My Care Team

PACE Care Team

When you enroll in the Community Care PACE program, you and your care team will assess your needs, strengths, and preferences. You and your team will help to make decisions about your medical and long-term care needs. Your team will include:

• Primary Care Physician
• Nurse Practitioner
• Registered Nurse
• Social Worker
• Rehabilitation Therapist
• Recreational Therapist
• Dietician
• Day Center Manager
• Home Care Coordinator
• Transportation Coordinator
• Personal Care Workers

Together, you will develop a care plan that helps you move toward the outcomes you and your team identify during the assessment process. Once you have established your plan, your team will help coordinate and authorize the services you need.

Quality Assurance/Outcomes

• You, your family and your care team work together to ensure the services you receive are coordinated and delivered. 
• You will meet with your care team at a minimum of every six months to review your care plan and ensure the services you are receiving meet your needs and support your outcomes. 
• Your team will update your care plan if your condition changes or whenever they determine that the service you are receiving does not meet your needs or support your outcomes.
• If you need the contact information for the care manager on your care team, please contact us at 1 (866) 992-6600.