Ambulatory Care Management

We’re part of your primary care team.

Our ambulatory care management team is committed to developing and coordinating a health and wellness plan that is personalized just for you.

What is Care Management?

The St. Elizabeth Physicians ambulatory care management department is interdisciplinary and places you, the patient,at the center of your care team. Our holistic model of care consists of individuals with diverse skill sets who are dedicated to caring for you and connecting you with the resources you need to meet your physical and emotional wellness goals.

All of our St. Elizabeth Physicians primary care offices have a care management team member on staff to assist with appropriate screenings and assessments needed to develop and implement a personalized plan of care.

Who is on my care management team?

Your care team consists of individuals dedicated to getting you the care you need –when you need it. This includes nurse care coordinators, social workers, respiratory therapists, care management referral coordinators and dietitians.

Care Management

For more information, call
(859) 655-8813 or email care.management@stelizabeth.com.

How can the care management team help me?

The care management team works with you to:

Answer and understand any primary care questions or concerns.
Coordinate on-going care after an unexpected illness or hospitalization.
Provide support for managing chronic conditions, such as COPD, heart failure, diabetes, renal disease, etc.
Provide short-term same day access to counseling for emotional needs.
Offer assistance if you are unable to afford your medications.
Coordinate reliable transportation to and from appointments.
Connect with community partners for resource tools and information.

Community Paramedicine

Community Paramedicine is a specialized health care program designed to help address your health care needs from home. Community paramedics, social workers, and care coordinators conduct home visits to help you manage your health, connect you with social services, and provide health and safety education.

This program is ideal for individuals with chronic conditions such as COPD, heart failure, diabetes, or those who have recently experienced a heart attack. By participating, you can avoid unnecessary hospital visits and improve your overall health and safety.

Call our Care Management team at (859) 655-8813 for more information or to sign up.

Advance Care Planning

Your Choice. Your Voice.

Advance Care Planning (ACP) is a process for setting goals and planning now for the healthcare you would want if you could no longer speak for yourself. Your care team is right here to help you and your family develop a care plan that meets your wishes and preferences.

98% of adults 50+ say if they have a serious illness and are unable to speak for themselves, it’s important that those making decisions on their behalf understand what matters to them.
47% of those surveyed believe that people speaking on their behalf will know what matters most to them regarding their healthcare.

(Source: John A. Hartford Foundation Age-Friendly Insights Poll (2023))

Mental Well-Being for Children and Families

The Family Nurturing Center and St. Elizabeth have partnered to bring you an 11 episode series to promote mental well-being for children and families. Here you will find evidence-based parenting resources to support positive relationships with your children and teens.