Assessments

Case management often includes voluntary assessments including:

• Comprehensive health screening
• Screening for depression and anxiety
• Assessment of Member’s Health Engagement
• Medication reconciliation

Interventions

Care coordination interventions include:

• Goal setting with members to achieve optimal health outcomes
• Motivational interviewing to assess barriers to change
• Assessment of member engagement into their health
• Providing education regarding health risks and needs assessment
• Collaboration/referral to Patient Centered Medical Home/primary care provider
• Transition of care planning for complex cases
• Coordination of local, regional and nationwide health care services
• Ongoing case management for especially complex and chronic cases
• Referrals to disease management professionals for rare and complex disease management
• Assisting members in making informed health care decisions
• Connecting the members to the right resources within BCBSND to help them understand their benefits

Case management referrals

A member or their authorized representative must consent and agree to participate in the case management program. Enrollment is voluntary, at no additional cost to the member.

Case management referrals can be initiated by:

• The member/patient
• The member's authorized representative
• A health care provider

To initiate a referral to case management, contact BCBSND at 800-336-2488.