NEMS offers comprehensive Care Coordination and Case Management services for our members. Our Nurse Case Managers and Health Services Care Coordinators work collaboratively to coordinate community-based interventions that address the member’s medical, social, and behavioral health needs. The care team works closely with the member, their family, and their healthcare providers to facilitate care transitions and linkages to community support services. The care team considers cultural factors, environmental factors, and functional impairments that may affect the member’s health when providing care planning and coordination.
The NEMS Care Coordination and Case Management Program goals are:
- To empower members to manage their own medical conditions, have a better understanding of their medications, and get connected to community resources.
- To improve member outcomes by coordinating services in physical health, mental health, substance use disorder, community-based Long-Term Support Services (LTSS), palliative care, and social support.
- To measure member satisfaction and incorporate feedback into the program’s quality improvement process.
- To reduce avoidable health care costs, such as hospital admissions/readmissions, emergency department (ED) visits, and nursing facility stays.
If you feel you or a family member would benefit from the NEMS Care Coordination and Case Management service, please call our Case Management Hotline at 415-352-5179, Monday to Friday, 8:00 a.m. to 5:30 p.m., and speak with a member of our team. This service is at no cost to all NEMS members.