Care Management Program for Professionals
Care Management Program
The care management program at Nemours Children's is for pediatric patients up to age 21 who have qualifying multiple or uncontrolled chronic conditions and/or have high-cost/high-utilization ED or admissions.
Care management is a collaborative practice model that involves the patient/family, nurses, social workers and physicians. Care managers partner with home care, insurance providers, caregivers and the community on behalf of our patients and families. Our care management team is made up of registered nurses (RNs) and social workers who help facilitate communication, coordinate resources and referrals, and provide the patient/family tools and guidance to help them achieve optimal health.
Patients are typically in care management anywhere from 60-120 days or more. Once goals are achieved, the patient is discharged back to their practice care coordinator via a solid hand-off for continued follow-up and support as needed.
Our mission is to help the patient/family better understand and manage the disease, stay healthy and reduce avoidable emergency room visits and hospital admissions.