Case Management & Disease Management Programs

Below is useful information to fulfill your healthcare needs.

Below is useful information to fulfill your healthcare needs.

Case Management, Complex Case Management, and Disease Management programs are available for Jai Medical Systems’ members, who have serious medical conditions or have complex and/or special needs. Our Case Managers can also assist with care coordination.

Currently, there are Disease Management Programs for Hypertension and Asthma. These Disease Management programs provide our members with additional information and support while helping them control their high blood pressure and asthma.

Case Management and Complex Case Management services are also available to our members. Case Management and Complex Case Management services provide support and guidance to those members that need or would like extra assistance with their health care.

How do I refer a member for Case Management and Disease Management Programs?

If you feel that one of our members may benefit from Case Management, Complex Case Management or Disease Management services, please contact our Utilization Management team at 1-888-JAI-1999.

Below are some examples of medical conditions or circumstances where Case Management, Complex Case Management, or Disease Management may be helpful:
  • People with HIV or AIDS
  • People who use the Emergency Room (ER) frequently
  • Pregnant women and women who have recently had a baby
  • Special needs children
  • Individuals with developmental disabilities
  • Individuals with physical disabilities
  • People with behavior health issues along with medical conditions
  • People with substance abuse problems
  • People who need an organ transplant
  • People with Asthma/COPD
  • People with cancer
  • People who need dialysis or who are receiving dialysis
  • People with Diabetes
  • People with Hypertension
  • People who need special durable medical equipment
  • People who use the Emergency Room (ER) frequently
  • People with Hepatitis C