![]() Tools available include a custom care management software platform, wireless biometrics, telehealth capabilities, patient-friendly education materials, and pharmacists performing regular comprehensive medication reviews. For those already on dialysis, our Care Managers will provide additional support particularly around transitions in care, such as hospital discharges.Ĭare Managers work with patients to encourage healthy behaviors and ensure patients are well informed and empowered to make proactive decisions about their own care. In close partnership with local nephrologists and with the support of a Care Team including a Social Worker and a Care Coordinator, Care Managers lead the effort to help our patients achieve better quality outcomes and slower progression of kidney disease while reducing costly and traumatic episodes such as avoidable hospitalizations, readmissions, and unexpected kidney failure. Care Managers build long-term meaningful relationships by working with the same small panel of patients face-to-face in the patients' homes. Monogram Health Care Managers have the opportunity to improve patient lives each and every day. ![]()
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