Our case managers help make health care easier, and less overwhelming, for our members. They work with our members to help them understand the types of services we offer to them and how to participate in their own care.
Our licensed clinical staff uses evidence-based Clinical Practice Guidelines to help create a plan of care in collaboration with the member and their treating providers. We update providers about outreach in order to monitor progress. We offer information to help providers coordinate care, prevent hospital readmissions and improve the member’s health outcomes.
Your patients may already be working with one of our case managers. If not, or if they need help contacting their case manager, please have them call Member Services.
Our case managers may call our members if:
Case managers can also help with:
From time to time, members may have questions about calls they receive from one of our case managers. When we call, a nurse or social worker will:
Our case managers are here to help you. If you have a member in your care who would benefit from case management, please call Provider Services at 1-800-454-3730. Members can also call our 24-hour Nurse HelpLine at 1-800-600-4441, available 24/7.