Case Management is a program where nurse case managers work with members, doctors and medical providers to coordinate care. Case managers can teach you ways to play a bigger role in your health care. Examples of conditions that may qualify for case management include:
- High-risk pregnancy
- Teen pregnancy
- Newborn babies with serious health complications
- Uncontrolled diabetes
- Severe mental health or substance abuse disorders
- Organ transplant
- Spinal cord injuries
- Severe trauma
A request for care management services can come from the member, a family member, a medical provider, or from claims information.
For more information on care management services, please call Member Services toll-free at 800-462-3589. TTY users can call 888-740-5670.