Case Management Services

What is a case manager, and how can they help me or my loved one?

A case manager is a health care professional who serves as a liaison between patients, families, health care providers, and insurance companies. UTHealth Houston’s case managers are licensed registered nurses who have been trained to coordinate care, address challenges, and ensure that patients receive the resources and support they need to achieve optimal health.

Patient and Caregiver Support

Understanding insurance policies, coverage limitations, and navigating the claims process can be overwhelming. Case managers provide guidance and assistance in understanding insurance benefits, filing claims, and appealing denials.

Beyond health care, patients may require assistance with accessing essential services, such as transportation, housing, or financial assistance. Case managers connect patients with community resources and support programs to address these needs.

For patients with complex medical conditions or those requiring multiple specialists, case managers serve as central coordinators, ensuring that all aspects of care are well-integrated and communicated among health care providers.

Patients transitioning from the hospital or emergency department (ED) to a community setting often require additional support to avoid returning to the hospital or ED. Case managers can provide patients with education pertaining to a new diagnosis or medication, assist with securing durable medical equipment or skilled home health services ordered at discharge, and coordinate a follow-up visit with your primary care provider within two weeks of discharge from the hospital or ED.

Case managers play a vital role in helping adult patients and parents/guardians navigate the complexities of the health care system. Through advocacy, coordination, education, and support, they ensure that individuals receive the care and resources they need to achieve optimal health outcomes.

If you or your loved ones are facing health care challenges or require assistance transitioning from the hospital to home, please reach out to your primary care physician for a referral to case management.

Case Management services at the following clinics for family medicine and internal medicine patients:

Case Management services at the following OB-GYN and pediatric clinics: