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Care Manager Program—Northern Piedmont Community Care

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Published on Feb 20, 2013

Northern Piedmont Community Care in Durham, N.C., developed a community-based care management system that provides transitional care, chronic disease management, social work services, service coordination, access support, health education, and nutrition counseling. The program, which focuses on those who are frequent users of the hospital, offers support and links patients to primary care and other services they need.

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