Quality ManagementMedicaidMay 31, 2023

Complex Care Management program

Managing illness can be a daunting task for our members, your patients. It is not always easy to understand test results, how to obtain essential resources for treatment, or who to contact with questions and concerns. Our Complex Care Management program offers assistance.

Ourcaremanagersarepartofaninterdisciplinaryteamofcliniciansandotherresourceprofessionalsthereto support members, families, PCPs, and caregivers. We leverage our experience and expertise of tour team to educate and empower our members by increasing self-management skills. We help members understand their illnesses and learn about care choices to ensure they have access to quality, efficient healthcare.

Members or caregivers can refer themselves or family members by calling the Customer Service number located on their ID card. They will be transferred to a team member based on the immediate need. Physicians can refer their patients by contacting us telephonically or through electronic means. We can help with transitions across levels of care so that members and caregivers are better prepared and informed about healthcare decisions and goals.

You can contact us by phone at 844-396-2330. Care Management business hours are Monday to Friday, from 8 a.m. to 5 p.m. PT.

NVBCBS-CD-022701-SRS22701

PUBLICATIONS: June 2023 Provider Newsletter