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Care Management



SelectHealth provides Care Management and Disease Management services for SelectHealth members. Case Managers work closely with the Intermountain Clinical Program workgroups, using Care Process Models developed within Intermountain Healthcare. Members are stratified using multiple tools and a member of the care management team contacts those found to be at risk. The following services are currently provided:

    • Proactive outbound call support;
    • Needs assessments performed by a nurse;
    • Individual member coaching;
    • Educational materials mailed to the member’s home;
    • Referral to facility-based classes;
    • Assistance with medication compliance, equipment, and supplies; and
    • Assistance with insurance benefit questions.

Care Management

Care management is a vital resource for dealing with the overwhelming stress of urgent or special medical needs. Whether it’s a new diagnosis or a major injury, specially trained care managers can help members navigate through the healthcare system. Care managers can help members with self care by setting individualized are plans. They also act as a liaison between the member and providers to make sure immediate and ongoing needs are met and that the best possible care is received. Care management is available for many conditions, some examples are, but not limited to:

  • Cancer

  • Catastrophic health events

  • Depression

  • Heart conditions

  • High-risk pregnancy

  • Pain management
 
Disease Management
 
SelectHealth’s disease management program focuses on intervention and management of existing chronic health conditions. To help members take control of their condition, we provide educational materials, access to online resources, newsletters, follow-up phone calls, and the expert support of a care manager. Disease management is available for the following conditions:

Asthma
COPD
Diabetes
Heart Failure
Hepatitis C

If you are treating a SelectHealth member and would like to have a Care Manager work with them, please call the SelectHealth Care Management department at 801-442-5305 (Salt Lake area) or 800-442-5305.
 
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