In this role you will need to help advocate for your members. The healthcare system can be very complex and confusing, even for those well versed in it. For someone new or unfamiliar to the system, facing a chronic illness can be challenging. They are often unsure of where they can go for help and who can help them. You will be their Lifeline.
You will work with all relevant resources to coordinate care. Link the members with resources they may need and communicate with all the agencies involved so that everyone is on the same page. This will require you to make phone calls and do some research as part of your case management. There are a lot of resources here to help as well, so please reach out and let us know what we can do.
A large portion of your role is spent educating members. Often members need someone to take the time to really teach them about their disease process and help them understand what they can do to help themselves. Physicians and hospitals don’t have time for the extensive education required to really ensure the member understands what is needed. Often a member will be re-admitted simply because they don’t understand their new illness. Please don’t confuse non-compliance with lack of knowledge. Ask questions to find out what they know. Clarify what the real issue might be, and educate them from there.