Case Management and Disease Management

The goal of CMDM is to help members manage their health care needs. We offer our members one-on-one nurse coaching and help with obtaining other resources. CMDM helps with the needs of members with long-lasting illnesses. They are always ready to help with any other member needs.

Agricultural / migrant workers

Children of agricultural / migrant workers have special health care needs. Our case managers will help members get the care they need right away. They will call to make sure checkups, physicals and vaccines are up to date. They will also assist with scheduling doctor visits.

Asthma

For more information go to our Asthma section.

Behavioral health

Life and health issues can be stressful. Our case managers can help during these stressful times. They will:

  • Set up a 7-day and 30-day follow-up visit after discharge from a behavioral health facility.
  • Help find local support services.
  • Help manage medications.

Diabetes

Case managers call each member with diabetes to help with their needs. Staff offers health tips to control their illness. These tips include healthy eating and healthy living. Staff also helps members get their supplies and medicines. For information go to our Diabetes Class section.

Early Childhood Intervention (ECI)

ECI is a program for members who are 0-3 with disabilities and developmental delays. Case managers will assist members who are in the program.

General case management

Case managers help our members with special health care needs set up visits with doctors. They can also help members:

  • Control their medicines.
  • Find local programs and transportation to assist with care.

High-risk pregnancy

Our case managers will help our high-risk pregnant moms through education and assistance. Our staff will:

  • Educate members on what to look for if there are problems with the pregnancy.
  • Teach members to make healthy choices.
  • Assist members when talking with doctors.

Resource coordination

Resource coordinators will help file for supplemental security income (SSI) and will help with transport needs.

Social work

Social workers are a key support system for members. They find members with high-risk social needs through phone calls and home visits. High-risk social needs may include struggles with housing, access to health care, and abuse. Staff will guide members to local programs for help.

 

Healthcare education

For healthcare education, visit Driscoll Children’s Health Library.