Case Management
Those facing major medical procedures and traumatic events are often overwhelmed with complex information and decisions. Case managers can make things a little easier during a difficult time.
The Case Manager's Role
The role of the case manager is to help members navigate the healthcare system, coordinate necessary services, explain health benefits, and more.
Services provided
Case managers assist members by:
- Offering support on-site or by phone
- Providing post-discharge follow-up
- Explaining options and alternatives
Catastrophic Case Management is available for:
- Trauma
- Complex surgical cases
- Automobile accidents
- Burn victims
- Neonatal Intensive Care
The bottom line
Member participation has resulted in approximately:
- Ten percent fewer re-admissions
- One percent net reduction in admissions
