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June 2018

Your Dedicated Nurse program offers enhanced care management services

Do you know about our new Your Dedicated Nurse program?

Your Dedicated Nurse is a care management program targeted to patients who are most at risk, including those with multiple chronic conditions. Patients who participate in Your Dedicated Nurse receive additional care management services beyond what’s available through our standard care management programs.

Through Your Dedicated Nurse, patients work with a specially trained nurse care manager who takes a holistic approach to health care. The care manager works collaboratively with behavioral health specialists, social workers, pharmacists, dietitians, the patient’s primary care doctor and other clinicians to improve the patient’s health.

“We believe this program can help you provide better outcomes for your patients,” said Marc Keshishian, vice president of Health and Clinical Affairs for Blue Cross Blue Shield of Michigan and senior vice president and chief medical officer for Blue Care Network. “We also anticipate it will also reduce hospital admissions, readmissions and visits to the emergency room.”

The program provides a single point of contact for the patient, family and integrated clinical team. The nurse care manager will:

  • Educate patients to ensure that they adhere to their medication plan, can identify signs and symptoms that indicate their conditions are worsening, and know when it’s appropriate to follow up with their primary care physician.
  • Provide care coordination, education and support to help patients make a smooth transition from the hospital to home or a skilled nursing center facility setting to avoid preventable readmissions within 30 days of discharge.
  • Offer referrals to community resources that can provide emotional, financial and other support services to assist with treatment plan adherence.
  • Conduct depression screening or refer to a behavioral health specialist, if appropriate.
  • Refer patients to an employee assistance program or health and wellness program at their workplace, if appropriate.

Your Dedicated Nurse is available for groups that purchase the program for their employees. It’s part of Blue Cross® Health & Wellness.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.