Case Management Referrals

CeltiCare Health Plan case managers are available to assist members with medically or socially complex needs that may benefit from increased coordination of services to optimize health and prevent disease. Our Case Management Department is staffed by individuals with extensive medical or social work experience in areas such as obstetrics, oncology, medical/surgical, HIV/AIDS, and physical rehabilitation.

Early intervention is essential to maximize treatment options while minimizing potential complications associated with catastrophic illnesses or injury and exacerbation of chronic conditions. A Case Manager is available at (866) 895-1786, Monday through Friday from 8:00 AM to 5:00 PM to assist with coordination of the member’s healthcare needs.

The following conditions and/or diagnoses are examples of appropriate referrals to the Case Management Department:

• Adults with Serious and Complex Medical Needs
• Children with Special Healthcare Needs
• Social Issues (social isolation, hunger, housing, domestic violence)

The provider’s role in CeltiCare’s Case Management program is extremely important. Practitioners who have identified a member who they think would benefit from this program should contact the Care Management Department to speak with a Care Manager at (866) 895-1786.