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Care Management

Care Management is a program designed to offer 24/7 care coordination for patients managing chronic conditions. You’ll have a dedicated team of healthcare professionals who work with you to improve your health, keep you on track, and help reduce hospital visits.

Through monthly check-ins and easy access to your care team, you and your family can enjoy greater peace of mind and feel supported every step of the way.

Care management helps you focus on your health and quality of life goals, while reducing the risk of emergencies, falls, and worsening conditions. You’ll receive personal attention from a trusted healthcare provider who understands your unique health needs.

We’re here to answer your questions, help you follow your care plan, prevent harmful drug interactions, and connect you with the resources and services that can enhance your health and lifestyle.

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What is a chronic condition?

50% of US adults have one or more chronic health conditions, and one in four adults have two or more chronic health conditions.

Common chronic conditions include:

  • Arthritis
  • Asthma
  • Diabetes
  • Hypertension
  • Heart disease
  • Osteoporosis
  • Congestive heart failure
  • Kidney disease
  • COPD
  • Anxiety
  • Depression

One or more chronic conditions are required to qualify

View Chronic Care Management Brochure

Signs You May Benefit from Care Management:

multiple chronic conditions

frequent ER visits or hospitalizations

multiple providers involved in your care

struggles with social determinants

limited support from others

multiple medications or difficulty managing medications

recent life changing event

feeling overwhelmed by your healthcare

What Our Patients Are Saying

“Great place to get caring medical care. Everyone was very helpful. They explained and did everything they could to make this a great place to go! Thank you!"
Rockwell City Clinic
“Everyone that I interacted with was very friendly and helpful. I only waited moments before being called back and seen by a very efficient team of nurses who were all super nice.”
Emergency Room
“Ann Riat, as my therapist, is very knowledgeable and caring about meeting her patient’s needs. She answers questions if you have any and offers ideas on what you can be doing to reduce any pain that you may have.”
Rehabilitation ServicesAnn Riat, PT, MSPT
“I had a wonderful experience with labor and delivery. The nurses were compassionate, and all the OB providers were very knowledgeable. I would highly recommend them.”
Inpatient Services
“Thankful that I was able to get seen quickly. The nurses and doctor were great. I always get treated really well whenever I have an appointment.”
Lake City Clinic
“We are very pleased with the care we get from Liz Peterson! The team is quick and efficient, and they always make us feel well taken care of.”
Gowrie ClinicLiz Peterson, PA-C
“The whole team is incredible, from the moment you check in at reception to the nurses, lab staff, and providers.”
Lake View Clinic
“Dr. Richardson listened and allowed me ample time to express my concerns regarding my health. She talked through my treatment plan thoroughly and in an understanding manner. She is the best!”
Lake City ClinicJulia Richardson, MD
“Dr. Hornback listened to all my concerns and created a plan to avoid a hospital stay. I was feeling better just days later!”
Lake City ClinicSusan Hornback, DO
“Jess Drees was knowledgeable, caring, and made me feel comfortable. The entire team was amazing and made sure I was well taken care of.”
Lake View ClinicJess Drees, ARNP, FNP-C
“The team at the RC clinic truly cares about their patients. They listen to your concerns and always take the time to answer all your questions.”
Rockwell City Clinic
“The entire staff in physical therapy are amazing. Derrick is doing a tremendous job! Stewart Memorial is the best hospital in Iowa. Keep up the great work!”
Physical TherapyDerrick Henkenius, PT, DPT
“Courtney is great to work with! She took the time to get to know my child before beginning the assessment. This helped him feel comfortable. During the assessment, Courtney was professional, compassionate, and respectful.”
Speech & Language TherapyCourtney Schreck, MA, CCC-SLP
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Care Management Team

Darci-Peterson
Darci Peterson
RN, Clinical Health Coach
Care Management
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Mandy-Smouse
Mandy Smouse
RN, Clinical Health Coach
Care Management
View Profile

How do I get started?

Talk to Your Provider

Your primary care provider can contact specialized care coordinators with a referral.

We’ll do the rest!

Our care coordination team will review your records to ensure you qualify for the program and contact you with further details.

Frequently asked questions:

Your care management journey begins with a welcome and initial assessment. You’ll meet with your care manager—either by phone or in person—to get to know each other, review your medical history and current medications, and talk about the goals that matter most to you.
After this first visit, you can expect to connect with your care manager 1 to 4 times per month, depending on your needs. Throughout your enrollment, your care manager will provide ongoing support, guidance, and education to help you stay on track and feel confident managing your health.

Absolutely. We understand how important family and support systems are. With your permission, we welcome the involvement of your family members or caregivers as part of your care. They can join conversations, help support your goals, and be included in your care as you feel comfortable.

Yes. With your permission, we can communicate directly with a designated family member or caregiver regarding your care, appointments, and follow-up needs.

No. You will continue seeing your primary care provider for all routine and urgent visits as you normally would. Care management is an added layer of support—not a replacement. Your care manager works closely with your provider to help coordinate your care, keep everyone informed, and support you between visits.

Yes. Care management can help reduce the risk of hospital visits by providing ongoing support, education, and early intervention. Your care manager helps you better understand your health conditions, stay on track with medications and appointments, and address concerns before they become more serious. While not all hospital visits can be prevented, care management can help you stay healthier and better manage issues early.

That’s absolutely okay. Your care manager can still support you, even if you see providers outside of Stewart Memorial. With your permission, we can help coordinate care, keep track of recommendations, and ensure all members of your care team are working together. To participate in care management, your primary care provider does need to be a Stewart Memorial provider. Our goal is to help you stay organized and supported, no matter where you receive specialty care.

Yes. Participation in care management is completely voluntary, and you can choose to leave the program at any time. If your needs change or you feel you no longer require support, your care manager can help you transition out of the program and make sure you have what you need moving forward.

Care management services are often covered by many insurance plans, including Medicare and some private insurers. Coverage may vary depending on your specific plan. In some cases, there may be a small monthly copay or coinsurance, similar to other healthcare services. Before you begin, we will review your benefits with you so you understand any potential costs.