The Medically Complex Case Management Model integrates social, medical, and behavioral health services into a single delivery system with one community case manager, removing barriers to care and allowing older adults to remain independent in the least restrictive setting possible. The community case manager will provide intensive medical management of chronic disease conditions in partnership with the participant, physician, and interdisciplinary team, and work with the enrolled participant to implement interventions, provide education, and monitor treatment.
Reliance Community Care Partners
1810-143484
2018