Care Management

Superior HealthPlan Care Managers are available to assist members with medically or socially complex needs who may benefit from increased coordination of services to optimize health and prevent disease. The Care Management Department is staffed by individuals with extensive medical or social work experience in areas such as obstetrics, oncology, behavioral health, medical/surgical, HIV/AIDS and physical rehabilitation for children and adults.

Early intervention is essential to maximize treatment options while minimizing potential complications associated with catastrophic illnesses or injury and exacerbation of chronic conditions. A Care Manager is available Monday through Friday from 8:00 a.m. to 5:00 p.m. (CST) to assist with coordination of the member’s health-care needs.

The following conditions and/or diagnoses are examples of appropriate referrals to the Case Management Department:

  • Adults or children with serious or complex medical needs
  • Social issues (social isolation, hunger, housing, domestic violence)
  • Asthma
  • Diabetes
  • High blood pressure
  • Heart problems
  • COPD

The provider’s role in Superior’s Care Management program is extremely important. Practitioners who have identified a member who they think would benefit from disease or case management should contact the Care Management Department, to speak with a Care Manager at 1-855-757-6567 or submit a referral request using the Secure Provider Portal.