Munoz talks with her patients over the phone about case management support.
Sylvia, a 63-year-old OneWorld patient, has multiple chronic conditions that affect her day- to-day life. From 2018-2021, she was going to the ER six times each month on average, so her name was given to OneWorld’s Case Management team. Munoz reached out to Sylvia in June of 2021 to see if she would be interested in receiving case management support. Initially, Sylvia said she did not need case management because she had her primary care physician. Munoz reached out to Sylvia’s Family Medicine Physician, Jeremy Howe, MD, MPH, to gain a better understanding of how she could help Sylvia. Dr. Howe emphasized that Sylvia could benefit from having a personal advocate outside of the clinic setting. After consulting Dr. Howe, Sylvia agreed to try case management. Finding the missing links
“Sylvia needed to see a lung specialist because there was concern that her symptoms were driven by her lungs,” said Munoz. “She had previously seen a pulmonologist, but he left, so she felt abandoned and didn’t trust
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This was a huge victory not only because it made accessibility much easier, but also because she realized that I was committed to helping her and that she could trust me.”
- Mariela Munoz, RN, Nurse Case Manager
22 ANNUAL REPORT 2022
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