Johns Hopkins US Family Health Plan members with complex medical needs are now able to receive special care designed to help them understand and manage their conditions.
Diabetes, heart failure, asthma and cancer and other chronic diseases often require more patient education and ongoing support than a provider can offer. That’s why our highly trained nurse case managers stand ready to help patients by coordinating care, serving as personal advocates and providing ongoing support to help patients learn to care for themselves and monitor their own health.
Nurse case managers can help with:
- Scheduling doctor appointments and obtaining referrals
- Coordinating specialty care
- Obtaining medical equipment and supplies
- Providing health education
- Understanding and using USFHP benefits
All of our Case/Disease Management programs are voluntary and specially created to meet the need of each individual member. Case managers visit members at home, in the hospital and sometimes accompany members to the provider in order to learn about and support the provider’s plan of care. The relationship formed between the member and the case manager is often long lasting and includes family members and other support systems.
The following programs are available to USHP members:
- Partners with Mom - For mothers experiencing a high risk pregnancy
- Pediatric Health Partners – For children with medical problems such as diabetes, complications of prematurity, congenital problems, sickle cell, obesity, neurological problems or genetic syndromes
- NICU – For babies in the Neonatal Intensive Care Unit
- ESRD (End Stage Renal Disease) - For members on dialysis to treat severe kidney disease
- Complex Case Management - For adults and children with Diabetes and Asthma, as well as all adults with Chronic Obstructive Pulmonary Disease (COPD) and Cardiovascular Disease
- Monitored Case Management - For members with less complicated asthma and diabetes conditions may benefit from ongoing monitoring and improvement of self-management skills
- Rehabilitation – for adult members with rehabilitation needs such as spinal cord injury, traumatic brain injury, severe burns, or a motor vehicle accident
- Omega Life – for members who have received a cancer diagnosis
- Positive Health Partners
USFHP members can be evaluated for the program by the Care Management staff at enrollment, during hospital admissions, upon receiving complex in-home care, when health claims indicate a special need, or when the member requests case management.
How to Self Refer:
We encourage members to take advantage of the services and programs provided by Care Management. Our Care Management Population Health Initiative services and programs are voluntary and are provided at no-cost to the member. Members identified with certain needs may be automatically enrolled but are no obligation to participate in these programs. If you have questions about our Population Health Initiative of other Care Management services, or if you'd like to make a referral to a program, call (410)762-5206 or toll-free at (800) 557-6916. We are available Monday through Friday, 8:30 AM- 5:00 PM. Any voice mail messages received after normal business hours will be addressed the next business day.
Information:
*Please do not send any Protected Health Information (PHI) and personal medical information when using the E-mail link bellow. Please include contact information in case we need to reach you.
For more information on any of the case/disease management programs please call 1-800- 557-6916 or e-mail at populationhealth@jhhc.com
