A senior woman speaks with her doctor.
October 17, 2016 | by The Polyclinic

Do you have a medical diagnosis or multiple medications to manage? Do you need motivation to get more active or lose weight?

The Care Advantage Program (CAP) team assists our Medicare Advantage patients on selected plans with questions like these. Together, Care Advantage nurses work with patients to improve quality of life through goal directed care.

What is care management?

Care management provides programs and services to help manage complex medical situations and chronic conditions to obtain the best outcomes. Nurse care managers work closely with physicians and the entire healthcare team to address and manage care in a coordinated approach. CAP emphasizes preventive care and staying ahead of issues.

Learn more about Care Advantage from Kelly Brammer, RN.

Diseases and conditions supported:

  • Asthma
  • COPD
  • Congestive Heart Failure
  • Coronary Artery Disease
  • Depression
  • Hypertension
  • Obesity

How it works:

Patients are assigned to a nurse case manager and/or a licensed clinical social worker. They develop a personalized care plan with the patient. The assigned case manager provides routine follow-up calls for health coaching, specialized condition-specific education, and facilitation of necessary medical services.

Working closely with a patient's primary care doctor, the case manager coordinates the patient's care needs. The care is goal-directed and helps patients meet personalized treatment plans.

The ultimate goal is helping a patient meet their health goal to transition to a maintenance phase of the program. During maintenance, the case manager still oversees a patient's medical status to ensure continued achievement.

To learn more about Care Advantage at The Polyclinic, call our Medicare Advocate (206-860-4718 Monday through Friday, 8 a.m. to 4 p.m.).