Sometimes a medical condition can leave you with special healthcare needs. In our Case Management program, nurse case managers work with Paramount Advantage members, doctors and medical providers to coordinate care.
What do case managers do?
Case managers help you learn how to care for yourself. They help you understand how to access services available through Paramount Advantage participating providers, and also learn about community resources that might be available. They teach you ways to play a bigger role in your health care.
What conditions may qualify?
Examples of conditions that may qualify for case management include:
- High-risk pregnancy
- Teen pregnancy
- Newborn babies with serious health complications
- Uncontrolled diabetes
- Severe mental health or substance abuse disorders
- Organ transplant
- Spinal cord injuries
- Severe trauma
Who can request case management services?
A request for case management services can come from you, a family member, a medical provider, or from claims information. If you feel that you could benefit from talking to a case manager, please call Member Services.