Nurse Care Manager Program

Care management is an important step in healthcare transformation that truly puts the patient at the center - and in control of - his or health own health. Eligible Blue Cross Blue Shield patients will receive a face-to-face visit from the nurse care manager and the practitioner, who will complete a health history. They will also talk to you about your medication, review allergies, and answer any questions you may have concerning your physical and mental health. Your nurse care manager will then develop a personalized action plan, specific to your needs, and work with you to identify goals for improving and managing your health.

This program is proven to reduce the number of patient hospital visits, and those who do go to the hospital have the opportunity to ask questions about their follow up in the privacy of their own homes. This program was developed for qualifying Blue Cross Blue Shield patients with chronic diseases, such as diabetes, congestive heart failure, chronic obstructive pulmonary disease, and hypertension.

How your nurse care manager can assist you:

  • Help you understand your doctor's advice
  • Learn about your medication
  • Get to medical appointments
  • Make home a safer place to live
  • Find transportation, meals, or other resources when you need them
  • Connect with financial resources that may help you pay for your medicine
  • Useful/education information mailed directly to you
  • Newsletters

Frequently asked questions:

  • What does this cost me?
    Nothing extra. Blue Cross Blue Shield members who qualify receive this service at no additional cost. It is included in your membership benefit package.
  • What can I expect?
    Your nurse care manager will talk with you to learn your health history and needs. Together, you will make a plan. Your nurse care manager will then follow up with you to help make sure the action plan is working for you.
  • What kind of support may I receive?
    One-on-one by phone, email, text, video, face-to-face, whichever means of communication works best for you. This is a patient-centered program.

Click here for additional resource websites
Click here to obtain a medications form

Blue Cross Blue Shield and the Illinois Rural Community Care Organization (IRCCO) have partnered to provide the Intensive Medical Home plan, which includes the Nurse Care Manager program. For more information about Blue Cross Blue Shield's IMH plan, visit www.medicare.gov/acos.html or call 1-800-MEDICARE (TTY users should call 1-877-486-2048).

Click here to visit the IRCCO website!