Care coordination

Care coordinators work with our members to help them to better understand the services we offer and how to participate in addressing their own care.

Addressing physical and behavioral health

Our care coordinators help make healthcare easier and less overwhelming for our members through our digital services like Concierge Care, focus on improving physical health, and promoting behavioral health. 

 

Your patients may already be working with one of our care coordinators. If not, or if they need help contacting their care coordinator, please have them call Member Services.

 

 

Concierge Care

Concierge Care is an award-winning, personalized mobile app that syncs with care management platforms enabling care coordinators to help meet our members’ needs in real-time through educational and interactive engagement.  

 

Concierge Care areas of focus

The app offers a wide variety of programs for members with focused program areas that include: 

  • Heart failure 
  • Diabetes 
  • Behavioral health including anxiety and depression 
  • Maternity 
  • Discharge essentials 
  • Oncology

 

 

Concierge Care features

The Concierge Care member-facing app features: 

  • Personalized care plans 
  • Medication reminders 
  • Self-directed health activities like practicing mindfulness and breathing exercises 
  • On-demand conversations with care coordinators 
  • An expansive health resource library 
  • Health data and symptom trackers 
  • Gamified engagement to help keep members motivated on their path to better health 
  • Holistic support for physical and behavioral health 
  • Integration with FitBit and Apple Watch step counters 

 

 

Communication and expectations

Our care coordinators may call our members if:  

  • They or you, their health care provider, think care coordination might help the member 
  • They’ve just gotten out of the hospital and need help with follow-up visits to other doctors 
  • They’re going to the emergency room (ER) often for non-urgent care that could be handled by you, their healthcare provider 
  • They call our 24-hour Nurse HelpLine and/or the Behavioral Health crisis-line and need more follow-up for ongoing care 
  • They have serious physical problems and need more help managing their health 
  • They have behavioral health problems and need more help working with their doctors 

 

 

Care coordinators can also help with:  

  • Setting up healthcare services for the member
  • Getting referrals and follow-up on prior authorization requests
  • Checking a member’s plan of care

 

 

From time to time, members may have questions about calls they receive from one of our care coordinators. When we call, a member from our health care management team will:  

  • Always identify themselves with their name, title, and position with Healthy Blue
  • Tell the member about the services available to them
  • Talk to the member about their health and how they’re handling different parts of their life

 

 

Questions about Care Coordination?

If you have any questions surrounding care coordination, member referrals, or program details, please contact Provider Services for additional support.

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality service for our members.

 

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