Care Coordination

Do you struggle with managing your health condition? Are you ready to commit to improving your health?

Our care coordination team can help.

Our care coordinators will work closely with you and your provider to help you take action for living a healthy life. If you have:

  • Asthma
  • Chronic Obstructive Pulmonary Disorder
  • Congestive Heart Failure
  • Depression
  • Diabetes
  • High blood pressure

Or have other chronic health conditions, and want extra support planning your care, managing your health condition and accessing community resources, talk to your provider about joining the care coordination team.

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Benefits of Care Coordination

  • Easy access and communication with your primary care team to ask questions or get help.
  • You, your care team and other health care providers work in a partnership to improve and maintain your health.
  • Your care coordinator helps organize your care inside and outside the clinic.
  • We will work with you to promote healthy living so that you can enjoy good health.
  • We work with your care team to create a personal care plan that is available to you and all your health care providers.
  • Your care coordinator will help you find other resources for your unique health conditions.
  • Your care coordinator will provide routine calls to help set goals and review your progress.

How We Can Help

Your care coordinator organizes care and services you receive inside and outside the clinic. This is the first person you call if you have questions or need help. Our objective is to create a care plan that’s right for you. Your provider and care coordinator will work with you to understand your care needs and create a plan incorporating shared goals.

When necessary, specialists will offer additional expertise and insight. This coordinated approach is beneficial for all patients and is particularly valuable for people with multiple chronic conditions or other serious health challenges.

Care Team

The care coordinator works with a team that includes you, your family, and your provider. Depending on your needs, other health professionals may be included such as: pharmacists, nurse educators and community paramedics.

For more information, please call 763-581-CARE.