alzheimer’s and Dementia Care Path, which uses science-based methods to help clients remain safely in their own homes in Bedford, Manchester, Nashua, Concord, Salem, Dover, Exeter and surrounding areas while maintaining their dignity and quality of life.

Unlike many home care agencies, every memory care plan at BrightStar Care is created and supervised by a Registered Nurse (RN) Director of Nursing. This is critical because dementia is progressive; our RNs conduct regular assessments to monitor changes in cognitive function, adjust care plans, and provide medication management to ensure safety as the disease evolves.

Our caregivers undergo specialized training to manage complex behaviors associated with memory loss, such as wandering, agitation, sundowning, and confusion. We use person-centered techniques to de-escalate stress and engage clients in cognitive stimulation. In 2025, our team is also trained to support families eligible for the Medicare GUIDE Program, a holistic model designed to improve the dementia care experience for both the patient and the family caregiver.

Yes. We provide a full continuum of care, from hourly respite to 24/7 live-in care. For families in Southern NH who need overnight supervision to prevent wandering or to assist with nighttime safety, our caregivers provide continuous monitoring, allowing family members to rest knowing their loved one is secure.

In-home memory care allows seniors to stay in a familiar environment, which can significantly reduce the anxiety and "transfer trauma" often triggered by moving to a facility. By providing 1:1 care, we ensure that your loved one’s unique routine—from their favorite music to their specific meal preferences—is honored, which is often impossible in a crowded institutional setting.

Pediatric & Specialized Home Care (PDN Provider)

Yes. BrightStar Care of Bedford/Manchester specializes in pediatric skilled nursing and non-medical home care for infants, children, and adolescents across Central and Southern NH. Our services range from respite care for children with special needs to complex medical support for medically fragile pediatric patients. Every pediatric case is managed by a Registered Nurse (RN) who develops a personalized plan of care to ensure "A Higher Standard" of safety and clinical excellence.

Our pediatric nursing team is trained to manage complex medical needs, including:

  • Tracheostomy and Ventilator care
  • Feeding tube management (G-tubes, J-tubes, and NG-tubes)
  • Complex IV therapy and medication administration
  • Neonatal care for premature infants
  • Support for chronic conditions like Cystic Fibrosis, Cerebral Palsy, and Seizure Disorders

Absolutely. We provide specialized Personal Care and Companion Care for children with autism (ASD), Down syndrome, and other intellectual or developmental disabilities. Our caregivers assist with activities of daily living (ADLs) such as bathing, feeding, and mobility, allowing parents in the Manchester and Bedford areas to receive much-needed respite.

Medical Staffing Solutions

BrightStar Care of Bedford/Manchester provides comprehensive healthcare staffing solutions for hospitals, nursing homes, assisted living facilities, and clinics throughout NH. We offer flexible placement options, including per diem, contract, and temporary-to-permanent staffing to help local facilities manage census surges or personnel gaps.

Yes. We are a trusted partner for school nurse staffing and 1:1 pediatric nursing for students with complex medical needs. Our RNs and LPNs assist schools in meeting IEP requirements by providing on-site medical support, ensuring students can safely access their education.

We maintain a roster of highly vetted, licensed, and insured professionals, including:

  • Registered Nurses (RNs) and Licensed Practical Nurses (LPNs)
  • Certified Nursing Assistants (CNAs) and Licensed Nursing Assistants (LNAs)
  • Medical Administrative and Clerical Staff

We hold Joint Commission Accreditation, the same rigorous gold standard used by the nation’s top hospitals. Our vetting process includes in-depth interviews, criminal background checks, drug screenings, and primary-source license verification. Because our agency is nurse-led, our Director of Nursing ensures every professional meets our "Higher Standard" before they ever step foot in your facility.

Operations & Service Areas

We provide comprehensive home care and medical staffing throughout Central and Southern New Hampshire. Our primary service areas include Hillsborough County, Merrimack County, and parts of Rockingham County. We frequently serve families and facilities in:

  • Bedford and Manchester
  • Nashua, Hudson, and Merrimack
  • Concord, Bow, and Hooksett
  • Amherst, Milford, and Goffstown
  • Salem, Derry, and Londonderry
  • Dover, Rochester, Portsmouth, Exeter

BrightStar Care of Bedford/Manchester is proud to hold Joint Commission Accreditation, the gold standard in healthcare quality. This is the same rigorous accreditation used by the nation's top hospitals. It means an independent body has verified that our clinical processes, safety protocols, and "A Higher Standard" of care meet or exceed national safety and quality requirements.

We offer a variety of flexible payment options to ensure your loved ones receive the care they need. We accept:

  • Private Pay (Personal funds)
  • Long-Term Care Insurance (LTCi) – We can help you navigate and process your claims.
  • Veterans Affairs (VA) Benefits – Including Aid & Attendance and community care programs.
  • Workers' Compensation – For those recovering from workplace injuries.
  • NH Medicaid (Managed Care) – We work with NH Medicaid plans including Well Sense, New Hampshire Healthy Families, and AmeriHealth Caritas.

Yes. We are a nurse-led agency. Every client’s care is overseen by a Registered Nurse (RN) Director of Nursing. The RN conducts the initial assessment, creates a customized Plan of Care, and provides ongoing supervision of our LNAs and caregivers. This clinical oversight ensures that as a client’s medical needs change—from companion care to skilled nursing—we can adapt without a transition in providers.

Our local office is located at 601 Riverway Place, Bedford, NH 03110. You can reach us 24/7 by calling 603-637-4646. Whether you are looking for immediate staffing solutions or long-term pediatric nursing, our team is available around the clock to assist you.

Utilizing Insurance for Home Care

Yes, but coverage depends on the type of care needed. Most major commercial health insurance plans in New Hampshire (including Anthem Blue Cross Blue Shield, Cigna, and UnitedHealthcare) cover Skilled Nursing and therapeutic services when they are deemed medically necessary by a physician. However, "custodial care" (such as help with dressing or light housekeeping) is generally not covered by standard health insurance and is typically paid for through Long-Term Care Insurance or private funds.

To utilize your commercial policy for skilled nursing at home:

  1. Clinical Assessment: Our RN Director of Nursing performs a comprehensive assessment to document the medical necessity of the services.
  2. Physician Orders: Your doctor must provide a signed order for skilled services (e.g., wound care, IV therapy, or ventilator support).
  3. Prior Authorization: Our administrative team works directly with your insurance provider to secure the necessary authorizations. Note: We are experienced in coordinating with various New Hampshire payers to ensure a seamless start of care.

Standard health insurance is designed for medical recovery and "skilled" needs. Long-Term Care Insurance is specifically designed to cover "non-medical" personal care, such as assistance with activities of daily living (ADLs) and memory care for Alzheimer's patients. BrightStar Care of Bedford/Manchester works with many LTC carriers to assist families with the claims process and documentation required for reimbursement.

Yes. We are a trusted provider for Workers’ Compensation cases in Southern NH, helping individuals transition from hospital to home after a workplace injury. We also support our local veterans through VA Community Care programs and TriWest benefits, ensuring those who served have access to the highest standard of home nursing.

Employment & Careers at BrightStar Care

At BrightStar Care, we offer the unique opportunity to provide one-on-one patient care in a home setting or support premier healthcare facilities through our medical staffing division. Unlike high-stress hospital environments, we prioritize work-life balance and clinical support. Our local office is nurse-led, meaning your supervisors understand the challenges of the field and provide the 24/7 clinical backup you need to succeed.

We are actively hiring for various roles throughout the Bedford and Manchester regions, including:

  • Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) for home health and pediatric cases.
  • Licensed Nursing Assistants (LNAs) and Home Health Aides (HHAs) for personal care and companion services.
  • Medical Staffing Professionals for per diem shifts in local NH hospitals and assisted living facilities.
  • School Nurses for 1:1 student support within local school districts.

Yes. We understand that our caregivers and nurses have busy lives. We offer flexible PRN (as-needed), part-time, and full-time schedules that fit your lifestyle. Benefits for eligible team members include:

  • Competitive weekly pay with direct deposit.
  • Paid Time Off (PTO).
  • 401(k) retirement savings plans.
  • Health and dental insurance options.
  • Performance bonuses and employee recognition programs.

We are committed to your growth. BrightStar Care provides comprehensive orientation and ongoing CEU (Continuing Education Unit) opportunities. For those interested in specialized care, we offer specific training in pediatric nursing, dementia care, and advanced infusion therapy. Because we are Joint Commission accredited, our staff is trained to the highest clinical standards in the industry.

Applying is simple. Prospective employees can visit our online careers portal, browse open positions in the Manchester area, and submit an application. Our hiring team reviews applications daily and conducts interviews at our Bedford, NH office. We look for compassionate, licensed professionals dedicated to delivering "A Higher Standard" of care.