Providence Care Management

Our experts help you find your way to healthy

The registered nurses, social workers, clinical support coordinators and technicians who make up the Providence Care Management team will help you better understand your health so you can take an active role in improving it. Whether you need help with understanding a new diagnosis or assistance navigating options for a diagnosis that has been affecting one’s life for a long time, Providence Care Management is here to help.

Care managers help you better understand your condition and support you on your journey so you can take a more active role in meeting your health goals. With these services, you'll receive personalized support with health conditions including, but not limited to:

  • Asthma
  • Chronic obstructive pulmonary disease, or COPD
  • Heart failure, or HF
  • Coronary artery disease, or CAD
  • Diabetes
  • Cancer
  • Rare conditions such as Parkinson’s disease, Multiple Sclerosis, hemophilia, and kidney disease
  • Complex health issues requiring hospitalization, rehabilitation or extensive outpatient therapies
  • Pregnancy and post-partum
  • Support to caregivers of children who need help managing a chronic condition or illness

Members may be referred for care management services by:

  • Member self-referral
  • A caregiver (e.g., spouse, family member, friend or neighbor providing care to the member)
  • Provider
  • ProvRN nurse advice line
  • Hospital discharge planner
  • Disease Management
  • Utilization Management

Our care managers provide you with:

  • Personalized health education about your medical concern, including new innovations, medication therapy and symptom management
  • Coordination with your provider and care team
  • An individualized plan developed with you to help you reach your health goals
  • Ongoing one-on-one telephone support
  • Advice on general health and lifestyle choices to help reduce risks, including nutrition and exercise
  • Encouragement and support to help through the easy, and not so easy, times
  • Support with prior authorizations or provider referrals
  • Assistance navigating health care services in your area

Care Management services are open to all Providence Health Plan members and available at no cost. You can decline/opt-out of Care Management services; participation is always voluntary. For more information or to learn more about what resources are available to you based on your specific condition, visit our FAQ page or contact us by phone at 800-662-1121 (TTY: 711) or email caremanagement@providence.org.