Complex Case Management is the coordination of care, services and resources for members who have complex medical and social needs.

How Does Complex Case Management Work?

The Complex Case Management team includes Registered Nurse and Social Work Case Managers. The team works closely with you and your caregivers to guide you through medical and community resources to make sure you get the best care possible. The case management staff will assist you in setting personal goals and creating a plan that will enhance the quality of your life. This program is free for health plan members.

Who Might Benefit?

  • Members who have more than one serious health problem such as diabetes, heart failure, COPD and / or behavioral health concerns
  • Members who have had several emergency room visits or hospital stays in a short period of time

Who to Contact

If you are interested in Complex Case Management services, you can call (866) 884-4601. Benefits are subject to health plan terms.

Not all Quartz members or participants are eligible for Health Management Programs. Please check your plan benefits.