Population Health Programs: Better Health, Together
Population Health Programs: Better Health, Together
Our team is here to make healthcare easier to navigate – especially if you’ re living with multiple health conditions or need extra help coordinating your care. Together, we’ ll create a plan of care that supports your health goals, whether it’ s managing medications or a chronic condition, recovering from a hospital stay, or staying active and independent at home. You’ re never alone in your care journey with Hometown Health. AVAILABLE TO
THEIR ROLE
Specialized Case Management
Members With Complex Medical Conditions Including:
• Maternal / Child Health
• Behavioral Health
• Organ Transplant
Provide education, care coordination and support navigating complex conditions.
Case Manager Members with multiple chronic conditions and other complex care needs.
Health education, care coordination and creating a personalized plan of care that supports your health goals; helping you access health plan and community resources to address other health-related needs( such as transportation, housing or food insecurity).
THEY CAN HELP WITH
THEY WILL REACH OUT TO YOU WHEN
CALL THEM IF
HOW TO CONTACT
• Coordination of Care and Care Planning – arranging and overseeing healthcare services; creating a personalized plan of care to meet individual goals and needs
• Member advocacy – acting as a liaison between members and providers to secure appropriate resources and services
• Providing health education on complex conditions, treatments and resources
• Assisting members with following treatment plans and adhering to medications or planned therapies
• Coordinating smooth transitions between care settings, such as hospital to home
You have been identified as having a qualifying diagnosis or when a triggering event takes place.
You require additional support managing your healthcare needs.
• Managing medications and chronic conditions such as: diabetes, heart failure, Chronic Obstructive Pulmonary Disease( COPD) or kidney disease
• Coordinating appointments, tests and referrals
• Coordinating additional support for health-related needs, such as: food delivery, transportation, housing and financial assistance programs
• Connecting you to home care and home health services
• Supporting caregivers and other family members who help you with everyday tasks
• Assisting with referrals to community resources if you or a loved one are living with memory problems or have been diagnosed with dementia
• Assessing the safety of your home and working with you to reduce the risk of falls and other injuries
• Assisting with Advance Care Planning
You have changes in your health, recent hospital or emergency room visits, or gaps in your care.
You require additional support managing your chronic conditions or other healthcare-related needs.
Call our Care Management Team directly at 775-982-7222 to speak directly with a care coordinator Monday through Friday from 8 a. m. to 5 p. m. FIND MORE ONLINE AT
HOW TO OPT IN / OUT OF THE PROGRAM
HometownHealth. com / PopulationHealth
HometownHealth. com / PopulationHealth
Our team is embedded into Renown Medical Group locations. Ask our PCP for a referral to Hometown Health Care Management, call 775-982-7222 to reach Care Management directly. Members who would no longer want to participate in the program they can let their Care Manager know or can call 775-982-7222 or 800-336-0123. – 10 –