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Chronic Care Management


We provide chronic disease education for self care management. We will work with your care provider on a care plan and will educate and guide you on how to manage your health to attain quality of life and improved outcomes. 

We will collaborate with your Primary Care Provider to create a Care Plan to meet your needs and will provide ongoing assessment, support and education to help you with managing your chronic condition. 


Ask about our Care Kits for chronic conditions: CHF, COPD, HTN, Diabetes, Dementia and much more.

Ask us about Medicare reimbursement for Chronic Care Management and Remote Patient Reimbursements. We work with Primary Care Providers and Specialists who are managing your chronic conditions.

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Transitional Care


Transitioning home from the hospital or a rehabilitation facility can be challenging. Whether you are recovering from major surgery, a medical condition, or plastic surgery, our Care Manager can assist you by offering care planning and coordination to assure that you will have the help you need at home so that you will experience a healthy and complete recovery.

We have partnered with home and community base care providers and other resources to help meet your needs whether it's medical, legal, social or other needs that you may have so that you can age in place. Please call us for a list of community resources carefully selected by our Care Managers.  


Geriatric Care Management

Cognitive decline, physical disabilities, and age-related conditions are some of the few circumstances that prevent patients from caring for themselves. Our Care Manager can develop a care plan with your specific disability and special needs in mind to maximize your quality of life by coordinating services such as durable medical equipments, physical therapy, occupational therapy, speech therapy, home safety devices or care giving services to meet your needs. We also offer free assisted living placement services if living independently at home is no longer a safe option for you or your loved one.  


We understand that not one care plan fits all. We will take the time to get to know you and develop an individualized care plan that fits your specific needs. We will include family members and keep them informed of status changes and how they can be a part of the care team. We are here as a trusted guide to offer help and support to individuals and their families.

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