AvMed’s case managers are registered nurses or social workers 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 complex cases require. There is no cost for the programs and it is confidential.
Contact AvMed Case Management at 1-800-972-8633 select option #3 for Case Management. We are available 8:00 a.m. to 5:00 p.m., Monday through Friday. We look forward to serving you, our valued Member.
Medical directors support the 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. AvMed designed this service for Members who have experienced a critical event or diagnosis that requires extensive use of resources.
Programs within Case Management include:
- Complex Case Management
- Short-term Case Management
- Care Transitions
This program provides general information. It is not the practice of medicine or a substitute for services from your doctors. All questions about your health status and treatment should be directed to your treating provider.
How does Case Management work?
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
How was I chosen to be in a program?
When are program services available? What are the hours of the program?
What if I need assistance after 5 pm?
Where do I find more information about this program?
What if I’m not sure I want to be in a program?
How can I give feedback on the program?
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.