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Care Management

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Coordinated care for complex challenges

Care management is a set of activities intended to improve patient care and reduce the need for medical and other human services by enhancing coordination of care, eliminate duplication, and helping patients and caregivers more effectively manage health conditions. Service providers are encouraged to communicate with one another so all of the individual and family’s needs are addressed in a comprehensive manner. This work is done through a Care Manager.

At Family and Community Services, Care Managers focus on whole health, including; substance abuse, mental and behavioral health, primary care, social support, academic achievement, psycho-social and financial improvement, as well as coordinating activities with providers.

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Care Management for Adults

Family and Community Services coordinates and manages care for adults with chronic illnesses including mental illness, substance abuse, asthma, COPD, diabetes, heart disease, high blood pressure and obesity, etc.

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Care Management for Children

Coordination and care management for children with chronic illnesses including mental illness, substance abuse, asthma, COPD, diabetes, heart disease, high blood pressure and obesity, etc...

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Care Management for Seniors (NHTD)

The Nursing Home Transition and Diversion (NHTD) Waiver is one of the options available to New Yorkers with disabilities and seniors so they may receive services in the most appropriate, least restrictive setting.

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