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What does a case manager do?
What does a case manager do?
A case manager can help you learn how to manage your health care needs. Case managers work with you to make a plan of care that fits you and your needs.
How case managers can help
They can help you:
- Find a primary care physician (PCP)
- Schedule doctors’ visits
- Find specialists and behavioral health services near home
- Get rides to your doctor, pharmacy or hospital
- Get medical and dental services, supplies and equipment
- Find community resources and educational materials
Your case manager supports you in setting personal health care goals. At the same time, they can provide education and support to help you reach these goals. This approach helps maintain and improve your level of function, health, and quality of life.
Case managers focus on you. They can coordinate care and services, like:
- Behavioral health
- Long-term care, including home and community-based services (HCBS) and alternative residential settings
- Short- and long-term nursing home placement
- Acute care
- Hospice care
- Planning for hospital discharge (leaving the hospital)
- Support to meet job goals
- Other support services as part of your plan of care
They also coordinate benefits like housing, education and jobs for members with a serious mental illness (SMI) designation.
To help decide which services best meet your needs, the case manager works with:
You
Your provider and/or your clinical team
Your representative or guardian (if you have one)
Disease management
Some health issues need more care. If you’re managing a chronic condition, a case manager can help you get the treatment you need to feel better. They can help you manage conditions like:
- Congestive heart failure (CHF)
- Diabetes
- Asthma
- Chronic obstructive pulmonary disease (COPD)
If you have any of these conditions, let us know. We want to help you stay as healthy as you can be.
Why take your health risk assessment?
Our model of care requires us to offer these assessments. Why? Because the answers you give help us, help you. Together, we can learn what health risks you may have. Then, we’ll make a plan of care just for you. Think of it as the first step in meeting your health goals. And you can get started today. Visit our web portal to take your assessment. Need help? Call us at ${MCA_MS_phone_1} or ${MCA_MS_phone_2}. We’re here for you ${MCA_MS_hours}.
Not yet a member?
Call Member Services at 602-586-1730 or 1-877-436-5288 (TTY 711). We’re here for you 8 a.m. to 8 p.m., 7 days a week.
Call Member Services at 602-586-1730 or 1-877-436-5288 (TTY 711). We’re here for you 8 a.m. to 8 p.m., 7 days a week.
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