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Case Management

The Case Management (CM) Department consists of licensed clinical (nurses, social workers and counselors) and non-clinical professionals to assess and provide interventions to members based on identified risks and unmet needs.

Missouri Care uses a bio-psycho-social model (BPS) to identify and assist in the care of its members. The member’s behavioral and physical health is addressed as well as the member’s psycho-social complexity. The Integrated Case Manager performs a health risk assessment to assess the member’s medical, behavioral health, and bio-psychosocial status. Case Managers collaborate with the member, member’s family, PCP, psychiatrist, substance abuse counselor or any other health care team member to achieve a quality focused cost effective care plan.
This care plan will appropriately utilize acute inpatient and outpatient levels of care as well as community based resources. Case Management educates members on their specific disease, preventing illness or complications while maintaining, promoting or improving their health status.

Missouri Care’s Case Management Programs include but are not limited to:
  • Pregnancy Outreach and High Risk OB
  • Special Health Care Needs
  • Elevated Lead Levels
  • Behavioral Health/Substance Abuse
If you would like further information or to refer one of our members to Case management, please contact us at 1-800-322-6027 and ask for the Case Management Department. 


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Last Updated On: 12/4/2020