Request Assistance from Case Management or Disease Management
Case Managers can help with complex medical needs (complex case management) and help with coordinating resources for care (case management). Disease Managers can assist with members who have Diabetes or Asthma and would like assistance with self-management of these conditions. If you would like to request assistance from Case Management or Disease Management, please complete the form below. A nurse will evaluate your request and call you within 2 business days. If you would like to speak directly with a nurse, please call 805-981-5060 and ask for a Case Manager or Disease Manager.
If you are experiencing a medical emergency, please dial 911. Always consult your physician about your individual healthcare needs and treatment options.
 
Case Management/Disease Management Request Form
Request is for: Request is for: 
First Name
Last Name
Health Plan ID Number
Phone Number
Email Address
Gender: