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CASE MANAGEMENT
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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. 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. This, in turn, helps 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?

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. 

When are program services available? What are the hours of the program?

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

What if I need assistance after 5 pm?

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.

Where do I find more information about this program?

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.

What if I’m not sure I want to be in a 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 1-800-972-8633, option 3; or by sending an email to CM@avmed.org.

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. 

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