Services for People with Disabilities

Services

Care Coordination Services

Care Coordination empowers individuals to reach and maintain their highest level of health and well-being. We partner with health care plans to promote access to services and resources that prevent future hospitalization and help individuals stay healthy in their homes and communities. We help the people we serve understand and access health plan benefits as well as resources in their community.

 

Care Coordination

 

Our Approach

Better Health
Through Community

Joe was diagnosed with diabetes after moving to a new community. He was lonely, and his doctor was concerned that Joe didn’t understand how to manage his health.

Joe’s LSS Care Coordinator met with him and reviewed his sugar levels, nutrition and ways to get involved in his new community – including enjoying diabetic-friendly meals at the local senior center five days a week. In addition to meals, the senior center has social activities three days each week after lunch that Joe enjoys.

Joe now has friends, eats better and was recently pleased to report to his Care Coordinator that he had quit smoking.

LSS Care Coordinators are a team of social workers and registered nurses who are trained in a person-centered approach to care. 

Care Coordinators assist individuals through transitions such as hospitalization, rehabilitation and adjusting to assisted living. They also provide support in managing preventative care such as arranging transportation to appointments, filling prescriptions and obtaining referrals. 

Who We Serve

Care Coordination is available to Minnesotans enrolled with one of the managed care organizations that have partnered with us. We currently work with Blue Cross Blue Shield, Health Partners, Medica and UCare.

Care Coordinators are experienced in Special Needs Basic Care (SNBC), working with 18-64 year olds with physical, intellectual and mental health disabilities or brain injuries.

Care Coordinators also work with adults age 65 and older who are enrolled in Minnesota Senior Health Options (MSHO) or Minnesota Senior Care Plus (MSC+). 

Resources