Rady Children’s Health Network’s Case Management team offers interventions aimed at members who have experienced a critical event, or who have a diagnosis that requires extensive use of resources and who need help navigating the system to facilitate appropriate delivery of care and services.
Program Benefits
- Address modifiable risk factors
- Optimize transitions of care
- Coordinate services
- Reinforce health and diagnosis information
- Support self-management skills
- Connect to community resources
- Improve health outcomes
Eligibility Requirements
- Member of a participating insurance provider: Sharp Health Plan HMO RCHN, Health Net HMO RCHN, United Healthcare HMO RCHN
- Members with a diagnosis that requires extensive use of resources
- Members with a chronic condition
- Frequent use of the Emergency Department
- Frequent inpatient hospitalizations
To refer via Epic: Enter REF 130 (internal referral to case management).
Contact
Gail Garcellano, RCHN Nurse Manager
858-966-1700 ext. 244975
[email protected]