Case Management Program

Would a patient of yours benefit from a follow-up phone call or home visit? Could he use additional education on his disease or help navigating the complex issues of health insurance? GRIPA physicians can request the support of a nurse/social work case management team for the following services:

• 1:1 case management/education
• home visits
• phone monitoring
• community referrals
• health plan programs/services
• group medical visit for education
  
  

The team can augment patient education, assist with continuity of services, increase patient compliance and improve patients’ ability to self-manage their own care.

Nurses and social workers are available to meet with physicians and staff, as a team or individually, and provide flexibility in services that best meet the needs and schedule of your office practice.

Contact us to learn more about how we can improve overall care for patients.

Taking a whole look at the patient’s world

Our case management professionals take a comprehensive view of a patient’s care. They know that something as mundane as a ride to the pharmacy can make or break an otherwise well-crafted plan of care. They regularly:

• Assist with the continuity of services by increasing coordination and communication among the primary care provider, ancillary providers and the patient
• Facilitate linkages with community resources and health plan programs for chronic disease management
• Assist with caregiver, financial, transportation and psychosocial issues
• Help patient compliance with the physician plan of care by encouraging patient adherence with medications, treatment and follow-up
• Improve patient ability to self-manage health and disease through education and monitoring