Our Care Management team includes nurses, pharmacists, social worker/behavioral health care coordinators, and dietitians, and they can connect you to a CHNCT Community Health Worker (CHW) based on your needs. To learn about CHWs and how they can help you with community resources, click here. Our Care Management staff can work with you over the phone, in person, or through videoconferencing to help you understand and take care of your health. They’re here to answer questions about your health or medical condition, discuss ways to address any difficulties you may be having, and help you meet your personal health goals. This includes helping you find a Primary Care Provider (PCP) if you need one, and helping you participate in your care plan. We understand that navigating challenging health concerns can be hard, and we want to help you get the care you need.
To view the Care Management flyer, click here.
To enroll, or learn more about one of these programs:
If you have a chronic health condition such as asthma, chronic obstructive pulmonary disease (COPD), diabetes, high blood pressure, sickle cell disease, or are pregnant and have certain health risks that may require special monitoring, our team can work with you to find a healthcare provider and receive the care you need. Our goal is to ensure that you get the right care, in the right place, at the right time.
Our Care Management team can help you:
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services is a program to make sure that children, up to age 21, get the care they need to grow up healthy.
EPSDT services include well-care visits for children. A well-care visit is when your child sees the PCP for a routine checkup. The reason for the visit is to see how your child is growing and developing. The EPSDT/well-care visit includes a complete exam. This will include checking your child’s height, weight, vision, hearing, and blood lead levels. Depending on the age and health history of your child, the PCP may also give your child a shot. The provider can give you advice about your child’s nutritional needs and activity levels.
We can help you make appointments for EPSDT services. If you need help, please call Member Engagement Services at 1.800.859.9889, Monday – Friday, from 8:00a.m. to 6:00p.m.
Our nurses help members who have recently been to the emergency department or hospital and may need assistance understanding their discharge plan and medications. We can help make sure that an appointment has been scheduled with your provider (or help you find a provider if needed) and ensure transportation arrangements have been made. Our nurses can also answer questions about your condition, share health-related information, and help you get connected to needed services.
Our nurses help members who have chronic (long-term) health conditions, especially when they cause frequent hospital visits, to find a primary care provider and any other specialty providers needed. We coach you on the importance of having an Action Plan, knowing when/how to follow it, and what to do if your symptoms get worse. Our nurses answer your questions about different medications and reasons for taking them. They can also help you with any problems you may be having with your medication plan.
This program is for members who are pregnant or recently had a baby and have certain risk factors that may require special monitoring or attention. Our nurses work with you and your family to help you participate in recommended care with your provider and make sure you have access to the services and supplies you need. They also provide pregnancy-related education on topics such as breastfeeding and important warning signs/symptoms during and after pregnancy.
Learn moreOur nurses work with members to help address complex needs and coordinate care among their healthcare team. This includes providing support to members waiting for an organ transplant or receiving gender-affirming services. We can help navigate benefits, provider access, and treatment requirements or instructions. Our nurses can also help coordinate necessary healthcare services.
Our nurses help members who have sickle cell disease improve and maintain their health. We can assist you with managing appointments or setting up health services. We coach you on the importance of having a Sickle Cell Action Plan, knowing when/how to follow the plan, and what to do if your symptoms get worse. We can also support you and your family when transitioning from a child to an adult clinic.
This program is for babies who are born early, or who need special care after birth. Our nurses work with families, hospital staff, and providers to help support these special babies and their development. This includes sharing health-related information and helping families get connected to care and services they may need.
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