Case Management

Case Management Services help manage TRICARE Prime-eligible beneficiaries who may require special assistance with complex care needs. 

Why Would I Need Case Management? 

The need for case management services is determined through a collaboration between you, your family or caregiver, your health care team, and your provider. This collaboration will include a comprehensive assessment of your health, psychosocial needs, and use of health care services and resources.  

Case management can help by: 

• Coordinating your care 
• Assessing, planning, and facilitating services for you 
• Evaluating your options 
• Advocating on your behalf 

You or a family member may need case management if you have: 

• Instability with chronic health problems 
• A serious terminal illness 
• An increased need for different provider specialties due to multiple diseases or conditions 
• A need for more support and education during a critical period 

Who are Case Managers? 

Case managers are usually nurses or social workers who can help you and your family figure out complex health care and support systems. Case managers will work with you to coordinate the services and other community resources you need. 

They can help: 

• Provide advocacy, support, and education 
• Reduce burden and streamline appropriate utilization of care 
• Partner with members of your health care team to assist in coordination of your health care needs 
• Monitoring for progress and desired outcomes