Complex Case Management

Engage + Empower + Enhance + Enable

Is Case Management Right for You?

You may benefit from Case Management if you have any of the following:

  • If you have 5 or more chronic health conditions requiring specialty care
  • If you struggle with alcohol, opioids, or other recreational drugs
  • If you are over 18 years old, had a psychiatric admission AND struggle with other health conditions
  • If your child is under 18 years old and has been admitted for psychiatric reasons
Potential Case Management members must live in the state of Wisconsin and have GHC-SCW insurance as their primary p​ayor. Members who have Medicare A&B as primary Insurance do not qualify​ for GHC-SCW Case Management.

How Can Case Managers Help You?​

A Case Manager:

  • Works to improve your quality of life, functional status and overall health.
  • Helps you navigate the complex care system.
  • Helps you understand your individual health care benefits so that you can get the most from your plan.
  • Serves as an educator when you have questions regarding your health care.
  • Helps you access the community resources you need to live better.
  • Supports and reinforces your recommended treatments and therapies.

Our Case Managers believe in taking a holistic approach to health care. They will work with you to form a personalized care plan to help you establish your priorities and achieve your maximum health potential. A GHC-SCW Case Manager will also collaborate with you, your care team, GHC-SCW providers and in-network specialists to ensure you receive high-quality care.

Case Management Facts:

  • Complex Case Management is a short-term program lasting up to one year.
  • Complex Case Management is a free, voluntary service for GHC-SCW insurance members.
  • You can stop Case Management at any time.
  • You don't need a referral from a doctor to participate in Case Management.

To Get Started:

Call Care Management directly at (608) 257-5294.

Access our Complex Case Management Referral Form here.

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