Chronic Care Management Services
Transitional Care Management Services
As a part of Cedar Point Health’s mission to provide high quality primary care and hospital medicine, we have developed a Transitional Care Management service in order to aid patients after hospitalization.
Even after acute care is no longer required while recovering from an illness (a planned surgery or other cause for hospitalization) help may still be needed to return to everyday life. Our goal is to help make that transition back to home successful by working with the patient, their family, and other care givers to develop an individual plan of care.
As a part of this plan, we will establish contact with the patient within 48 hours after discharge from the hospital. After exchanging the necessary information and providing immediate medical direction, a face-to-face visit will be arranged within 14 days. Over the next month, we will work closely with the patient and their family to establish and execute a care plan.
Chantel Shoemaker, CMA
Chantel was born and raised in a small town in New Mexico, her father a teacher and her mother a nurse. Her younger years led her to competing in mountain biking and road racing where she earned 5 national titles. These experiences allowed her to travel and live in areas such as Italy, Cypress and Great Britain. During this time, she also went to school in Durango Colorado and earned a bachelor’s degree in psychology. Upon obtaining her degree she began her career by moving to Montrose where she went to work for the Center for Mental Health in the behavioral health platform. She worked as a Medical Care Manager for many wonderful Psychiatrists. Moving to Montrose has allowed her to not only be with the love of her life and best friend but allowed her to be in touch with what she truly loves outside of work such as camping, riding her dirt bike, hiking and relaxing in the summer evenings. In 2018, she was awarded the opportunity to take on a new endeavor as lead of the Care Management program with Cedar Point Health. This opportunity has allowed her to grow and expand not only the program but herself as a supervisor, where she is eager to continue the growth and care of our patients.
Michelle Owens, LVN
Michelle made Montrose her home in 2020 after being born and raised in Texas. After vacationing to
Colorado in 2019, she and her husband decided to leave Houston and make Colorado their new home
instead of just being able to enjoy it once a year. She has always dreamed of living in the mountains. She
is a nurse, wife, and mom of 5 children. She graduated nursing school in 1993 and has enjoyed her
career in healthcare for nearly 30 years. Her compassion for people led her to Care Management years
ago and is excited to be here at Cedar Point Health.
Billi Phillips, RN
I grew up in Norwood and recently moved back after leaving 21 years ago to attend nursing school. I have been a nurse for 18 years, recently transitioning from cardiac cath lab/special procedures to care management. In my free time, I enjoy spending time with my family, reading true crime books (I am a true crime addict!), and rooting on the University of Wyoming Cowboys & Cowgirls. GO POKES! I look forward to being a part of the CPH family for the foreseeable future.