Case Management Awareness Program. This program contacts Members who may benefit from case management services because they have multiple medical conditions, may be at risk for future illness or disease due to an existing medical condition, have undergone an extended hospital stay, are having difficulty managing a health condition, or are seeking medical services from several providers. Identified members will receive an automated outbound call to provide educational information regarding the benefits, value, and purpose of case management. They will be offered the opportunity, either through warm transfer or a return call, to speak with a case management nurse regarding their health care needs and to potentially enroll in one of the Care Management programs.
Appears in 6 contracts
Samples: Individual Hmo Subscriber Agreement, Individual Hmo Subscriber Agreement, Hmo Subscriber Agreement
Case Management Awareness Program. This program contacts Members who may benefit from case management services because they have multiple medical conditions, may be at risk for future illness or disease due to an existing medical condition, have undergone an extended hospital stay, are having difficulty managing a health condition, or are seeking medical services from several providers. Identified members will receive an automated outbound call to provide educational information regarding the benefits, value, and purpose of case management. They will be offered the opportunity, either through warm transfer or a return call, to speak with a case management nurse regarding their health care needs and potentially to potentially enroll in one of the Care Management programs.
Appears in 1 contract
Samples: Individual Hmo Subscriber Agreement
