If your patients have been diagnosed with a chronic health condition or have a complex health care need, please reach out to our Care Management team.
The Dean Health Plan Care Management team provides individual services to ensure we meet your patients' needs and address any remaining questions.
Our programs are designed to help members get answers to questions about their disease and offer support to help manage chronic health needs. The program supports patient self-management through:
A member can be identified for case management based on:
Case management is free of charge. It provides a registered nurse as a resource during a time where health care may be intense or confusing. Your patient's case manager works with Dean network providers to meet their needs using available resources to deliver quality cost-effective care.
The Utilization Management (UM) team reviews the appropriateness of medical services that members (your patients) receive before and after services are provided. As part of the review, the team uses:
These tools allow us to ensure members receive services and supplies that are medically appropriate and necessary for their condition.
Utilization management also identifies and evaluates a patient's health care needs after hospital discharge and directs members to specific outpatient providers when needed.