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Current Members: 800-477-8768 (TTY 711)

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Manage Conditions


Living With Your Condition Made Easier

AvMed has several programs designed specifically to help Members living with complex medical conditions.

Case Management Program

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 help coordinate the different types of care that most complex cases require. These programs are confidential and are available through your AvMed plan.

Medical Directors support the Case Managers, helping to ensure the use of clinical protocols are proven by medical science. This, in turn, helps bring the best clinical outcomes. 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

Questions?

If you think you can benefit from one of our Case Management programs, please contact our Case Management Department at 800- 972-8633 (option #3) (TTY 711), Monday-Friday 8 am-5 pm or you may email us at CM@avmed.org.

If you are the member’s caregiver or designated representative, you may also call to request assistance, or to make a referral to one of our programs.

Case Management FAQs

Transplant Case Management Program

Transplant Case Management is a statewide resource for both members and providers, to assist with identifying, facilitating, and coordinating transplant services with an appropriate transplant center.

Transplant Case Management provides services while you are being considered for a transplant, throughout the process and usually through a year of recovery.

Transplant Case Management FAQs

Contact AvMed Case Management

There is no cost for any AvMed Case Management and the programs are confidential.

Want to learn more?

800-972-8633, select option #3.

8am-5pm Monday-Friday.

Skilled Nursing Facility Program

The AvMed Skilled Nursing/Acute Rehabilitation Transition Program works closely with Members during and after admission to a skilled nursing facility (SNF) or Acute Inpatient Rehabilitation. Our skilled nurses can help you transition to life at home after your discharge.

Skilled Nursing Facility/Acute Rehabilitation Transition staff are available Monday through Friday from 8am-5pm by calling Member Support at 800-477-8768, TTY: <711>, or by emailing utilization.management@avmed.org.

Skilled Nursing Facility FAQs

Healthy Expectations Program

The Healthy Expectations Program provides you with additional support, assistance with coordination of benefits and regular phone contact with our OB team. The program is designed to assist high risk maternity Members. There is no cost for the program and it is confidential.

Contact AvMed Case Management at 800-972-8633 select option #2 for Healthy Expectations. We are available 8:00am to 5:00pm, Monday through Friday.  

Healthy Expectations FAQs

Disease Management

 

When you are living with a chronic condition, AvMed’s highly trained disease management team works closely with you to answer health-related concerns, consider treatment options, provide condition specific education, and assist in coordinating your care.

Contact Disease Management at 833-609-0735 or DM@avmed.org. We are available 8:30am to 5:00pm, Monday through Friday. 

Chronic conditions include:

  • Asthma
  • Coronary artery disease
  • Chronic obstructive pulmonary disease
  • Congestive heart failure
  • Diabetes