Care Management: High-Risk Adult
 

ECCM offers high-risk adult care management through Health Choices. Adult high-risk care management is a service provided in collaboration with local behavioral health management organizations to assist members identified as high risk.

Adults are identified as high risk for not successfully following through with treatment, discontinuing care, or with high priority for special needs or complex needs for coordination with behavioral health services or other aspects of their care.

Adult high-risk care managers conduct face-to-face interviews with high-risk members and work to develop specific outreach plans for assigned members who do not maintain regular contact with their behavioral health provider as recommended contributing to frequent crises, backsliding, and interfering with maximum benefit from available care.

Adult high-risk care managers are also responsible for assisting these members to access appropriate levels of care and completing a required pre-certification, continued stay and/or discharge reviews; service authorization, and care coordination as needed.

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