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CASE AND DISEASE MANAGEMENT

Case Management
Using the health care system can be confusing, especially for patients with many health-related needs. That is why Gundersen Health Plan offers a service called Complex Case Management. The goal of Complex Case Management is to work closely with members to coordinate healthcare services and resources to make sure these members get the best care possible.

How does Complex Case Management work? A registered nurse case manager works with members and/or caregivers, who are eligible for these services. The nurse helps members by:

  • coordinating care between multiple health care providers
  • assisting in identification of personal health goals
  • explaining health care benefits
  • providing education about health conditions
  • finding support groups or programs that may be helpful

Who is eligible? This program is for Gundersen Health Plan members who have experienced:

  • multiple medical conditions and/or trauma
  • multiple hospital or emergency room visits
  • falls

Is there a fee to participate? No. Our services and materials are provided at no cost to eligible members.

Would you like to learn more or enroll a Gundersen Health Plan member in Complex Case Management? Call Gundersen Health Plan's registered nurse case manager at (608) 775-9017 or (800) 897-1923, ext. 59017.

Disease Management
Gundersen Health Plan also offers disease management programs to members with diabetes, asthma and/or heart failure. These programs offer support and education to members who have these conditions. A registered nurse works with each program. We send information in the mail and are available to members by phone.

If you would like to enroll a patient in a disease management program, you can reach the disease management nurse at (608) 775-8062 or (608) 775-8044, (800) 897-1923, ext. 58062 or 58044.