At HNE, we understand how important it is for you to be able to get services when you need them. We know how busy life can be, and recognize the importance of having access to healthcare at convenient times, regardless of the situation. That’s why we have set up the following standards for access to care for primary care physicians (PCPs) and behavioral health practitioners.
Every year, we monitor our network to see if our providers meet these standards.
When making an appointment, your understanding and flexibility is important. Remember, there are only so many appointments available in a day! You may find that the available appointment time offered is not the exact time you want.
We want to make sure that you have access to services when you need them. We will continue to monitor appointment availability and after-hours access with our network providers.
No one wants to think about the worst case scenario – for the most part, you’re healthy and so is your family. Maybe you worry a little about a few extra pounds, or you have a chronic condition like high blood pressure or high cholesterol. But you see your doctor regularly, you watch what you eat, and you exercise when you can.
What if that changed? What if you or someone in your family got sick and needed care? Where do you begin? That’s what HNE Health Services is here for.
We work closely with the treating physicians to help coordinate your care. We’re also here to help you get the most out of your health care benefits. We will offer suggestions for community resources that may be available to you, answer your questions, and provide education and emotional support to you and your family.
Here in Health Services, Registered Nurses are ready to help. Known as Case Managers, our nurses work with your physician to help you navigate the complex health care delivery system. Our primary goal is to restore you to your highest possible level of function. This process is known as Case Management.
What is Case Management?
At HNE, our Case Managers:
- Identify patients with complicated illnesses, multiple risk factors, and/or higher than average use of services
- Assess the opportunities to coordinate, manage, and monitor the total care of a patient
- Identify and eliminate barriers to ensure that you get the best care available
The Case Manager is like a “coach” for the patient. We ensure optimal communication between all members of the health care team. Working closely with your physician, your Case Manager will:
- Explain your condition and answer your questions
- Help you navigate the health care system
- Develop a treatment plan for your care
Who is a candidate for Case Management?
Any member of HNE can be a candidate for Case Management. A member may be identified:
- By your physician
- By referral from an inpatient hospital stay
- By referral from the Disease Management Team, or
- At your request.
If you are facing a major illness, a complex diagnosis, or a chronic medical condition you will certainly benefit from Case Management services.
How can we help?TM
The Case Managers at HNE are here for you. Please call Health Services when you or a member of your family is facing a difficult or complex medical situation. We can be reached at 800-842-4464, ext. 3553. We look forward to your call.
