Embedded CMs work with high-risk patients.

  title={Embedded CMs work with high-risk patients.},
  journal={Hospital case management : the monthly update on hospital-based care planning and critical paths},
  volume={22 1},
  • Published 2014 in
    Hospital case management : the monthly update on…
Care managers embedded in primary care clinics work with patients with high-risk diagnoses and multiple visits to the emergency department or hospital. Patients are identified though risk assessments, suggestions from inpatient case management, and requests from primary care clinicians. Care managers call patients before their clinic visits, look for gaps… CONTINUE READING