Chronic Care Management (CCM)

Managing more than one ongoing health condition can feel complicated. The Chronic Care Management team at Grand Lake Health System provides personalized support to help you understand your conditions, coordinate your care, and work toward the health goals that matter most to you.

Your care manager works closely with you, your primary care provider, and other members of your healthcare team to help you stay connected and supported between regular office visits.

Meet our Population

Health Coordinator
Heather Jurosic

Heather Jurosic,
RN

Phone: 419-300-1143
Fax: 419-394-9660

Frequently Asked Questions

Who May Benefit?

Chronic Care Management may be appropriate for patients living with two or more chronic conditions that are expected to last at least 12 months.

Examples may include:

  • Diabetes
  • High blood pressure
  • Heart disease or heart failure
  • Chronic obstructive pulmonary disease (COPD)
  • Asthma
  • Arthritis
  • Chronic kidney disease
  • Depression
  • Other ongoing health conditions


YOU MAY ESPECIALLY BENEFIT IF

You need additional help managing medications, preparing for appointments, following your treatment plan, or coordinating care among several healthcare providers.

Your care management team can provide:

  • Regular telephone check-ins, typically each month
  • A personalized care plan based on your needs and goals
  • Education to help you better understand your health conditions
  • Support with medications and treatment instructions
  • Coordination among your primary care provider, specialists, pharmacy, and other healthcare services
  • Help with preparing for appointments and understanding follow-up recommendations
  • Support during transitions between the hospital, rehabilitation, home, and other care settings
  • Assistance identifying barriers that may make it difficult to manage your health
  • Encouragement and support for healthy lifestyle changes
  • Connections to healthcare and community resources
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Your health can be affected by challenges outside the doctor’s office. Your care manager can help identify and connect you with available resources related to:

  • Transportation
  • Food and nutrition
  • Medication affordability
  • Financial concerns
  • Mental health and emotional well-being
  • Community programs and support services

 

Availability and eligibility for community resources may vary.

After receiving a referral, a member of the Chronic Care Management team will contact you to explain the program, answer your questions, and learn more about your needs.

If you choose to participate, your care manager will work with you and your primary care provider to develop an individualized care plan. Through regular communication, the team will help you follow your plan, address concerns, and stay connected with the healthcare services you need.

Your primary care provider remains responsible for directing your medical care. Chronic Care Management adds another layer of support—it does not replace appointments with your provider or specialists.

No. Participation in Chronic Care Management is voluntary. Before services begin, the care management team will explain the program and ask for your permission to participate. You may choose to discontinue the service at any time.

INSURANCE AND COSTS

Chronic Care Management is a billable healthcare service. Depending on your insurance coverage, a deductible, copayment, or coinsurance may apply. Contact your insurance company if you have questions about your individual benefits or potential costs.

Talk with your Grand Lake Health System primary care provider to learn whether Chronic Care Management may be right for you. Your provider can submit a referral, and a member of our care management team will contact you to explain the next steps.

 

Ask your primary care provider about Chronic Care Management today.

For additional information, call 419-300-1143.