General Care Management
Our General Care Management program provides personalized support and coordinated care to address health and social needs. Our team works to navigate healthcare complexities, facilitate access to resources, manage medications, and streamline medical visits.
Complex Care Management (CCM)
Our Nurse Case Managers and Care Navigators collaborate with healthcare providers to deliver tailored support for individuals with complex conditions. This includes health education, care coordination, chronic disease management, and advocacy to improve overall wellness.
Remote Patient Monitoring (RPM)
Leveraging technology to enhance care beyond traditional healthcare settings, RPM supports individuals diagnosed with cardiac or pulmonary conditions through continuous health monitoring and proactive intervention.
Advance Care Planning (ACP)
Guiding individuals and healthcare teams in developing personalized care plans to ensure healthcare preferences are honored in the event of critical or end-of-life situations.
Patient Care Binders
A structured tool designed to help individuals, caregivers, and healthcare teams organize key medical information, track appointments, manage medications, and coordinate care more effectively.
Additional Support Services
- Providing personalized health guidance and education.
- Assisting with treatment plan adherence and self-management strategies.
- Facilitating access to necessary medical equipment and supplies.
- Reducing risks associated with medication non-adherence.
- Supporting applications for state and healthcare services.
- Helping navigate healthcare benefits and community resources.
- Connecting individuals with services for food access, transportation, medication costs, and private caregivers.
- Promoting health education and chronic condition coaching.
