Care Management

Care Management

Overview of Care Management Services – available through Weeks Medical Center:

• Chronic Care Management (CCM)
• Remote Patient Monitoring (RPM)
• Transitional Care Management (TCM)
• Annual Wellness Visit Support
• Preventive Care Outreach
• High-Risk Patient Follow-Up
• Social Determinants of Health (SDOH) Assistance
• Advanced Directives

Care Management Team:

• RN Care Coordinators
• Social Worker
• Population Health Medical Assistant
• Annual Wellness Visit Medical Assistant

Benefits of Coordinated Case Management:

• Help managing chronic illnesses
• Fewer hospital visits
• Medication support
• Assistance accessing community resources
• Improved communication with providers

To speak with a member of our Care Management Team, please call (603) 788-5718.