Clinical Practice Guidelines
Coverage of services mentioned in the guidelines may differ depending on the individual’s particular health plan. Please contact Quartz Medicare Advantage Customer Service to confirm coverage by calling (800) 394-5566.
Case & Disease Management
What Is Complex Case Management?
How does Complex Case Management work?
Our Complex Case Managers are registered nurses and/or social workers. The case manager works closely with you and your patient to guide them through medical and community resources to ensure they get the best care possible. Case management staff work directly with your patients to set personal goals and create a plan to improve their quality of life. The program is free for health plan members and does not affect their coverage.
Who might benefit?
Patients who have multiple serious health problems such as diabetes, heart failure, COPD, and/or behavioral health concerns.
Patients who have had several emergency room visits or hospital stays in a short period of time
Who to Contact
Call (866) 884-4601.
Benefits are subject to health plan terms.