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Case Management

Our case managers are licensed, certified registered nurses with emphasis in various medical specialties. 

HealthChoice is pleased to offer a staff of dedicated medical professionals in our Health Care Management Unit (HCMU). Our mission is to assist our members in navigating the complex world of health care. HCMU is staffed by licensed, certified registered nurses seeking to promote the best possible outcomes in the most cost effective manner.

 

Examples of when to call a case manager
  • Services not available in the network.
  • Chiropractic/Occupational/Physical therapy (over 20 visits per calendar year).
  • Genetic Testing. 
  •  Home health services. 
  • Mental health/substance use disorder.
  •  TMD Orthodontic treatment (19 years and older).
  • Complicated medical/oral services.
  • Durable medical equipment.
  • Home Hospice Services. 
  • Outpatient Speech Therapy (under 18 years of age). 

 

Advantages of utilizing a case manager:

  • Individualized and personalized intervention to ensure the highest quality of care, attaining the maximum level of independence possible.
  • Case managers help decrease the fragmentation of care while increasing quality and cost efficiency.
  • Case managers help maximize your benefits through early intervention and by offering access to specialized treatment and services which complement traditional therapies.

We are here to help. To speak with a case manager, please call 405-717-8879 or toll-free 800-752-9475.

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