What is Case Management?
A medical illness or
unexpected injury can spin you off course and create
stress and confusion. We hope you will never be
confronted with a serious medical problem, but
if you are, a Case Manager can help.
Case Managers
are experienced, licensed health care professionals
who provide support and guidance. In addition
to our Case Managers assisting you with your
existing medical conditions, our proactive team
of Case Managers can help with early intervention
options for future
medical issues. Your Case Manager makes sure
the member's needs come first by: |
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Contact
Case Management |
- Phone
toll-free:
1 (866) 543-5765
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- Answering questions and providing information about the condition, illness or injury.
- Serving as a member advocate by helping navigate
the health care system.
- Working with their doctor and supporting their treatment plan.
How members are identified for Case Management
Members are identified and referred through a number
of sources. Referrals may come from one of our internal
Regence departments, from the member, from
the member's family, physician, or other professional
provider.
Regence Case Managers can:
- Help members and their providers navigate the health care system.
- Act as a liaison and refer to available community, commercial and/or social services.
- Provide assistance in coordination between all services provided by Regence BlueShield of Idaho.
What is the Case Management Process?
A Case Manager reviews the member's health status
and treatment plan. A care plan is developed based
on the individual's needs, social support system, provider
involvement, as well as policy benefits. The Case Manager
helps the member explore all available treatment
options and coordinates efforts to facilitate
care where appropriate.
Who is eligible for Case Management?
Case Management is a service available to all
members, from birth through the golden years, who may
have complex or chronic medical conditions or events.
Case Managers can also assist members who have a potential
for future medical conditions.
Who To Contact
If you or someone you know would benefit from Case Management, please call
1 (866) 543-5765. You may also complete our online Case Management Referral Request.
Group Availability »
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