Clinical Care Coordination

AmeriHealth Caritas Next Clinical Care Coordination helps answer questions you may have about your health care services. Your care manager will work with you to make sure you have everything you need to make good choices about your health care. They will help you get the right kind of services and supports in the right setting.

What your care manager will do for you

Your care manager will:

• Give you information about AmeriHealth Caritas Next and answer your questions.
• Work with you to make sure you have all the information you need to make good choices about your health care.
• Help you get the right kind of services and supports in the right setting.
• Coordinate all of your physical and behavioral health needs.
• Help solve issues that you have about your care.
• Make sure that your care plan is carried out and works for you.
• Be aware of your needs as they change. The care manager will update your care plan with you to make sure the services you get are right for you.
• Talk with your providers to make sure they are informed about your health care and to coordinate your services.

Integrated health care management

Your care manager can help you manage your physical and behavioral health care needs. They can help you:

• Get the medical and behavioral health support services you need.
• Learn more about your health conditions.
• Get the medicine your health care provider has ordered for you.
• Find helpful resources.

If you have any questions about Clinical Care Coordination, call the Rapid Response and Outreach Team at 1-866-577-0833 (TTY 711).

Changing care managers

• If you are unhappy with your care manager, you can ask for a new one.
• We will then assign you a new care manager if one is available.
• If we cannot assign you a new care manager, we will tell you why. We will also try to help with the problems you have with your current care manager.