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Helping your Patients Monitor their Long-term Health

Date: 11/01/18

Our Integrated Care Teams are available to assist members with medically or socially complex needs that may benefit from increased coordination of services to optimize health and prevent disease. Our Care Coordination team is staffed by individuals with extensive medical or social work experience in areas such as obstetrics, oncology, behavioral health, medical/surgical, HIV/AIDS, and physical rehabilitation for children and adults.

Early intervention is essential to maximize treatment options while minimizing potential complications associated with catastrophic illnesses or injury and exacerbation of chronic conditions. A care coordinator is available from 8 a.m. - 5 p.m., Monday through Friday to assist with coordination of the member’s health care needs.

The following conditions and/or diagnoses are examples of appropriate referrals for care coordination:

  • Adults or children with Serious or Complex Medical Needs.
  • Social Issues (social isolation, hunger, housing, domestic violence)
  • Asthma
  • Diabetes
  • High Blood Pressure
  • Heart Problems
  • COPD

The provider’s role in Coordinated Care's Care Coordination program is extremely important. Practitioners who have identified a member who they think would benefit from disease or case management should contact the Care Coordination staff to speak with a member of our Integrated Care team at 1-877-644-4613.