We provide personalized support in finding a care team that’s right for you.
New diagnoses can be scary and stressful; we can help. We’ll walk with you through this condition including finding in-network providers and facilities, understanding your diagnosis, symptom management, medications, treatment plans, assist with finding financial assistance when needed.
We’ll shepherd your request through the pre-service approval process to ensure your personalized health care needs are known to your care team.
We will assist you in connecting with your provider and pharmacy to find the lowest cost options as well as secure assistance from pharmaceutical companies or other financial resources.
Members can come into our Care Management program in various ways. Members can self-refer into the program, but can also come as a referral from the following sources:
- A caregiver (e.g., spouse, family member, friend or neighbor providing care to the member)
- ProvRN nurse advice line
- Hospital discharge planner
- Disease Management
- Utilization Management
We will make the calls for you to track down your provider’s order, authorization, and equipment to be sure you have what you need.
We can assist with coordination of care and securing resources in unexpected life events, whether new physical or cognitive limitations requiring assisted living or in home care, financial support, community support and resources.
We’ll help you transition your care to providers, facilities and pharmacies that are in your plan. If your treatment is active, we will help you gather the clinical information necessary to finish your treatment with your current provider under the Transition of Care process.