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Case management

Our case managers are here for you. These can be nurses, social workers and counselors. They understand your care needs and can help you get care. We assign you a case manager as long as you're enrolled in Long Term Care.

What does a case manager do?

What does a case manager do?

A case manager can help you manage your health care needs. Case managers work with you to make a plan of care that fits you and your goals. 

How case managers can help

Case managers focus on you. They can coordinate care and services, like:

  • Behavioral health
  • Long-term care, including home and community-based services (HCBS) and alternative residential settings
  • Short- and long-term nursing home placement
  • Acute care for kids and adults
  • Hospice care 
  • Planning for hospital discharge (leaving the hospital) 
  • Support to meet job goals
  • Other support services as part of your plan of care

They also coordinate benefits like housing, education and jobs for members with a serious mental illness (SMI) designation. 

Your case manager supports you in making personal health care goals. At the same time, they can provide education and support to help you reach these goals. This approach helps maintain and improve your level of function, health, and quality of life.
 

To help decide which services best meet your needs, the case manager works with:

  • You
  • Your provider and/or your clinical team
  • Your representative or guardian (if you have one)
  • Your chosen family, sometimes called informal support  

Your case manager visits you in-person every:

  • 90 days if you live in their own home or assisted-living facility 
  • 180 days if you live in a skilled nursing facility

They’ll ask about your health and care needs. You can have family and others present, if you’d like them to take part.

Questions?

Call Member Services at ${MS_phone_1} or ${MS_phone_2} (TTY 711) We’re here for you ${member_services_hours}.