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.

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 at 1-800-440-1561 (TTY Relay: Dial 711), from 8 a.m. to 5 p.m. (PST) Monday through Friday.