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Care Coordination

By providing care coordination services to individuals with the highest-needs i.e. enrolling in health insurance, securing a medical home, identifying and reaching health goals we hope to improve the quality of life for the rural residents we serve. Through the care coordination services we strive to lift and empower individuals out of crisis and support their stabilization and self-management knowledge and skills to live healthier lives. Working closely with our network and community partners our impact goals are to:

  • Reduce preventable hospitalizations
  • Reduce or prevent readmissions
  • Reduce health care costs
  • Improve effective communication between providers and patients
  • Improve self-management skills
  • Improve overall quality of life
  • Reduce the burden of chronic disease