Management of chronic medical conditions in Duluth
Your Guide to St. Luke’s Care Coordination and Chronic Care Management Services
What is care coordination and chronic care management? Care coordination
is a team approach to health care that provides access to all the services
and support you may need. Chronic care management is care coordination
for Medicare and dual eligible (Medicare and Medicaid enrollees) patients.
Most primary care clinics within the St. Luke’s health system are
a certified health care home. They will work with you to coordinate and
deliver care that focuses on your health care goals.
Clinic Care Coordinators
-
Chequamegon Clinic
Lindsey Galligan
715.685.6600 -
Community Care Team
Justin Stutsman
218.249.6500 -
Denfeld Medical Clinic
Nicole Levine
218.249.6800 -
Hibbing Family Medical Clinic
Jessica Rikkola
218.362.7100 -
Lake View Medical Clinic
Robin Glaser
218.834.7700 -
Laurentian Medical Clinic
Jessica Rikkola
218.748.7480 -
Lester River Medical Clinic
Kayla Witzman
219.249.4500 -
Mariner Medical Clinic
Beth Lundgren
715.395.3900 -
Miller Creek Medical Clinic
Kayla Witzman
218.249.4600 -
Mount Royal Medical Clinic
Kayla Witzman
218.249.8800 -
P.S. Rudie Medical Clinic
Sarah Sobecki
218.249.4300 -
St. Luke’s Pediatric Associates
218.249.7870
Who is eligible for care coordination and chronic care management services?
These services are recommended for patients with chronic or complex medical
conditions. Examples of chronic or complex medical conditions include
but are not limited to:
- Asthma
- Hypertension
- Arthritis
- Chronic pain
- Seizure disorders
- Diabetes
- Cardiovascular disorders
- Mental health disorders
All St. Luke’s patients are welcome to sign up for care coordination or chronic care management services. Speak with the care coordinator at your primary care clinic or your primary care provider to see if these services would be beneficial to you.
How can a care coordinator help me?
A care coordinator serves as a direct contact to help address any questions
or concerns you may have about your health care. This care coordinator
can also help you with the following:
- Connecting you to your primary care provider or medical assistant
- Helping you schedule appointments at health care facilities
- Assisting with the coordination of care between your primary care provider and other specialty care providers
- Supporting you in making informed health care decisions
- Referring you to useful community resources such as transportation, housing, financial and food support
Who is on my Health Care Home team?
Your
Health Care Home team is the group of individuals who all have an active role in your health
care. This group may include:
-
You
- The care coordinator at your primary care clinic
- Your primary care provider
- Other health care providers (physical therapists, medical assistants, etc.)
- Your community support service providers
- Trusted family and friends
Are care coordination and chronic care management services covered by my
insurance?
Many insurance companies recognize the benefits of care coordination and
chronic care management and offer coverage for these services. Chronic
care management, which is care coordination for Medicare and dual eligible
patients (Medicare and Medicaid enrollees), is covered by most Medicare
plans. For questions about coverage for care coordination and chronic
care management services under your specific plan, please contact your
insurance provider directly. The contact number for your insurance provider
can be found on the back of your insurance card.
How do I sign up for care coordination or chronic care management?
Contact your primary care clinic and ask to speak with the care coordinator.
You can also talk to your primary care provider and ask if these services
would be beneficial to you.
I am already enrolled in care coordination or chronic care management services.
What do I do if my primary care clinic is closed?
If you’re enrolled in these services, you have access to an after-hours
phone line staffed from 4:30 p.m. to 8 a.m. when your primary care clinic
is closed. For assistance, call 218.249.HOME (4663).
Additional Resources
What is a Health Care Home?: Find out more from the Minnesota Department of Health about the Health
Care Homes (HCH) program.
Chronic Care Management: Information about chronic care management from the Centers of Medicare & Medicaid Services.
Centers for Medicare & Medicaid Services: Information on Medicare and Medicaid services including coordination, private insurance, regulations and more.
5 Ways to Make the Most of Your Health Coverage: Once you have health care coverage, these are five things you can do to put your health first.
A Roadmap to Better Care and a Healthier You: This road map explains what health coverage is and how to use it to get the health care you need.
Referral required for this service. If you need one, talk to your primary
care provider.
To establish care with a St. Luke’s primary care provider, call 218.249.4000 or
find a clinic near you.
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