Case Management

Case management is offered as a confidential and free program to members who are experiencing complex health issues or challenges in meeting their health care goals. Case managers can provide you with information and direction about health issues, health coverage, and available community resources, such as help with transportation to and from medical appointments. They can help make sure you are getting the best use of the covered services available to you.

Case managers (nurses and social workers) work with members, their families, health care providers, and community resources to:

• Identify members who could benefit from case management and contact them via telephone.
• Assess the member’s current health status and history by asking various health-related questions.
• Confirm if the member has case management needs and explain how Independence Blue Cross’s (IBX’s) case management programs can assist a member in managing his or her health.
• Develop a care plan designed to meet the specific needs of the individual member. The case manager may utilize home care or educate and coach the member on lifestyle changes to support independent health management.
• Follow up with the member, his or her family, and physician at the specific intervals (e.g., weekly, monthly) to review and enact the plan until all goals are met or case management services are no longer appropriate.
• Discharge the member from case management once all identified needs have been adequately met and goals achieved or when case management services are no longer appropriate. Members can continue to contact the case manager at any time.

A case manager is available to help you with your complex needs. If you feel you may benefit from this program, please call a case manager at 1-800-313-8628.

Website last updated: 9/30/2012
Y0041_HM_13_3639 Approved 11/09/12