Case Management

medical staff in hallway

What is Case Management?

Case Management is defined by the Commission for Case Manager Certification (CCMC) as a collaborative process that assess, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual’s health needs, using communication and available resources to promote quality, cost-effective outcomes.

Permanente Advantage Case Management

The Permanente Advantage Care Management program is:

Case Management services which are available to specifically identify members who have experienced a critical event or diagnosis requiring extensive use of resources and requires assistance in navigating the healthcare system to facilitate appropriate delivery of care and services.

Case Management is a service available to all Kaiser Permanente Insurance Company (KPIC) members. Members have the right to decline participation or dis-enroll from the Case Management program.

As part of our Care Management program, the assigned care manager, who is a registered nurse certified by the Commission for Case Manager Certification, will help the member in the following ways:

  • Collaborate with your providers to plan, coordinate, and monitor your care.
  • Assist with transitions in care. For example,your care manager can work with your hospital care team to help you make a smooth transition home.
  • Keep you informed of your health plan benefits and help you to understand the insurance process.
  • Provide advocacy for medical, behavioral health, and social services.

If you would like any further information or have any questions regarding our Case Management program, please feel free to contact us.