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What is Case Management?
A medical illness or unexpected injury can spin you off course and create stress and confusion. We hope you will never be confronted with a serious medical problem, but if you are, a Case Manager can help. Case Managers are experienced, licensed health care professionals who will provide support and guidance.
In addition to our Case Managers assisting with your already existent medical conditions, our Proactive team of Case Managers can help with early intervention options for medical issues that might be in your future. Your Case Manager makes sure you and your family's needs come first by:
- Answering questions and providing information about your condition, illness or injury
- Serving as a member advocate and helping you navigate the health care system
- Working with your doctor and supporting your treatment plan
How members are identified for Case Management
Members are identified and referred through a number of sources. Referrals may come from one of our internal Regence departments, from the member themselves, from the member's family, physician, or other professional provider.
Regence BCBSO Case Managers can:
- Help members and their providers navigate the health care system
- Act as a liaison and refer to available community, commercial and/or social services
- Provide assistance in coordination between all services provided by Regence BCBSO
What is the Case Management Process?
A Case Manager reviews the member's health status and treatment plan. A care plan is developed based on the individual's needs, social support system, provider involvement, as well as policy benefits. The Case Manager will help the member explore all available treatment options and will coordinate efforts to facilitate care where appropriate.
Who is appropriate for Case Management?
Case Management is a service that is available to all members, from birth through the golden years, who may have complex or chronic medical condition(s) or event(s). Case Managers can also assist members who have a potential for future medical conditions.
Who To Contact
If you or someone you know would benefit from Case Management, you may either complete an online referral request, or you may call and speak to a Case Manager at 1 (866) 543-5765.
