Case Management in Southfield
Our case management program oversees the process of treatment so the most appropriate medical and rehabilitation care is provided, and coordinates care between Irvine, insurance companies and area healthcare systems.
What is Case Management?
Recovery from a brain injury often involves many people: therapists, nurses, medical providers, insurers and family. Case management is the role that keeps those pieces connected, so the person receiving care and their family are not left to coordinate everything alone.
At Irvine, the case management program oversees the process of treatment for patients so the most appropriate medical and rehabilitation care is provided. It serves as a liaison between patients and healthcare providers, and coordinates medical treatment between Irvine, the insurance companies and area healthcare systems.
Case managers have been part of Irvine's team since 1992. Case management is one of the services the practice lists, and it works alongside every other part of the multi-disciplinary team.
Case management can help when
- Several providers are involved and communication is hard to keep track of
- Questions come up about insurance, authorizations or paperwork
- Care needs to be coordinated between a hospital, Irvine and other providers
- A family is unsure what the next step in care should be
- Plans change and services need to be adjusted
What to Expect
- Oversight of the treatment process
- A liaison between patients and healthcare providers
- Coordination with insurance companies and area healthcare systems
- Help keeping the rehabilitation plan on track
- A point of contact for families
Our Approach to Case Management
Understanding the Situation
Case management learns about the injury, the people already involved in care, coverage, and the goals of the person and family.
Coordinating the Plan
Case management helps make sure the right services are in place and that providers and insurers have the information they need.
Ongoing Liaison
As treatment progresses, case management stays in touch with the team, outside providers and insurers, and helps adjust the plan when needs change.
Benefits
Appropriate Care
The program oversees treatment so the most appropriate medical and rehabilitation care is provided.
Less Burden on Families
One role helps coordinate the many people and organizations involved.
Clear Communication
Case management acts as a liaison between patients and healthcare providers.
Connected Systems
Medical treatment is coordinated between Irvine, insurance companies and area healthcare systems.
How It Typically Unfolds
First Contact
A conversation about the person's situation, current providers and coverage.
Setting Up Care
Case management helps gather information, coordinate referrals and put services in place.
During Treatment
Ongoing coordination with the team, insurers and outside providers as the plan progresses.
Transitions
Support with planning the next step, such as a change in level of care or a return home.
Coverage, referrals and affiliations
The practice lists Medicare, Blue Cross Blue Shield of Michigan, Blue Care Network, Medicare Plus Blue, auto insurance, workers compensation, UnitedHealthcare and the Brain Injury Medicaid Waiver among the coverage it works with. Some services are billed to insurance and some are paid directly.
Coverage for a specific program depends on the plan and the situation, so call (248) 415-2500 to talk it through. Referrals can be faxed to (248) 415-2510.
Irvine's affiliations include the Michigan Brain Injury Providers Council, the Brain Injury Association of Michigan and CPAN, the Coalition to Protect Auto No Fault.
Common Questions About Case Management
What does case management do?
At Irvine, case management oversees the process of treatment so the most appropriate medical and rehabilitation care is provided, acts as a liaison between patients and healthcare providers, and coordinates medical treatment between Irvine, insurance companies and area healthcare systems.
Can case management help with insurance questions?
Coordinating with insurance companies is part of the role, and case management can help explain the process. Decisions about coverage are made by the insurer.
Does the family stay involved?
Yes. Families are an important part of planning, and case management can help keep them informed in line with the person's wishes.
How are referrals made?
Referrals can be faxed to (248) 415-2510, or call (248) 415-2500 to talk with the team.
Is there a cost for a consultation?
No. There is no charge for a consultation.
Questions About Coordinating Care?
Call (248) 415-2500 to talk with our Southfield team about case management.
Book an Appointment