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Frequently Asked Questions

Case Management FAQ’s

What is the goal of Case Management?

The goal of Case Management is to help members reach their health goals. Your Case Manager will be your advocate, help you understand your benefits, and bring together the health care services you need.

Who is eligible for Case Management?

You are eligible for case management if you are likely to have complex medical care. A nurse may call or write you to let you know you are eligible for case management. You may also call us or ask your employer to call us to self-refer.

What is CCM's Cancer Case Management Program?

CCM’s Cancer Case Management Program is designed to empower you by providing cancer focused guidance. Your Cancer Case Manager will work with you to plan, manage, and evaluate all aspects of your cancer care. Benefits of this program include providing advocacy for needed services, coordinating care with your providers, developing goals to target your health outcomes, and assisting with access to financial and educational resources as needed.

Is my participation voluntary?

Yes! Opting-out will not impact your benefits. If you do not want to take part in this
program, simply call us to opt-out. We will not reach out to you once you have opted-out.
We may, however, reach out to your health care providers. Even if you opt-out you are
welcome to call us if you have questions or concerns about your care.

What can I expect?

Your Case Manager will call you and ask you some questions about your health and treatment. With your input and information from your health care provider, we will help develop a case management plan. Your plan will include goals, review of medications, and help with transitions between providers. Your Case Manager will then call you to check on your progress.

What is my role?

The Case Manager will encourage you to be responsible for and actively participate in your plan of care. This includes communicating with your providers and the case manager as you move through all stages of your care.

How can I call my Case Manager?

Our toll free phone number is 1 (800) 541-7403. Your Case Manager can be reached from 9:00am to 4:00pm weekdays (except holidays).

Your Case Manager will also provide you a direct phone number. You may leave a confidential message at any time.

Dial “0” during business hours and ask for help if you can’t reach your nurse. You should always call 911 if you are having a Medical Crisis.

Will I receive a copy of my Case Management Plan, goals, and rights and responsibilities?

Your Case Manager will review the case management plan and goals with you over the phone. If you want a copy, please ask and it will be sent to you. A listing of your rights and responsibilities are available on CCM’s website or you can ask your Case Manager to send you a copy.

Who hires Corporate Care Management (CCM)?

We are hired by the Third Party Administrator/TPA (Company that pays your claims) or your employer to help you manage your care. This service is free of charge to you.

To whom does Corporate Care Management (CCM) report?

We may report to the company that pays your claims or to your employer. To guard your privacy, when we report to your employer we use a case number which we create. This number is unique to you. CCM complies with HIPAA regulations.

How does CCM get my medical information?

In most cases, a specific signed release of information form is not needed. However, some providers require a specific form. If required, CCM will send you a HIPAA Release Form to sign and return.

What does my insurance cover?

Specific coverage questions should be directed to customer service for your health plan or TPA (The contact number is on the back of your Member ID card).

How can I give feedback to CCM on my experience or my Case Manager?

We would like to hear from you about your experience. To share your thoughts with us, good or bad, or to file a complaint, you may:

  • Visit our website and complete an on-line satisfaction survey
  • Ask us to take a survey at the end of your call
  • Request a survey be mailed or emailed to your address

Get in touch with CCM today!

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This program is valuable and the nurse was helpful. I can understand the importance of following up with my diabetes.

 

My representative was wonderful. I didn’t even know this service existed. It’s nice to know when you’re recovering from surgery and unable to make all of the calls needed, someone can be your advocate. The nurse took all of the worry from my shoulders.

 

My CCM nurse was amazing helping me. She responded in a professional and timely fashion.  Every time I spoke with her she was very pleasant and helpful with every question.

 

This was my first experience with a Workers’ Comp situation.  The coordination and communication on your part was excellent.  [My CCM Nurse] was an excellent source of information and very helpful while I was out of work and after returning to work.  I was able to rely on her for any follow up needed.  She also offered to forward emails as I was not able to logon to my computer (went ABOVE and beyond expectations).

 

My nurse was always very concerned with my well being and health and stayed in touch on a regular basis to see if I needed anything extra.

 

An [Intake Coordinator] assisted today in getting a surgery authorized for us for a patient who is scheduled for surgery next Tuesday.  She was very helpful and very professional.

 

[My CCM Nurse] understands that I want to work, but I cannot work while in pain. She has done a great job getting me the needed treatments so I can continue to work!

 

The CCM Intake Coordinator was a great pleasure to work with.  She was quick and efficient and held a decent conversation with me as we worked through getting prior authorization.  She is a great individual to work with.

 

The wellness nurse has been in touch with me regarding various recommendations for my health over the past few years and guided me through the maze of assisting me in finding doctors that were covered by my insurance to take care of my health. I appreciate her efforts.

 

The nurse I had is an asset to the Corporate Care Management team. She is an efficient communicator, expert in resolving and identifying management of our daughter’s illness and a skilled listener.