Enhanced Care Management

Care coordination that sees the whole person.

Support for people with complex medical, behavioral, and social needs, with a focus on practical next steps and stronger continuity of care.

A care professional coordinating next steps with a patient

Connected support, centered on the patient

Enhanced Care Management brings medical, behavioral, and social support together in one coordinated plan. The goal is to make care easier to navigate, especially when several people or services are involved.

Care coordination can include working with primary care providers, specialists, behavioral health providers, hospitals, emergency departments, pharmacies, and community organizations.

Support that meets real life

Care plans can connect people with the services that help them stay well and move forward.

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Transitions of care

Help after a hospital or emergency department visit, with follow-up and coordination designed to support a safer transition home.

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Ongoing support

Chronic care management, preventive care, medication coordination, and regular guidance around changing needs.

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Community connections

Connections to Community Supports such as tailored meals, transportation, homemaker services, and other local resources when available.

For partners

Referrals begin with a conversation.

Use the referral page to share the basics with the care coordination team. We will follow up to understand the patient’s needs and next steps.

Start an ECM Referral
A clinician discussing a personalized care plan

SAME-DAY CARE

Need support now?

Book a visit through the secure patient portal, or call our care team.