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Specialized care, comfort and guidance when you need it most

Wellmark’s Care Management program works closely with members who have severe or complex health conditions. If you are part of the Care Management program, you will have the security and comfort of working with a Care Manager nurse, experienced with your unique health situation.

Care Manager nurses are clinically skilled registered nurses committed to developing individualized care plans. They are there to help you cope with difficult health situations, so you don’t have to walk through it alone.

Who needs Care Management?

Through claims data and referrals, the Care Management team identifies Wellmark members who may benefit from the program. In fact, a Care Manager nurse may reach out to you before you know you need this type of care. Then, they use data to help bridge gaps that might occur between you and your health care providers.

Here are just a few situations that may benefit from our Care Management program:

  • Head injuries and strokes
  • High risk pregnancies
  • Palliative and end of life care
  • Neonatal intensive care
  • Progressive neuromuscular diseases
  • Severe burns
  • Spinal cord injuries
  • Mental health such as major depression
  • Alcohol and substance abuse disorders

Coverage for Care Management

The Care Management program is part of most Wellmark health plans and is available at no extra cost to you. The program is confidential, voluntary, reliable and friendly.

Find more information here about Wellmark’s Care Manager nurses Opens in a new window.

To learn more about Wellmark’s Care Management program, call .

Care Manager nurses are on your side

Not only do Care Manager nurses walk you through the medical side of an illness by providing education and offering care coordination, they are also there to help navigate claims and answer health care coverage questions. They help reduce the complexity so you can focus on getting better.

Care Manager nurses work to get the complete picture of your health. They also help avoid duplication of services and prevent expensive hospital stays. They aim to help you receive the right care, at the right place, at the right time, and help you get the most from your health benefits.