Case Management Services
Support and assist members who are experiencing immediate and on-going medical conditions or injuries that may require complex, high-intensity, long-term and /or high utilization of services. The team is composed of case management nurses; an exceptional needs care coordinator, a behavioral health coordinator and office support.
Case management services target diagnosis-specific conditions, individuals at-risk, are special needs or members that meet the criteria for health plan quality improvement projects or collaborative initiatives. Referrals can be submitted through member self referral, health care staff, physicians, caregiver or family member, facility and / or agency working with the member who has the benefit.
- Members and Providers may contact member services to make a referral.
- No specific form is required.
- Members in an eligible plan can agree to opt-out of the program when contacted by the case management department.