Case Management

General Case Management

With case management, everyone involved in your health care works as a team. This includes you, your family, your doctors and other health care staff, and a BlueChoice HealthPlan case manager.

An experienced registered nurse case manager partners with you to help you navigate through the complicated health care system. When you’re in case management, you’re in good hands. Our team of highly skilled case managers includes nurses who typically have more than 20 years of experience and have received a special certification in case management Certified Case Manager (CCM).

There are many benefits to participating:

• Telephone counseling to assess your issues and treatment options.
• Help using and understanding your pharmacy and medical benefits.
• Referrals to helpful resources.
• Ongoing coordination with your physicians, therapists, home health nurses and social workers.

You can take advantage of Great Expectations® for Case Management just by being a member of BlueChoice®. There is no charge!

We identify members who may qualify for case management. Doctors can also refer their patients who are BlueChoice members, or you can request us to evaluate you for participation in the program. Please call us at 855-838-5897 to make this request. A case manager will review your information to see if you qualify for our case management program.

To enroll in a Great Expectations program or for more information about care management and access to helpful resources, log in to My Health Toolkit® and select Health and Wellness then Health Coaching.

You can also call us at 855-838-5897.

NICU Case Management

With newborn intensive care unit (NICU) case management, everyone involved in your infant’s health care works as a team. This includes you, your family, your doctors and other health care staff, and a BlueChoice Healthplan case manager.

An experienced registered nurse case manager partners with you to help you navigate through the complicated health care system. Our team of highly skilled neonatal intensive care unit (NICU) case managers includes nurses who typically have more than five years of maternal-neonatal experience.

There are many benefits to participating: 

• Care management from a clinically experienced, certified nurse case manager.
• Educational materials.
• Referrals to community and professional resources.
• Help for members in using and understanding their pharmacy and medical benefits.
• Ongoing communication and coordination with all involved doctors, therapists, home health nurses and social workers.

We identify members who may qualify for NICU case management. However, doctors can also refer their patients who are BlueChoice® members, or you can request us to evaluate your infant for participation in the program.

Please call us at 855-838-5897 to make this request. A case manager will review your information to see if your infant qualifies for our NICU case management program.