A Multi-disciplinary Team
AACM Team members have expertise in many areas. They have had work/educational experience in gerontology, home care, facility administration, nursing, home health, hospice, financial counseling and accounting, social work, government programs, mediation and education. Although we work as a team, we provide a single point of contact for the care providers, client, and family.

Our Care Managers are highly trained, skilled, and committed specialists with comprehensive knowledge of geriatric professionals and resources in the community. The company strives to keep all employees as well-trained and well-informed on new skills, methods, policies, and procedures by offering each employee continual employee development classes and forums for the roles they do at Accountable Aging.


Rhone McCall, MSM, Director of Care Management
Rhone has spent the past 15 years of her career working in the business side of the healthcare industry. As Director of Care Management, Rhone is responsible for the management of Accountable Aging, with support from her long-time colleague and mentor, Mary Koffend. Rhone was previously the owner and CEO of ProperCare Care Management, and merged her practice with Accountable Aging to create Austin's premier care management company. Rhone was the co-founder of the Austin office of BrightStar Care, a premier home care and private-duty nursing agency. Prior to owning BrightStar, she owned and operated a hospice pharmacy in south Florida, providing medications and pharmacy services to patients at home and at many area assisted living and skilled nursing facilities. She holds Bachelor of Arts degrees in broadcast journalism and Spanish literature from Southern Methodist University, and earned her Master of Science in Management (MBA) from the Georgia Institute of Technology.




Mary Koffend, Co-Founder
Mary brings to her leadership of the company many years of management experience, problem solving, and dealing with situations where there seems no simple solution. Mary also brings her life experiences as a daughter of a mom with Alzheimer's and an aunt with schizophrenia. She has great empathy for what these diseases do to family dynamics. Mary was responsible for Houston's largest and most complex SSA client service operation before managing the Medicaid provider services programs for the State of Texas. Having served elder and disabled clients for many years with the Social Security Administration throughout Texas, Mary is in a unique position to now help AACM clients deal with two of the biggest challenges related to aging: understanding healthcare options and dealing with the many bureaucracies and systems. Mary is trained at family facilitation and mediation. She loves thinking outside of the box to explore creative options. She enjoys sharing her knowledge about government programs and aging in presentations. She is a good listener and is often the first person that you reach when inquiring about how Accountable Aging can assist your family.

Mary served on the Board of Directors of Adult Protective Services (APS) and on the Board of Directors of AGE of Central Texas. She serves on a leadership position at her church and is a regular volunteer at her church's food pantry. She is a member of a great book club and loves reading, especially mysteries. Her favorite pastime is being with her daughters and six grandchildren.




Mick Koffend, MBA, CPA*, RFG, Co-Founder
Mick joined the Navy in 1970 after graduating with a BS in Chemistry from the Illinois Institute of Technology. As a Naval Flight Officer, he earned his daily bread for about five years by being shot off an aircraft carrier. After the Navy, he went to Harvard Business School, got an MBA and started a career in Big Oil, mostly in the petrochemical divisions of large, integrated oil companies since, as a chemistry major, he knew how to spell "ethylene." In 1985, he started a system integration business that set the template for the better part of the next 15 years of his career. Mick has followed a path where he has been a Controller or Chief Financial Officer of several small companies, many of them start-ups and all of them in the technology sector. One of the startups for which Mick was a co-founder was a Houston-based software company that went public in 1999 (Mission Critical Software). In the early 1990s, Mick became a CPA* as part of his mid-life crisis.

Mick is committed to a world without multiple sclerosis (MS) and to this end, he has been trained as a MS Ambassador, is a member of the cycling Team No MaS whose members raise funds for services, programs and research for those living with MS, and serves on several committees of the National MS Society. He serves on the Board for the Estate Planning Council of North Texas and is a member of the Financial Planning Association and the Society of Financial Service Professionals. Mick also completed the American Institute of Financial Gerontology's (AIFG) Registered Financial Gerontologist™ program. Lastly, Mick is a Sunday School class leader and volunteers for his church's food pantry.

*Accountable Aging Care Management is not a CPA firm.




Lauren Brandt, LMSW, Care Manager
Lauren Brandt, LMSW received both her bachelor's and master's in social work from Texas State University. She has completed her clinical hours and is currently preparing to complete her licensing exam to obtain her LCSW. Prior to joining Accountable Aging Care Management (AACM) she worked with adults/elderly with various medical conditions including those with cancer and disabilities; those with insurance and financial hardships; those with housing and transportation issues; and people experiencing grief and end of life issues.

Lauren's personal experience with her father's illness found her family in the midst of a caregiving crisis. She learned firsthand how a family's stress can be alleviated by receiving guidance and from there a passion was born. She has facilitated many support groups, as well as caregiver workshops for the last 12 years to help people cope with caring for a loved one.

In her spare time, Lauren enjoys spending time with her husband and children, traveling , dancing and listening to live music.




Spencer Brown, MSG, LNFA, CMC, Care Manager
Spencer has devoted his entire career to the field of aging, directly as a result of helping his family work through the declining health and death of his grandfather during his college years. He holds a Master of Science in Gerontology and a Bachelor of Arts in Sociology from Baylor University. Spencer has held executive positions in a variety of settings - nursing facilities, assisted living facilities, independent living communities, and non-medical in-home provider services. He has managed all facets of operations, including customer service, employee supervision, and fiscal responsibility. A large part of his duties included solving problems and guiding seniors and their families through the complex aging process.

As a licensed nursing facility administrator (LNFA), Spencer is uniquely qualified to help clients and families determine the best senior-living options and to ensure that service providers are fulfilling their obligations. He is an active volunteer for the Alzheimer's Association's as part of their Speaker's Bureau, helping educate the San Antonio community about dementia. Spencer furthers his professional commitment as a member of the South Central Committee's Board of Directors of the Aging Life Care Association™. As member of the Aging Life Care Association™, Spencer is an Advanced Aging Life Care Manager™. He is also a musician, playing the piano from an early age and later studying the pipe organ. Additionally, he serves as a deacon at his local church. Spencer and his wife, Stephanie who is a Baylor Law School graduate, have three children.




Patience Buchanan, LMSW, Care Manager
Patience has been helping individuals and families navigate healthcare and other systems for more than 15 years. She received both a Bachelor of Science in Education degree and a Master of Science in Social Work degree from the University of Texas in Austin. Patience worked in health and human services for the State of Texas for ten years. She also has extensive experience as a case manager, skilled nursing admission and discharge planner and hospice social worker. Prior to joining Accountable Aging, Patience served as Director of Care Management at ProperCare Care Management. Her forte is building trusting relationships with individuals and families facing decisions about health care needs. Her guiding principal is to enrich lives by connecting people to comprehensive support systems that promote successful living. She and her husband (and their spunky Sheltie) live in Dripping Springs.




Erin Eiler, MA, Gerontology, Care Manager
Erin is a born and raised Texan, having lived in Irving, TX for a majority of her life. Erin spent 3 years out of Texas when she completed her Bachelors in Accounting from Mississippi College. She then returned to her home state to complete her Masters in Gerontology from the University of North Texas. At the completion of her master's degree, Erin worked with a local hospital to research options to expand their geriatric programming. Erin has also worked in the non-profit realm where she helped low income seniors remain independent in their homes. Erin developed a desire and passion to serve the geriatric population from a young age and the passion remains to this day.

In her spare time, Erin is an active member in her church community and weekly leads a group of high school girls. Erin enjoys baking, exploring new cities and spending time with her husband Ben.




Shannon Gray, Family Liaison
Shannon handles billing, Visa Buxx pre-paid debit cards and financial reporting for Accounting Aging Care Management. She supports the Care Managers in their efforts to protect clients financially by managing the Buxx program and ensuring their assets are protected. Additionally she works closely with Mick and Mary to prepare the AACM monthly billing for each market and produce comprehensive financial reports. Though all of Shannon's work is done behind the scenes to support the team, her heart is ultimately focused on the end result of what is best for the clients of AACM. With a Bachelor of Science from the University of North Texas and a background in project management, contingent staffing and training/development, Shannon brings diverse experiences to the team. When she isn't working or volunteering, she's spending time with her hubby, three young children and extended family.

Shannon actively participates in ministries of her church which include Women of Grace and Grace Kids as well as volunteers at her children's schools.




Katie McGary, LMSW, Client Coordinator
Katie received both her Bachelor's and Master's in Social Work from Florida State University. Since moving to Texas she became a licensed master social worker (LMSW.) Prior to joining Accountable Aging Care Management (AACM) her experiences includes assisting older adults/elders in various settings including those with Alzheimer's and dementia; those with disabilities; and people experiencing homelessness. All of these she has enjoyed but her greatest pleasure has always been with elders. This passion has been inspired by having never really knowing her grandparents and having aging parents and seeing them struggle with medical issues/aging process. Katie enjoys the challenge of using problem solving and critical thinking of how to best serve difficult client situations. In her free time she enjoys going to shows/concerts with her boyfriend, travelling together and making plans for their next destination.




Claire Montgomery, Operations Manager
Claire has over 7 years of experience in the care management industry, previously serving as Client Services Manager for ProperCare Care Management. Claire works closely with our executive staff to provide quality services and effective coordination of care for all of our clients. As Operations Manager, Claire oversees and supports our professional care managers, ensuring timely response, follow up and reporting. Claire's organizational skills and attention to detail, along with her genuine concern for the family's interests, ensure that our company processes and operations run smoothly, and each family's priorities are appropriately addressed. Claire graduated cum laude with a Bachelor of Fine Arts degree with a minor in mathematics from Southern Illinois University Edwardsville.




Lettie Morse, RN, MSN, CNS, Care Manager
Lettie has over 34 years of healthcare experience working primarily in San Antonio, Texas. She received a Master of Science Degree in Nursing and a Clinical Nurse Specialist certification in Adult Medical -Surgical Nursing from the University of The Incarnate Word. Working with aging adults has been a large part of her practice whether in a community health setting, teaching at a local university or in acute care hospital settings. In her early years as a nurse, she assisted in the openings of 4 specialty hospitals and several hospice companies. Lettie was born and raised in San Antonio and has a large, beautiful family who live close by and whom she visits often. She also enjoys riding her bicycle, listening to jazz music, early morning meditations and cooking. Lettie is a practicing vegetarian and believes good, healthy food is essential to living a happy and healthy life.




Samantha Nutter, BSW, LBSW, Care Manager
Samantha is a native of Buffalo, New York and received her Bachelor's of Social Work degree from Niagara University. Sam has previous experience working in subsidized housing facilities for the elderly, assisted living facilities focused on memory care and those with dementia, as well as emergency room social work. Sam has a passion for being an advocate and a listening ear for families as they go through the complexities that life throws their way.

In her free time, Sam enjoys finding new places to explore, reading through her extensive book collection and spending time with her husband Zach and their dog Teddy. She enjoys fostering dogs as well as volunteering on Sunday's to care for the babies at her church.




Michael Rodus, Care Manager & Benefits Specialist
Michael has a BA in English from the University at Albany in NY and spent the early part of his career working in different industries, including a stint at ABC News, and as a content editor for an Austin startup. While working as a Disability Specialist for the State of Texas, Michael learned the ins and outs of the Social Security disability program, and realized he had a knack for understanding the complex policy that is a part of all government programs. As AACM's resident Benefits Specialist, Michael helps clients solve problems and find answers by maneuvering through the tangled web of government bureaucracy. He has extensive knowledge of Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI), is continually learning about Medicare and Medicaid, and can assist in helping clients find and receive other benefits that may be available to them.

Although Michael is new to eldercare and care management, he has experienced the difficulty that goes along with having family members who suffer from Alzheimer's disease, mental illness, and cancer. He is glad to be part of a team that helps families and their loved ones, and feels excited that he is doing his part in this endeavor.

With three young daughters at home, Michael doesn't have a lot of spare time, but he does consider himself a hobbyist musician. He also hopes to one day write his dream novel, though he wonders at what age one must stop considering oneself an aspiring writer.




Nancy Schoeberl, MS, Care Manager
Nancy started her career as a Medical Technologist. After working several years in the lab, she decided to return to school to pursue her bachelor's degree in Nursing in order to become more directly involved in patient care with the opportunity to improve the lives of others. Nancy received her BSN from Grand View College in Des Moines, Iowa and has spent the past 23 years as a registered nurse in Iowa and Texas working with the senior population. Nancy's nursing career has spanned working in a variety of community based settings, including home health care, public health nursing and working with non-profits committed to providing medical care to the most vulnerable and under-served in the community. Nancy's passion is in geriatrics and assisting aging clients and their loved ones to ensure their physical, emotional and family support needs are met.

Nancy and her husband Mark have 2 adult children in college. She is active in her church and volunteers at the Bella House, a home for young mothers. Nancy enjoys spending time with her family, watching college football, reading, and traveling back to Iowa to see family and friends.




Mary Pat Smith, MSN, RN, GCNS, CMC, Care Manager
Mary Pat brings a clinical nursing perspective and extensive healthcare knowledge to the AACM team. As an RN for more than forty years, Mary Pat is very familiar with acute, outpatient and long-term care, having provided nursing care and functioned in management and educational roles. As an Advanced Practice Nurse: Clunical Nurse Specialist in Gerontology, she assessed the well-being of residents in assisted living, memory care and skilled nursing facilities, utilizing prescriptive authority as part of resident care plans.

Mary Pat has considerable knowledge about dementia, having taught classes and cared for persons with dementia, incorporating Naomi Feil's "Validation Therapy". Using these experiences, she evaluates the needs of AACM clients and their families in a holistic, compassionate and expert manner while taking into consideration the unique perspective of the care recipient and caregiver(s). She earned her MS in Nursing from the University of Texas at Austin, is licensed by the Texas Board of Nurse Examiners as a Registered Nurse (RN): Advanced Practice Nurse: Clinical Nurse Specialist in Gerontology (APRN: CNS-Gero) and is Board Certified by the American Nurses Credentialing Center. Mary Pat gained her BS in Nursing from D'Youville College in Buffalo, NY. She is one of the AACM representatives for the ALCA: Aging Life Care Association™.

Additionally, Mary Pat serves in various community organizations to improve the lives of older adults Texans: is a member of the Texas Silver-Haired Legislature as a representative for the ten County Capital Area; Is a founding and current Board member of Drive a Senior-SW;and served for 14 years as an Advisory Council member of Coming of Age/RSVP of Austin-Travis County. Finally, Mary Pat has knowledge and personal experience with Blindness and Low Vision. She travels around Travis County with her beloved black lab Guide Dog, Clara.




Casey Tiffany, LNFA, MA Gerontology
Casey Tiffany brings a specialty as a nursing facility administrator and a certified assisted living manager. She grew up in Santa Anna, TX (population 1310), and attended Howard Payne University in Brownwood, TX (population 19,000), receiving a Bachelor's degree. She then moved to the big city of Waco, TX and received her Master's degree in Gerontology from Baylor University. Casey then mustered the courage to find out about city life and moved to the Austin area. She has managed various assisted living communities and skilled nursing facilities around the Austin area since the 90's. Her specialty is in counseling and advising seniors about coping with the change of moving into a community, discussing Medicare and Medicaid benefits, juggling caregiving and the responsibilities, and just having a good ear for chatting about the challenges of aging.