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Health Homes

The primary responsibilities of the CCO include hiring, training and supervising care coordinators, following Elevate Health’s billing processes and using a specific data platform for documentation and data collection. (Please note that this is a partial list.) In their turn, care coordinators are responsible for a minimum of one individual contact per month to fulfill any number of six key services:

  • Comprehensive care management;

  • Care coordination and health promotion;

  • Comprehensive transitional care from inpatient to other settings, including appropriate follow-up;

  • Individual and family support;

  • Referral to community and social support services, if relevant; and

  • The use of health information technology to link services, as feasible and appropriate.

To learn more about becoming a CCO, please contact Elevate Health at care@elevatehealth.org for more information.

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