Case Managers
Case Managers play an important role in protecting and supporting you and your family as you navigate through life's changes and our complex healthcare system. Case Managers are professionals committed to ensuring that patients receive the best care possible while saving the patient/family and insurance plan money. Your Case Manager is there to facilitate necessary clinical requirements and network families with resources specific to individual needs. Case Managers also serve their clients by leading the team of physicians, caregivers, and families toward positive clinical and financial outcomes.
Case Managers go through a certification process that evaluates competencies in areas such as patient assessment, care coordination and planning, patient monitoring, and evaluation of care. Along with certification, Case Managers have a clinical degree or background that allows them to take complex cases and use all available resources to ensure great outcomes. Additionally, Case Managers must have a significant number of Continuing Education hours to remain certified. The certification process ensures that Case Managers have the necessary skills to assess support systems and needs, then intervene as needed. Case Managers are in place to determine where there is a gap in service, provide appropriate interventions, and work toward a solution that benefits the patient, family, care providers and insurance company.
Routinely, Case Managers are employed by your insurance company. Although, not all patients with a bleeding disorder are assigned a Case Manager. Due to the fact, the insurance company employs the Case Manager; the misperception is that cost is the only variable considered by the Case Manager. However, that is far from reality. Case Managers are in place to be advocates for patients and families. The standards by which Case Managers adhere to are based in ethical and appropriate care.
OptionCare Hemophilia Services encourages you to keep an open dialog with your Case Manager to make certain that when a need arises, you have access to necessary resources. OptionCare Hemophilia Services is continually works with Case Managers and insurance plans to make sure that, we are able to be a care provider to you.
OptionCare Hemophilia Services and your Case Manager are here to empower you to participate actively in your healthcare; thereby, guaranteeing the best for you and your family.
For our Case Manager Partners
OptionCare Hemophilia Services is dedicated to empowering families to live quality lives. Our 800 nurses and 400 pharmacists provide the most comprehensive care available; and our standards of practice are exceptional. As part of our commitment to excellence, we assign a reimbursement specialist to each one of our bleeding disorder patients. Our reimbursement specialist's track the benefits and the insurance cap, as well as communicate with the patient's Case Manager. The goal at OptionCare Hemophilia Services is to protect and extend the patient's insurance benefits.
Rate Quote Program
OptionCare Hemophilia Services would like to invite you to participate in our rate quote program. Please fill in the form by clicking on the "more info" button below and we will give you a quote within 2-3 business days. All information is confidential; and you can expect prompt and courteous service.
You may request information by filling out the following form.
Continuing Education Courses
OptionCare Hemophilia Services is proud of the partnership that we have with Case Managers across the country. As part of our on-going partnership, we continually provide Continuing Education to Case Managers. If you would like to have one of our experts present to your group, please contact Vicki Billups-Oberkrom at vbillups@optioncare.net to coordinate an appointment. We also invite you to visit our hi-r-Ed program to receive additional continuing education credits.
Check out the continuing education programs for practicing clinical professionals by clicking on the button below.
