Manage Conditions

We work with you to:

• Define your needs and goals
• Coordinate services with your provider(s), when you give us permission
• Find new tools to meet your goals
• Develop an individualized plan
• Make proactive plans to prevent readmission to the hospital
• Provide you with health information

There are lots of ways we find members who may benefit from case management programs. Your provider may have told you about a program. If you were in the hospital recently or another program, they might have referred you to a case management program. You may be taking medications, have been diagnosed with or treated for a condition that may improve with the added support provided to you as part of a program. Your health plan may have referred you to a program. You can also refer yourself.

Case Management staff are available Monday through Friday from 8:00 a.m. to 5:00 p.m.by calling 1-800-972-8633 and choosing option 3;  TTY: <711>; or by emailing CM@avmed.org

You can call the Nurse on Call line at 1-888-866-5432; TTY: <711> to speak confidentially with a registered nurse about any health concerns or issues. In an emergency, call 911.

Feel free to call us at 1-800-972-8633, option 3; TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m. to talk about our case management programs.

If you do not want to be in a program now, that is okay. You can join a program in the future if you change your mind. You are able to opt-in and opt-out of any of our case management programs by calling 1-800-972-8633, option 3; or by sending an email to CM@avmed.org.

You can give us your feedback by calling 1-800-972-8633, option 3, TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m; or by sending an email to CM@avmed.org.

Each year, Members are also surveyed about satisfaction with this program. If you receive a letter or call regarding your participation in this program, we hope you will take a few minutes to participate. 

We work with you to:

• Define your needs and goals 
• Coordinate services with your provider(s), when you give us permission
• Provide transplant authorizations
• Develop an individualized plan
• Ensure you are accessing transplant services at an appropriate facility
• Provide education on transplant services

There are several ways a member may be identified for the Transplant Case Management program. Most referrals are received directly from the transplant facility and/or your physician. You may have been referred as a result of a recent hospitalization, where you were identified as needing transplant services. You may have referred yourself. 

Case Management staff are available Monday through Friday from 8:00 a.m. to 5:00 p.m. by calling 1-800-972-8633 and choosing option 3; TTY: <711>; or by emailing CM@avmed.org. 

You can call the Nurse on Call line at 1-888-866-5432; TTY: <711> to speak confidentially with a registered nurse about any health concerns or issues. In an emergency, call 911.

Feel free to call us at 1-800-972-8633, option 3; TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m. to talk about our Transplant Case Management Program. 

If you do not want to be in a program now, that is okay. You can join a program in the future if you change your mind. You are able to opt-in and opt-out of any of the Transplant Case Program by calling 1-800-972-8633, option 3, or by sending an email to CM@avmed.org.

You can give us your feedback by calling 1-800-972-8633, option 3; TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m; or by sending an email to CM@avmed.org.

Each year, Members are also surveyed about satisfaction with this program. If you receive a letter or call regarding your participation in this program, we hope you will take a few minutes to participate. 

We work with you to:

• Define your needs and goals
• Coordinate services with your provider(s), when you give us permission
• Find new tools to meet your goals
• Develop an individualized plan
• Make proactive plans to prevent readmission to the hospital
• Provide you with health information

All Members who are admitted to a Skilled Nursing Facility (SNF) or Acute Inpatient Rehabilitation Facility are eligible to participate in the transition program. Your provider may have told you about the program. There is no cost for enrollment.

Skilled Nursing Facility/Acute Rehabilitation Transition staff are available Monday through Friday from 8 am to 5 pm by calling Member Support at 800-882-8633 (TTY 711), or by emailing utilization.management@avmed.org.

You can call the Nurse on Call line at 888-866-5432; TTY: <711> to speak confidentially with a registered nurse about any health concerns or issues. In an emergency, call 911.

Feel free to call us through our Member Support team Monday through Friday, 8 am to 5 pm at 800-882-8633 (TTY 711), or by emailing utilization.management@avmed.org to talk about our transition program.

If you do not want to be in a program now, that is okay. You can join a program in the future if you change your mind. You are able to opt-in and opt-out of any of our case management programs by calling 800-972-8633, option 3; or email CM@avmed.org.

Skilled Nursing: Call 800.882.8633, TTY: <711>, or email utilization.management@avmed.org.

You can give us your feedback by calling Member Support at 800.882.8633, TTY: <711>, or email utilization.management@avmed.org.

Each year, Members are also surveyed about satisfaction with this program. If you receive a letter or call regarding your participation in this program, we hope you will take a few minutes to participate.

We work with you to:

• Define your needs and goals
• Coordinate services with your provider(s), when you give us permission
• Provide education on pregnancy topics
• Develop an individualized plan
• Make proactive plans for a healthy pregnancy and baby

There are lots of ways we find members who may benefit from the Healthy Expectations Program. Your provider may have told you about the program. If you were in the hospital recently due to a pregnancy issue, they might have referred you to the program. Your health plan may have referred you to the program. You can also refer yourself. 

Case Management staff are available Monday through Friday from 8:00 a.m. to 5:00 p.m. by calling 1-800-972-8633 and choosing option 2;  TTY: <711>; or by emailing CM@avmed.org

You can call the Nurse on Call line at 1-888-866-5432; TTY: <711> to speak confidentially with a registered nurse about any health concerns or issues. In an emergency, call 911.

Feel free to call us at 1-800-972-8633, option 2; TTY: <711> Monday through Friday between 8:00 a.m. to 5:00 p.m. to talk about our Healthy Expectations Program. 

If you do not want to be in a program now, that is okay. You can join a program in the future if you change your mind. You are able to opt-in and opt-out of any of the Healthy Expectations program by calling 1-800-972-8633, option 2, or by sending an email to CM@avmed.org.

Monday through Friday between 8:00am to 5:00pm; or by sending an email to CM@avmed.org.

Each year, Members are also surveyed about satisfaction with this program. If you receive a letter or call regarding your participation in this program, we hope you will take a few minutes to participate. 

We work with you to:

• Define your needs and goals
• Coordinate services with your provider(s)
• Find new tools to meet your goals
• Develop an individualized plan
• Provide you health information and education

There are lots of ways we find members may benefit from Disease Management. You have been diagnosed with or treated for a chronic condition listed above that may improve with the added support and education provided to you as part of this program. Your provider may have told you about the program. You may have been referred by another AvMed program or you can also refer yourself.

Disease Management staff are available Monday through Friday from 8:30am to 5:00pm by calling 833-609-0735; TTY: <711>; or by emailing DM@avmed.org.

You can call the Nurse on Call line at 888-866-5432; TTY: <711> to speak confidentially with a registered nurse about any health concerns. In an emergency, call 911.

Feel free to call us at 833-609-0735; TTY: <711> Monday through Friday between 8:30am to 5:00pm to talk about our Disease Management program.

If you do not want to be in the program, that is okay. You can join the program in the future if you change your mind. You are able to opt-in and opt-out of the Disease Management program by calling 833-609-0735, or by sending an email to DM@avmed.org.

You can give us feedback by calling 833-609-0735, TTY:<711> Monday through Friday between 8:30am to 5:00pm, or by sending an email to DM@avmed.org.

Each year, members are also surveyed about satisfaction with this program. If you receive a letter or call regarding your participation in this program, we hope you take a few minutes to participate.