Rob* is a 52-year-old CountyCare member with multiple chronic conditions who is unemployed and lives with family. He has been diagnosed with mental health issues, diabetes, and alcohol use disorder. Rob has neglected his health in the past years leading to a worsening of his conditions.
Rob’s CountyCare Care Coordinator met with him in person at his local clinic. This in-person meeting built a great foundation for a trusting relationship. During the weeks that followed, the Care Coordinator was able to help schedule appointments to assist in managing his chronic conditions, refer him to specialists, and provide diabetes program information including diet adherence and the importance of monitoring blood sugars.
With continuous communication and support along the way, the Care Coordinator monitored progress and saw improvements in Rob’s health.
*Names and identifying details have been changed to protect anonymity.