Great Expectations® Case Management is for members who have extraordinary medical needs or conditions. This includes members with advanced stage cancer, severe trauma, multiple chronic conditions, complex wounds requiring negative pressure wound therapy, gastric bypass, Hepatitis C, brain injury, transplants and neuro-muscular diseases.
With Case Management, everyone involved in a member’s health care works as a team. This includes the member, the member’s family, the member’s doctors and other health care staff, and a BlueChoice HealthPlan case manager. An experienced registered nurse case manager partners with members to help them navigate through the complicated health care system. When members are in case management, they'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 (CCM, or Certified Case Manager).
There are many benefits to participating:
Members can take advantage of Great Expectations® Case Management just by being a member of BlueChoice HealthPlan. There is no charge!
We identify members who may qualify for case management. Doctors can also refer their patients who are BlueChoice HealthPlan members, or members can request we evaluate them for participation in the program. Members can call 800-327-3183, ext. 25588. A case manager will review the member's information to see if he or she qualifies for our case management program.
For information or to enroll in a Great Expectations® program, members can log into My Health Toolkit and select "Great Expectations" from the Health and Wellness tab.
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