Care Coordination

Health care can be confusing and when patients have chronic or multiple medical conditions, navigating the health care system can be overwhelming. Care coordinators provide personalized guidance to help each patient coordinate their care and services among various providers and community resources.

With a focus on activities of daily living that influence health and result in a better quality of life, the doctors and other providers and staff at Stellis Health play an important role in keeping people healthy. We know that things like stable housing, transportation, food security, financial stability, and social networks are also essential for good health. This is where our care coordinators really shine. They work with patients and the entire health care team to set and achieve individualized health care goals along with finding ways to better support daily living activities. Care coordinators can help with:

  • Extra support between visits with your healthcare provider
  • Chronic disease management support
  • Referrals to other healthcare specialists
  • Medication assistance
  • Transportation assistance
  • Food assistance
  • Community resources
  • Caregiver support
  • Advance Care Planning (Health Care Directive or Living Will)

Care coordination or chronic care management is yet another way that Stellis Health is helping our patients better manage their health. While not specific to patients on Medicare, chronic care management is a covered Medicare benefit and a type of service that Medicare really values. Younger adults or children with complex medical or social needs may also benefit from care coordination.

If you or a loved one could benefit from some extra help and support, reach out to your preferred clinic location’s coordinator below for additional information. We’re here to help you live your best life.


Contact Our Care Coordination Team

Stellis Health – Buffalo Clinic 763.684.3732  – Lisa
Stellis Health – Albertville-St. Michael Clinic 763.684.8331 – Tammy
Stellis Health – Monticello Clinic 763.271.3816 – Carrie