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What You Need to Know About Our CCM Program

CCM refers to chronic care management services provided to Medicare beneficiaries with two or more chronic conditions such as diabetes, arthritis, hypertension, kidney, and cardiac disease. This program can help you stay well, reducing hospitalizations and costs. The goal of CCM is to help you be the best version of yourself so that you can spend more time doing what you love.

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CCM Service Benefits

  • A phone call from a CCM provider each month.

  • A dedicated phone number for when you have questions about your health.

  • A personalized care plan to help you reach your health goals. Assistance with scheduling appointments, prescription refills, equipment needs, referrals, and more.

  • Care coordination between your doctor's office and community resources.

  • 24/7 access to healthcare professionals when you need them.


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Elisabeth Collins has been involved in healthcare long before she became a nurse. From her experience as a Patient Access Registrar to helping patients settle billing issues as an Insurance Department Team Lead, Elisabeth has been caring for patients for over two decades. Elisabeth began her career in nursing as a Certified Nursing Assistant (CNA) at Alegent Health/Catholic Health Initiatives in Papillion, Nebraska. In 2014, she started volunteering with the American Red Cross as a Registered Nurse (RN) in the Emergency Room at U.S. Naval Hospital in Okinawa before being hired there full time. In 2015, she completed a Bachelor of Science in Nursing from the University of Nebraska. She earned a Master of Science in Nursing in 2018 from the University of South Alabama, majoring in advanced practice nursing. She is dual board-certified as a Family Nurse Practitioner and Adult-Geriatrics Acute Care Nurse Practitioner. Elisabeth completed a Doctor of Nursing Practice degree in 2021 from the University of South Alabama with a capstone focus on acute stroke management. She first came to Guam as a Nurse Practitioner student in 2018 and fell in love with the island and its diverse culture. She has been practicing as a Nurse Practitioner in Guam since 2019.

If you are interested in learning more or would like to start the process of signing up

please contact us. 

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