Telehealth Chronic Care Management Service Description

Our telehealth chronic care management service supports patients living with one or more ongoing health conditions through regular virtual check-ins, care coordination, and personalized health education. A qualified care team monitors the patient’s progress, helps manage treatment plans, encourages medication adherence, and communicates with healthcare providers when concerns arise.

Services may include:

• Virtual care-management consultations
• Personalized care plans and health goals
• Medication reconciliation and adherence support
• Monitoring of symptoms and health indicators
• Patient education and self-management coaching
• Coordination with primary care providers and specialists
• Appointment, referral, and laboratory follow-up
• Support for conditions such as diabetes, hypertension, heart disease, COPD, and asthma
• Identification of changes that may require provider attention
• Ongoing documentation and communication with the patient’s care team