Care Management
Local, In-Person Support for Patients with Complex Care Needs
Get extra care and clinical resources to support patients in and outside of your practice. Our local team of RNs, social workers and medical assistants meet patients where they are to help patients navigate the health system and connect to services and recourses.
Our embedded care coordinator is an extention of our practice and plays a key role in our success with patient outcomes.
-Kelly Luba, DO
Comprehensive Care Coordinator
ICP Comprehensive Care Coordinators provide added support to patients through their primary care physician.
Embedded in PCP offices or as a shared resource, Care Coordinators help support complex high-risk patients by scheduling follow-up care, arranging services and supporting social needs.
Complex Care Managers support patients with more intricate clinical care needs, from new diagnoses to complex conditions, across various settings including post-acute facilities, home, and PCP visits.
What We Do
Connected Ecosystem of Care
ICP’s longitudinal collaborative care model is at the heart of what we do, making a real difference for everyone involved. We’re always working to improve and broaden our services, creating a stronger support system for patients and giving physicians greater peace of mind.
Transitional Care Management
ICP's Transitional Care Managers (TCMs) work closely with patients, families and care givers in concert with their primary care physicians to help coordinate services and support. All with a focus on continued recovery, meeting social needs and helping prevent a return to the hospital.
Local Transitional Care Managers work with patients in person to help them transitional from hospitals and skilled nursing facilities across the Valley.
Emergency department TCMs work with hospital providers to assess patient needs – clinical, medical, social, behavioral – and develop strategies to address non-acute issues and connect them to Care Coordinators in the community.
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