Specialized care, comfort and guidance when you need it most
Wellmark’s Case Management Program works closely with members who have severe or complex health conditions. If you are part of the Case Management Program, you will have the security and comfort of working with a case management nurse who's knowledgeable of your unique health situation.
Case management 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 case management?
Through claims data and referrals, the case management team identifies Wellmark members who may benefit from the program. In fact, a case management 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 Case 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 case management
The Case 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 case management nurses Opens in a new window.
To learn more about Wellmark’s Case Management Program, call.
Case management nurses are on your side
Not only do case management 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.
Case management 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.