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Chronic Care Coordinator

Services offered

  • Comprehensive assessment of care needs.
  • Multi-disciplinary care plan coordination.
  • Health and community care providers.
  • Education and self-management of the chronic illness.
  • Initiation and coordination of services as required.

Service exclusions apply for this service.

  • Documented diagnosis of cardiac disease or COPD
  • Likely compliance to a developed care plan
  • Reside in the Coffs Harbour LGA
  • Unplanned readmission within 28 days x 1 or more within a 12 month period
  • ED presentations ≥ five times within a 12 month period
  • Three or more admissions in a 12 month period related to cardiac disease or COPD.

Self or family/carer can refer to this service 

Contact

345 Pacific Highway
Coffs Harbour NSW 2450

Coffs Harbour Community Health

Referrals via Intake Service.

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