Providence Care Management
Our experts help you every step of the way
Providence Care Management helps you better understand your health so you can take an active role in improving it. Whether you need help with understanding a new diagnosis or assistance navigating options for a diagnosis that has been affecting your life for a long time, we've got you covered.
Our team of Registered Nurses, Social Workers, Clinical Support Coordinators, Behavioral Health Navigators and Technicians provide personalized support with health conditions including, but not limited to:
- Chronic Obstructive Pulmonary Disease
- Heart failure
- Coronary Artery Disease
- Parkinson's disease, Multiple Sclerosis, Hemophilia, and Scleroderma
- Complex health issues requiring hospitalization, rehabilitation, or extensive outpatient therapies
- Mental health and substance abuse
Our care managers are here to help you with:
- Health care navigation assistance with pre-service authorizations, finding a provider, medication options, caregiver support, dental care, behavioral health care, end-of-life planning, and much more
- Personalized health education about medical concerns including new innovations, medication therapy, and symptom management
- An individualized plan developed with you to help you reach your health goals
- Ongoing one-on-one support
- Coordination between your providers
- Advice on general health and lifestyle choices, including nutrition and exercise, to help reduce risks
Care management services are available to you at no cost. Participation is voluntary and declining/opting-out may be done upon contact with your care manager or contacting us by phone.
For more information or to learn more about what resources are available to you, please contact us:
Oregon and Washington
503-574-7247 or 1-800-662-1121 (TTY:711) Monday through Friday, 8 a.m. - 5 p.m. (Pacific Time)
714-578-8682 Monday through Friday, 8 a.m. - 5 p.m. (Pacific Time)
TRANSITION OF CARE
Need help transitioning your care?
Our Care Management team is ready and available to assist you with things like transitioning from one health plan to another, finding and establishing with a new physical or behavioral health provider, coordination between providers, and much more.Learn more
Frequently asked questions
I'm having trouble finding the right provider to fit my health goals. Can you help?
We provide personalized support in finding a care team that’s right for you.
Can you help with my new diagnosis?
New diagnoses can be scary and stressful; we can help. We’ll walk with you through this condition including finding in-network providers and facilities, understanding your diagnosis, symptom management, medications, treatment plans, and assist with finding possible financial assistance when needed.
My doctor has suggested a procedure that requires a prior authorization from the health plan and I don't know what to do!
We’ll shepherd your request through the prior authorization process to ensure your personalized health care needs are known to your care team.
My medication is too expensive for me to afford. Can you help?
We will assist you in connecting with your provider and pharmacy to find the lowest cost options as well as secure any available assistance from pharmaceutical companies or other financial resources.
I need medical equipment but keep getting the run around from the medical equipment company and I don't know what to do.
We will make the calls for you to track down your provider’s order, authorization, and equipment to be sure you have what you need.
I (or a family member) was recently in a catastrophic accident or experienced a life changing event. Where do I start?
We can assist with coordination of care and securing resources in unexpected life events, whether new physical or cognitive limitations requiring assisted living or in home care, financial support, community support and resources.
I'm new to the health plan and in the middle of treatment for a condition. Can you help me understand my new coverage and where to go?
We’ll help you transition your care to providers, facilities and pharmacies that are in your plan. If your treatment is active, we will help you gather the clinical information necessary to finish your treatment with your current provider under the Transition of Care process.
Webpage is current as of: 12/05/2023