BCBSNM case managers can offer assistance to members and their families who are facing a serious illness or injury. Our case managers are dedicated professionals with the qualifications and knowledge of member benefits and patient rights essential for navigating the sometimes complex maze of medical care.
Commitment from our case managers:
- Providing informed choices about health care needs based on member benefits
- Communicating with doctors, other health care providers, and family members to develop a plan of care
- Identifying community resources available to members and their families
Qualifications of our case managers:
- Nationally certified in case management
- Follow the Case Management of American Standards
- Knowledgeable about community resources
- Understand the benefits of the member's insurance plan
Members may be eligible for case management if they have a serious injury or chronic illness such as:
- auto immune deficiency
- cancer
- high-risk pregnancy/premature birth
- multiple medical conditions
- stroke
- traumatic brain injury/spinal cord injury
- severe burns
- trauma
- transplants
Our case managers uphold patients' rights to:
- make informed choices
- access emergency services
- access the appeal process
- share in decisions regarding care, including the right to accept or refuse treatment
- complete confidentiality
- be treated with dignity and respect
- be treated in a nondiscriminatory manner
Participation in case management services is voluntary and does not alter a member's benefit plan. Members can discontinue participation in the case management program at any time.
Call toll-free 1-866-252-8107 for more information, or fax to 1-505-816-3608.
Download and print our Case Management flyer (PDF). You will need Adobe Acrobat Reader to view the flyer; this can be downloaded free of charge from Adobe's site.
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