Why Would I Need Case Management?
The need for case management services is determined through a collaboration between you, your family or caregiver, your health care team, and your provider. This collaboration will include a comprehensive assessment of your health, psychosocial needs, and use of health care services and resources.
Case management can help by:
• Coordinating your care.
• Assessing, planning, and facilitating services for you.
• Evaluating your options.
• Advocating on your behalf.
You or your family member may need case management if you have:
• Instability with chronic health problems
• A serious terminal illness
• An increased need for different provider specialties due to multiple diseases or conditions
• A need for more support and education during a critical period
Who are Case Managers?
Case managers are usually nurses or social workers who can help you and your family figure out complex health care and support systems. They will work with you to coordinate the services and other community resources you need
They can help:
• Provide advocacy, support, and education
• Reduce burden and streamline appropriate utilization of care
• Partner with members of your healthcare team to assist in coordination of your healthcare needs
• Monitoring for progress and desired outcomes
Already have a Case Manager?
Please call to inquire about the status of your Specialty Care Referral. If your referral is appointed to the MTF, we will schedule your appointment.
If your referral was sent to Tricare, you will need to call Health Net Federal Service, 844-866-9378. Please reach out to us if you are having any issues or concerns about your Specialty Care.
Active Duty service members are required to have a prior authorization for Urgent and Specialty Care. Active Duty Service members must receive all local urgent care from their Primary Care Manager (PCM), or a MTF Emergency Room.
If traveling, and you need urgent care please contact the TRICARE Nurse Advise line 800-TRICARE (874-2273), prior to obtaining Urgent Care.