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 - Main Hospital
 - Main Hospital

Care Management

Chronic Care Management

Chronic Care Management is a care coordination program that assists people with chronic conditions in better managing their illness for an improved quality of life. The Care Managers at Stillwater Medical are registered nurses and licensed practical nurses who are trained to assess patient needs and make recommendations that help patients get the care they need. 

The Care Manager will actively work with the patient, family, primary care physician, physician assistant or nurse practitioner, and specialists to coordinate complex care. The goal is to provide compassionate and quality healthcare services through teaching self-management skills, improving communication, and connecting people with community resources.

Why should I enroll in Chronic Care Management?

The benefits of Chronic Care Management may include:

  • At least 20 minutes per month of Chronic Care Management services
  • Personalized assistance from a nurse who will work with you to set goals and create a care plan
  • Coordination of care between the pharmacy, specialists, testing centers, hospitals, and more
  • Telephone check-ins between doctor visits to keep you on track and provide support
  • 24/7 emergency access to a healthcare professional
  • Identify & minimize barriers to care
  • Obtain the tools & education needed to improve your health
  • Discuss wellness and disease prevention

Where is Chronic Care Management provided?

Chronic Care Management services are primarily provided over the phone or through electronic communications, eliminating the need for a special visit to the clinic to participate.

How much does it cost?

Chronic Care Management services are subject to co-insurance, deductible, or copay depending on your insurance benefits. Most insurances cover Chronic Care Management at little to no cost to members.

Can I cancel Chronic Care Management services?

You have the right to stop Chronic Care Management services at any time. The termination becomes effective on the last day of that month. Call Stillwater Medical Chronic Care Management at 405-533-5087.

Who is eligible?

Chronic Care Management services are for individuals with two or more chronic conditions that are expected to last at least 12 months and put the patient at significant health risk. Examples of chronic conditions are high blood pressure, diabetes, heart disease, high cholesterol, COPD, arthritis, dementia, and depression. 

You can be referred to Chronic Care Management through your primary care physican, physician assistant, or nurse practitioner, hospital staff, specialist, family or caregiver, or you may self-refer to the Chronic Care Management program. 

Contact Care Management at 405-533-5087.



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