Case Management

What is Case Management?

Case Management is a service we offer that helps make your health care experience as smooth and stress-free as possible.

Your Highmark Case Manager can help you with things such as understanding your discharge instructions, finding an in-network doctor or specialist, understanding your health condition or understanding the next steps you should take on your care journey. They want to make sure you stay informed.

Why is an insurance Case Manager calling me?

Certain health events can prompt outreach from our Case Management team. Highmark reaches out to members to provide personalized support and guidance.

A nurse or other member of the team may reach out to you via phone call to help support you on your health care journey and help you understand your next steps.

Your Case Management Team

The Case Management team is a group of healthcare professionals who work together to help you navigate the system. While your Case Management team will be tailored to your personal needs, your team could include nurses, social workers, behavioral health specialists, wellness coaches, Member Engagement Guides, pharmacists and more.

What to expect from Case Management

If you receive a call, the details will be slightly different for everyone depending on the situation. No matter the reason, the goal is always the same:

To provide guidance
To connect you to the right resources
To help you be informed and empowered on your health care journey

Whatever support you need, your Case Management team is here to help.

Manage your health easily on our app or website. Register or log in now for a personalized view of your coverage – anytime, anywhere.

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.

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Case Management

Our dedicated team is here to help you navigate your health care journey.

Case Management

Our dedicated team is here to help you navigate your health care journey.

What is Case Management?

Case Management is a service we offer that helps make your health care experience as smooth and stress-free as possible.

Why is an insurance Case Manager calling me?

Your Case Management Team

What to expect from Case Management

Explore your benefits on My Highmark

Explore your benefits on My Highmark