Addressing Individual Needs, Together

Case management is a collaborative process that addresses individual health care needs.

It involves the coordination of services to identify alternative options and educate members about resources available to them. A case manager's role is advocacy, assessment, and coordination of care between multiple providers and the member.

Referrals to Case Management

Members can be referred to Case Management in the following ways:

  • Members may refer themselves
  • Caregivers can also refer a member
  • Clinic referral coordinator
  • Primary care practitioner or staff
  • Specialist practitioner
  • Hospital
  • Discharge planner referral
  • Community Health Plan of Washington Customer Service, Population Health and/or Transition Management departments
  • Medical (Utilization) Management program referral
  • High-risk reports at the plan level

If you have questions or want to refer yourself to Case Management, please contact our Customer Service team