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Chronic Care Management

Chronic Care Management

The purpose of a Chronic Care Management program is to customize and coordinate the healthcare of an individual to their specific needs.  The program ensures you will receive the right care, in the right form, from the right provider, and at the right time to care for your chronic condition . Examples for chronic conditions may include but are not limited to the following:

  • Alzheimer's disease and related dementia
  • Arthritis (osteoarthritis and rheumatoid)
  • Asthma
  • Atrial fibrillation
  • Autism spectrum disorders
  • Cancer
  • Cardiovascular Disease
  • Chronic Obstrcutive Pulmonary Disease
  • Depression
  • Diabetes
  • Hypertension
  • Infectiuous diseases such as HIV/AIDS


Should an individual choose to participate in the program, you will be assigned to a care manager who will work with you to better manager your healthcare.  Participation is voluntary and individuals may opt out at any time.  By participating individuals will receive:

  • Personalized healthcare plan to assist you in reaching your healthcare goals
  • Monthly calls with a care manager to review/update your care plan and address any of your helathcare needs
  • Regularly scheduled preventive services and medication monitoring if needed
  • 24/7 access to a member of our staff for any urgent chronic care needs
  • Have the opportunity to communicate with the care team by telephone, secure messaging, and email

Call our office today to learn more about our Chronic Care Management programs.