SCAN Case Management Programs

Helping ensure you get the care you need.

What is Case Management?

Taking advantage of a SCAN Case Management program means that you can get extra help in taking care of your health. As part of one of these programs, you’ll be assigned a case manager who will work with your doctors and other healthcare providers to ensure you get the most out of your SCAN benefits.

Case management is most helpful if you have a chronic or complex healthcare issue. These programs are available to you, if you need them, at no additional cost. SCAN’s Case Management programs are described below. See which might work best for you.

SCAN’s Case Management programs available to you

Chronic Condition Management Program

If you have Congestive Heart Failure, Chronic Obstructive Pulmonary Disorder (COPD) or Diabetes, you may be eligible for our Chronic Condition Management program. Our specially trained nurses will help you learn more about your heart or lung condition. They can talk to you about your treatment options, so you can better monitor and manage your health. They will work to improve communication with your doctor and enhance care coordination between your healthcare providers. The goal: better health and a better quality of life.

Care Transitions

If you've recently been in the hospital or Skilled Nursing Facility (or are planning a stay), SCAN’s Care Transitions team can help by providing short-term coaching to make the transition home a smooth one. Our specially trained Care Transition team can review hospital instructions, including any changes to medications, and make sure you know the symptoms to look out for.

They can assist with obtaining required help or equipment in the home. Our case managers can also help with scheduling those important follow-up medical appointments. Members with ongoing case management needs will get referred to one of our other case management programs.

Program for Advanced Illness (PAI)

If you or your family member have a serious illness, such as late-stage cancer, dementia, heart or lung disease, our Program for Advanced Illness may be able to help. Our specially trained nurses work with members and their caregivers to manage pain and symptoms, coordinate care with your doctors, and help communicate your wishes for care. This program is also open to those already on hospice.

Complex Care Management

If you are at high risk for a hospitalization due to your condition and are not in a Skilled Nursing Facility or in a long-term care facility, you may qualify for this short-term case management program.

Behavioral Health Program

If you or a family member who has a mental health or substance use diagnosis, this might be the right program for you. Case managers work with the member to help facilitate access to care, improve medication adherence and help prevent hospitalizations. Eligibility for this program is based on which SCAN plan you have.

To find out more about any of our case management programs or to refer a member, please contact us by email or phone:

Are you a caregiver to a family member or friend? Visit our Caregiver Benefit Page to learn about SCAN programs such as virtual workshops and case management that provide tools, resources and support for caregivers.

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