Moda Health case management program
Available at no additional cost to Moda Health members, our case management program provides support for your patients dealing with complex conditions or catastrophic events.
Your patient’s experience
Moda Health members who choose to take advantage of our case management program receive assistance from a case management registered nurse or behavioral health specialist. Case managers work with members and their families to:
- Explain their available benefits
- Help them get the most out of their benefits
- Communicate and coordinate with their providers
- Work with the facility case managers to coordinate discharge plans
- Reach them at home and reinforce and support their treatment plan
- Connect them with community resources
In this way, our case managers can be your ally treatment acceptance, with an end goal of better outcomes.
Referring your patients
To make a referral to Moda Health’s Case Management program, download the online referral form and follow the instructions to submit, or reach out to us directly:
- Phone: 503-948-5561 or toll-free at 800-592-8283
- Email: casemgmtrefer@modahealth.com
Your patient can also self-refer to case management or be referred by a family member, caregiver, or other facility staff. Referrals need to include the following information:
- Member name and ID number (this can be found on the member’s Moda Health ID card)
- Your name and number
- Reason for the referral
Once a referral is received, a case manager will evaluate the member’s situation and contact the member within five business days.