Intensive case management is a service that involves face to face encounters with members to build a trusting relationship while providing on-going support to help them function in the least restrictive, most natural environment to achieve an improved quality of life. The RN Case Manager maintains involvement as member needs change and cross service settings. The priority population for intensive case management services are for members who demonstrate a high Comprehensive Risk Score and require intensified support to achieve member’s short and long-term goals. This program is a 90-day program that may be extended based on individual case needs and requires consent to participate.

Carepointe®’s clinical team collaborates with health plan and managed care organizations to identify members who would benefit from intensive case management through a variety of methods including historical and prospective risk analysis through our clinical data warehouse or event situations such as an emergency department admission.