Unison Health Plan of Delaware (Medicaid Program)

jessievenegas Jessie Venegas — 12/01/2009

Public

The General cases management services for chronic illness are a resource to address complex Medical and Social Needs. Unison uses these services to promote comprehensive coordinated care as an individualized service delivery based on comprehensive assessment tools that are used to develop a care plan. The care plan is developed in collaboration with the member, family (if applicable) and the treating provider. The goal is to empower members and involve them in all aspects of planning and service arrangements. The case management team employs a multidisciplinary approach with specialties in Repertory Care (Asthma, and Chronic Obstructive Pulmonary Disease); Cardiac Care (Chronic Heart Failure, Coronary Artery Disease, Hypertension); Kidney Care (End Stage Renal Disease, Chronic Kidney Failure); High-risk Pregnancy Care; Diabetes Case Management; Transplant Case Management. The activities of a clinical case management (a registered nurse) are complemented by social work-based case managers through the Special Needs Unit (SNU). The Special Needs Unit is designed to support members who have a serious and complex condition. It is equipped with the multidisciplinary competencies and community linkages that are necessary to work with members possessing both short-term issues and long-term chronic situations. The SNU’s goal is to assist the member in preventing or overcoming the factors that may interfere with satisfactory primary care outcomes.

Fragility, pluripathology/polipathology and/or complex chronic diseases

None

UNITED STATES OF AMERICA

Delaware

Delaware

Dover

Dover
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