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Care Management Programs What is Care Management?
Care management is a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individuals needs through communication and available resources to promote quality, cost effective outcomes. Who We Are:
We are case managers consisting of nurses, social workers and other health care professionals with experience and skills in related clinical areas. The role of the case manager is to facilitate coordination, communication and collaboration on behalf of the member to achieve goals and maximize positive patient outcomes. What We Do: - 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, through education, referral and negotiation.
- Act as a liaison between all providers to enhance communication.
- Educate members, families and health care providers regarding benefits, availability of services, community resources, entitlement programs, and health care alternatives.
- Reduce barriers relating to transportation, language, and pharmacy and scheduling.
We Serve Your Patients With: - Multiple complex needs
- Chronic conditions
- Catastrophic illnesses or injuries
- Conditions requiring close monitoring and coordination of multiple services and providers
- Multiple hospitalizations or emergency room visits
- Social or environmental barriers impacting a persons overall health status.
Our Care Management Programs: How do you make referrals to the Care Management Programs?
Monday - Friday: 8:30 am - 5:00 pm
Phone: 401-459-6060
800-963-1001
401-459-6023 Behavioral Health Case Management Program |
