Case Management

When members face complex or life-threatening conditions, our medical management philosophy is to offer them access to high-tech care and high-touch personalized service that is coordinated to east their concerns. Programs are administered by registered nurses and technicians and supported by AvMed medical directors, and include services for chronic kidney disease and wound care.

Chronic Kidney Disease

The CKD program is designed to identify members at risk for chronic kidney disease. The focus of the program is early identification and treatment so that disease progression can be delayed or prevented. The program is based on The National Kidney Foundation Guidelines, and registered nurses work closely with nephrologists to educate and support members statewide. Many materials from the National Kidney foundation are available.

Wound Care

The Wound Care Program focuses on our members with chronic, complex and poorly healing wounds. The wound care coordinator works with our wound care provider network to coordinate services and strategies to address complex wounds. The nurse provides ongoing telephonic support, coordination and monitoring.

Complex Case Management

AvMed’s complex case managers are registered nurses with extensive clinical experience in many specialties. They collaborate with members and physicians to personalize a patient’s suggested treatment plan and coordinate the different types of care most catastrophic cases require. Medical directors support these nurse case managers, helping to ensure the use of clinical protocols proven by medical science, which in turn help bring about the best clinical outcomes with the least amount of “red tape” for the member.