Complex Case Management

What is Complex Case Management?

Complex Case Management is the coordination of care, services and resources for members who have complex medical and social needs.

How does Complex Case Management work

Our Complex Case Managers are Registered Nurses and / or Social Workers. The Case Manager works closely with you and your patient to guide them through medical and community resources to ensure they get the best care possible. The case management staff work directly with your patients to set personal goals and create a plan to improve their quality of life. The program is free for health plan members and does not affect their coverage.

Who might benefit?

  • Patients who have multiple serious health problems such as diabetes, heart failure, COPD and /or behavioral health concerns
  • Patients who have had several emergency room visits or hospital stays in a short period of time

Who to Contact

Call (866) 884-4601.

Benefits are subject to health plan terms.

Diabetes Disease Management

The Diabetes Disease Management Program is offered to members with diabetes. We provide our members with education and support. Helpful information is sent by mail. We are also available by phone. This program is voluntary and your patients can call anytime to opt out.

If you would like to enroll a patient in a disease management program, call the Disease Management Coordinator at (886) 884-4601.

This web page was updated on August 20, 2019.