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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. A 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 BlueCross BlueShield of Utah.
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.
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