Case Management
Case management is a process that promotes a client's access to care, the containment of costs, the enhancement of quality services and products, the identification of alternative care plans, the increase of a client's awareness of his or her disease and the facilitation of the members empowerment over his disease. A case manager's role is advocacy, assessment, and coordination of care between multiple providers and the member.
What is Case Management?
Case management is a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes.
Case management:
- Evaluates the client's biopsychosocial needs across the continuum.
- Looks at longer-term interventions.
- Works toward the goal of supporting the client-provider relationship.
Who can refer you to Case Management?
- Clinic referral coordinator
- Primary care provider or staff
- Specialist provider
- Hospital
- You or your family
- Community Health Plan customer service
- High-risk report at the plan level
If you have questions about your pregnancy or health care benefits or need educational materials, please contact our customer service department at 1-800-440-1561 (toll free) or email us at customercare@chpw.org. If you are hearing or speech impaired, please call TTY 1-866-816-2479 (toll free) or local 206-613-8875.
Community HealthFirst Medicare Advantage Members: Please contact us from 8:00 am to 8:00 pm, 7 days a week:
- Prospective Members call 1-800-944-1247
- Current Members call 1-800-942-0247
- All TTY/TDD hearing impaired call 1-866-816-2479
- Email us at customercare@chpw.org
How to make a referral/contact names and numbers