Managing Complex Care
Date: 04/25/17
Do you have patients whose conditions need complex, coordinated care they may not be able to facilitate on their own? A care manager may be able to help.
Care managers are advocates, coordinators, organizers and communicators. They are trained nurses and other clinicians who promote quality, cost-effective outcomes by supporting you and your staff, as well as your patients and their caregivers.
A care manager connects the California Health & Wellness member with the healthcare team by providing a communication link between the member, his or her primary care physician, the member’s family and other healthcare providers, such as physical therapists and specialty physicians.
Care managers do not provide hands-on care, diagnose conditions, or prescribe medication. Care managers help members understand the benefits of following a treatment plan and the consequences of not following the plan outlined by a physician.
Our team is here to help your team with:
- Noncompliant members
- New diagnoses
- Complex multiple comorbidities
Providers can directly refer members to our care management program by phone or through the provider portal. Providers may call 1-877-658-0305 (For TTY, contact California Relay by dialing 711 and provide the 1-877-658-0305 number) for additional information about the care management services California Health & Wellness offers.