Our Care Manager, along with the rest of our office staff and physician, helps to identify high risk patients, and can provide additional support to assist with self-managing chronic conditions and improve care.
Help patients find and gain access to community resources if needed.
Provides additional education about your medications or chronic disease and management.
Provide resource support, education, and care coordination during transitions between health care settings or to home or a facility.
She is available to spend one-on-one time with patients and/or family and caretakers, that need additional support (medical, financial, emotional, etc.)
Provides additional education with disease processes and medications.
Works with patients to help close gaps in care (referrals, specialists, addressing preventative care, etc.)
When a patient has chronic conditions and your doctor feels you may benefit from meeting with the Care Manager. You make the decision if you want to continue with care management.
The Care Manger follows up with our patientse if you were seen in the emergency room or discharged from the hospital, to see if you need to schedule any appointments, or if you have questions or concerns on medications and/or discharge instructions.
She may ask to meet you at our office, either following a visit with Dr. Noah, or a scheduled time that works for you.
She may call you either from our office or from her RN Cell which is 269-908-6490
MIDDLEVILLE FAMILY PRACTICE
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