Complex Case Management

Neighborhood is pleased to announce that we have a new case management program for our members who have highly complex needs. Similar to Neighborhood's other case management programs, this case management program focuses on the coordination of services and goal-setting/treatment for members who have experienced a critical event or diagnosis that requires the extensive use of resources and who need help navigating the health care delivery system.

Who Might Benefit from Complex Case Management Services:

• High Risk Neonates discharged to home from a Level II nursery
• Members with an Inpatient Stay greater than 21 days
• Members discharged from a acute rehabilitation or skilled nursing facility
• Members who have been discharged to home after having a transplant
• Members taking multiple medications with suboptimal treatment plans

What Neighborhood Complex Case Managers Can Do for Members:

• Support and reinforce members in their efforts to adhere to treatment interventions recommended by their health care providers
• Advocate for members to obtain the most appropriate health care services available
• Act as a liaison between all providers to enhance communication
• Educate members, families and health care providers regarding benefits, availability of services, community resources and health care alternatives
• Reduce barriers in order to maximize positive member outcomes

For further information about Neighborhood's Case Management programs, or to refer a member with complex needs that you believe may benefit from case management services, please call Cathy Tager RN at 1-401-459-6177.