Manejo de Cuidado

Our Care Management Department is a team of nurses, social workers, community health workers (CHWs), and care coordinators, who work with the patient’s primary care provider and medical team to support patients in meeting their medical, behavioral and social needs. The Care Management team provides programs such as Medicare Chronic Care Management, Complex Care Management, and connections to community resources for housing, transportation and food assistance. Our team helps patients in developing a individualized care plan, as well as supporting patients via telephone, in-person appointments at the health center, in the community or at the patient’s home. 

Our Care Management Services:

• Chronic & Complex Disease Management
• Cuidado Individualizado
• Referidos a Recursos de la Comunidad
• Asistencia para Transportación
• Asistencia para la Vivienda
• Referidos para Bancos de Comida