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Care Management Helps Employees And Employers

Employees with serious medical conditions may find the details of their health care to be stressful. But if care management is included in their health plan, there are experts who can help.

Who are care managers? They are trained and experienced professionals, usually registered nurses or physicians. They assist with a plan member’s care and efforts toward better health while helping them avoid unneeded expenses.

Employers also benefit from care management. When their staff members use the service, employers can see:

  • Better employee health and job performance
  • Improved employee satisfaction
  • Fewer employee absences
  • Savings on disability, workers’ compensation and health insurance

To get the most benefit from care management, employees need to know: Care management is condition management. Chronic or critical conditions such as diabetes, cancer, asthma or heart disease can be difficult to handle alone. A care manager ensures medical errors are reduced and patient safety is improved.

With the member’s approval, the care manager creates a new care plan for the member. This care plan promotes quality, cost-effective health care. The care manager reviews the member’s medical history, diagnosis and prescriptions. He or she also consults the member’s physicians, hospital staff and other care providers about choices in treatment.

Teamwork is key in the member/care manager relationship. The care manager reviews medical claims as the member’s care progresses, and they work together to make any needed changes to the care plan. Coaching the member on healthy lifestyle choices and disease management are also part of the care manager’s duties.

Bottom line: Care management improves member health while also lowering health care costs — creating peace of mind for everyone.