Care Coordination Services
Care Management Program
What is Care Management?
Care Management helps you take charge of your health. The goal is to make sure you get the right care at the right time in the right place. As a result, you could see improved health at a lower cost.
What is the nurse care manager’s role?
A nurse care manager coordinates your care and encourages you to take control of your health. The nurse care manager helps you by:
- Providing education and guidance as needed
- Linking you to your providers to ensure that you get the best care
- Accessing the care and services of the healthcare system
How does this program work?
A care manager will connect with you to discuss your health needs and goals, developing a unique care plan with you and your provider. Once this plan is in place, the care manager will follow up with you regularly. That person may be at your provider visits or call to see how you are doing.
Condition Management Program
What is Condition Management?
Condition Management is for people with chronic conditions or who are at risk for a chronic condition, including:
- Diabetes
- Heart failure
- COPD (chronic obstructive pulmonary disease)
- Asthma
- High blood pressure
- High cholesterol
The goal is to empower you to manage your risks and follow a healthy lifestyle, with help from a health coach.
What is the health coach’s role?
A health coach helps you create an action plan. That person also helps you understand and manage your condition or risk. Your health coach updates your providers on your action plan, goals, and progress.
How does this program work?
As part of the program, you receive educational materials, phone calls, in-person meetings, or any combination of the three with a health coach.
Behavioral Health Care Management Program
What is Behavioral Health Management?
Behavioral Health Management works with patients with chronic behavioral health conditions or those at risk for chronic behavioral health conditions such as:
- Depression
- Anxiety
- Substance use/abuse
Our purpose is to empower you to manage your risks through education and resource support.
We do this by:
- Finding resources
- Making connections
- Educating you on healthy activities
- Empowering and supporting you in your personal behavioral health goals
What is the behavioral health care manager’s role?
The behavioral health care manager will assess your behavioral health needs and assist in coordination of behavioral health treatment options.
Social Work Program
What is Social Work?
Social workers in healthcare help patients and their families manage the emotional and social aspects of health.
What is the social worker’s role?
The social worker helps you by finding resources in the community, making connections to resources that can assist you, and supporting you and your family.
How does this program work?
The social worker will assess any needs or barriers. He or she will develop a care plan to connect you with needed resources.