Care Management, Dean Health Plan

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Care Management

Dean Health Plan cares for you

Sometimes navigating your way through the health care system can be challenging. That's where the Dean Health Plan Care Management Team comes in.

Diagnosed with a chronic health condition or have a complex health care need? Take advantage of the following services to ensure your needs are met and all your questions and concerns are addressed.

Support when you need it most

You may be identified for free Case Management based on:

  • a diagnosis
  • acute injury
  • a referral by your health care provider.

You can also request Case Management services yourself.

Case Management provides you with a registered nurse who serves as your resource during a time where health care may be intense or confusing. Your Case Manager works with you, your health care provider and other members of the health care team to establish the best plan of care for you.

Case Management does not provide additional benefits or change your plan's benefit rules; however, the case manager will work with network providers to meet your needs using available resources with the goal of delivering quality cost-effective care.

Focusing on quality care

The Utilization Management team reviews the appropriateness of medical services that you receive before and after they are rendered. This allows us to ensure you are receiving services and supplies that are medically appropriate and necessary.

The review of services includes:

  • Inpatient hospital admissions
  • Skilled nursing facility and rehabilitation care
  • Home health care services
  • Hospice care
  • Behavioral health outpatient care

Dean also identifies and evaluates your health care needs following discharge from a hospital and directs you to specific outpatient providers when needed.

Strong Beginnings

Strong Beginnings is your connection to the care and services needed to keep you and your baby healthy.

Enrollment into Strong Beginnings can begin during a woman’s prenatal, delivery or postpartum period and last through her child’s first two years of age.

Women who are planning to get pregnant can also call Strong Beginnings for extra support.

More Information

We're Here to Help

For more information about our Care Management programs, contact our Customer Care Center at (800) 279-1301.

 

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