Care Coordination

new-school-counselorWhat is patient care coordination? CNI’s Patient Care Coordinators are responsible for assessing patient needs, referring to needed services and offering support during the significant transitions neurological patients face. Coordinators walk alongside both patients and families as they learn to navigate the unfamiliar territory of managing their disease and condition. Quality medical care along with care coordination services often produce better health and functional outcomes. If you or a loved one would like to learn more about patient care coordination, please contact Luci Draayer at 720-974-4091 or ldraayer@thecni.org 

Patient Care Coordination activities may include the following:

  • Assessment of patient and family needs pertaining to one’s illness
  • Patient and caregiver support and counseling
    • Individual
    • Family
    • Groups
  • Patient and caregiver general education about illness and effective coping strategies
  • Coordination of care with multiple providers
  • Trouble-shooting problems with Medicaid, Medicare, and other federally funded programs
  • General information about the disability application process and referrals to expert resources
  • Connection to programs that meet basic needs:
    • Food
    • General housing
    • Transportation
    • Medications
    • Patient assistance funding
  • Connection to other appropriate community resources:
    • Home care and home health agencies
    • Home modification organizations
    • Adult day programs
    • Legal services
    • Palliative care or hospice organizations
  • Long-term care planning
    • Family communication
    • Education about levels of care
    • Facility options
    • Assistance with navigating the transition process