Integrated case management
This voluntary service is offered to participants with health complexity, high utilization, and functional impairment. Health complexity encompasses multiple diagnoses, physical and mental health co-morbidities, personal, social, and financial upheaval, and health system issues. Integrated Case Management works cooperatively with members and physicians to identify and overcome clinical and non-clinical barriers to improve health outcomes.
How to refer your patients for integrated case management services
Providers can refer eligible LifeWise members to receive personal health support by calling 800-596-3440. The team is available to take referrals by phone and answer questions Monday through Thursday, 6 a.m. to 7 p.m., PST, and Fridays, 6 a.m. to 6 p.m. You can also email us at email@example.com.
Healthier outcomes for moms and babies
LifeWise's maternity program, BestBeginnings, provides maternity and newborn programs for eligible members:
- Best Beginnings Maternity Program: Provides education and support services to pregnant members through the BestBeginnings mobile app and case management services for those eligible members identified as high-risk.
- Special Care for Baby: Provides case management on site or by phone, and assists facility staff in providing discharge planning, support, and resources for parents. It also includes concurrent review for neonatal intensive care unit (NICU) services.
Discharge Support Services
Consumers are responsible for more of their healthcare decision-making than ever before. Healthcare decisions can be the most difficult, challenging, and stressful issues for families to deal with. The burden and stress placed on consumers to manage their way through the complexities of today's complex healthcare system are significant.
Our Discharge Support Services provide expertise in assisting members through the healthcare journey from transition from home to hospital and hospital to home. Our licensed clinical staff provides the following services:
Pre-admission Member Outreach
Our licensed clinicians help prepare the member for a positive transition, even before the member has been admitted to the facility by:
- Assessing the needs of the member and their family or other key caregivers
- Identifying potential barriers to care
- Developing a plan for optimal post-discharge support to address member needs, such as caregiver support, transportation, and home safety
Collaborative Discharge Planning
Our clinical staff works with members and providers to remove barriers to a safe and timely discharge.
A clinician provides outreach to members within 72 hours of discharge notification to identify barriers to optimal recovery, promote treatment adherence and encourage recommended follow-up care. Our case managers follow the member's care upon discharge for health events that require short-term coordination of homecare, IV, rehabilitation or other related services. Our case managers work with the members to address their clinical and non-clinical barriers (i.e., social determinants of health) to health improvement and help members learn new behaviors to self-manage their conditions.