Care Coordination Services
Care Management Program
What is Care Management?
Care Management helps you take an active role in your health. Our goal is to ensure you receive the right care, at the right time, in the right place – which can lead to better health outcomes at a lower cost.
What is the role of the nurse care manager?
A nurse care manager coordinates your care and supports patients in taking control of their health by:
- Providing personalized education and guidance
- Connecting patients with your providers to ensure the best possible care
- Helping patients navigate and access healthcare services and resources
How does this program work?
A care manager will connect with you to discuss your health needs and goals, then work with you and your provider to develop a personalized care plan. Once your plan is in place, your care manager will follow up regularly – whether by joining you at provider visits or checking in by phone to see how you are doing.
Condition Management Program
What is Condition Management?
Condition Management supports individuals who are living with, or at risk for, chronic conditions such as:
- Diabetes
- Heart failure
- COPD (chronic obstructive pulmonary disease)
- Asthma
- High blood pressure
- High cholesterol
With the support of a dedicated health coach, the program empowers you to manage your risks and maintain a healthy lifestyle.
What is the role of the health coach?
Your health coach partners with you to create an action plan and helps you better understand and manage your condition or risk. Your health coach also keeps your providers informed of your action plan, goals, and progress.
How does this program work?
Program participants receive support from a health coach through educational materials, phone calls, in-person meetings, or a combination of these options.
Behavioral Health Care Management Program
What is Behavioral Health Care Management?
Behavioral Health Care Management supports patients who are living with, or at risk for, chronic behavioral health conditions such as:
- Depression
- Anxiety
- Substance use disorders
Our purpose is to empower you to manage your risks through education and resource support. We do this by:
- Identifying helpful resources
- Connecting you with appropriate services and providers
- Providing education on healthy habits and activities
- Empowering and supporting you in your personal behavioral health goals
What is the role of the behavioral health care manager?
Your behavioral health care manager will assess your behavioral health needs and help coordinate appropriate treatment options.
Social Work Program
What is Social Work?
Healthcare social workers help patients and their families navigate the emotional, social, and practical aspects of health and illness.
What is the role of the social worker?
Your social worker identifies community resources, connects you with services that can assist you, and provides support for you and your family.
How does this program work?
Your social worker will assess any needs or barriers to care and develop a care plan that connects you with the resources you need.