BCBS Care Coordinator Services and Expert Guidance

BCBS care coordinators are assigned to each member, providing personalized support and guidance throughout their care journey.

BCBS care coordinators work closely with healthcare providers to ensure that members receive the best possible care and support.

BCBS care coordinators help members navigate the healthcare system, connect with specialists, and access necessary resources and services.

Having a BCBS Care Coordinator can make a huge difference in your life. They help you navigate the healthcare system and ensure you receive the care you need.

One of the biggest benefits is that Care Coordinators help you avoid unnecessary hospital visits. According to BCBS data, patients who work with a Care Coordinator have a 25% lower hospital readmission rate compared to those who don't.

Care Coordinators also help you manage chronic conditions, like diabetes or heart disease. By providing personalized support and education, they can help you make healthy lifestyle changes and improve your overall health.

A BCBS Care Coordinator can also help you find affordable treatment options. They can review your insurance coverage and identify potential cost savings, such as lower copays or coinsurance rates.

By working with a Care Coordinator, you can take control of your healthcare and make informed decisions about your treatment. This can lead to better health outcomes and improved quality of life.

A BCBS Care Coordinator is a healthcare professional who helps patients navigate the healthcare system and manage their care. They work closely with patients, doctors, and other healthcare providers to ensure that patients receive the care they need.

A Care Coordinator's main goal is to improve patient outcomes by reducing hospital readmissions and improving overall health. They do this by identifying potential health risks and creating personalized care plans.

BCBS Care Coordinators often work with patients who have chronic conditions such as diabetes, heart disease, or asthma. They help these patients manage their conditions by providing education and support.

Care Coordinators also help patients manage their medications and appointments. They may also help patients access community resources such as food banks or transportation services.

BCBS Care Coordinators typically work with patients who have complex healthcare needs. They may work with patients who have multiple health conditions, or patients who require specialized care.

A BCBS Care Coordinator is a great resource to have on your side, especially if you're managing a chronic condition like diabetes or cancer. They can help you navigate the healthcare system and make informed decisions about your care.

If you've recently been discharged from the hospital or are recovering from surgery, a Care Coordinator can provide valuable support and guidance to ensure a smooth recovery. They can also help you make lifestyle changes to improve your health.

Here are some specific situations where a BCBS Care Coordinator can be particularly helpful:

If you're managing a chronic condition like diabetes or cancer, a BCBS Care Coordinator might be just what you need. They can provide extra support and help you navigate the healthcare system.

You might be a good fit for a Care Coordinator if you're recently discharged from the hospital or recovering from surgery. They can help you get back on your feet and ensure you're getting the care you need.

If you're struggling with your mental health, a Care Coordinator can offer support and guidance. They can connect you with resources and services to help you cope.

Pregnancy and new motherhood can be overwhelming, and a Care Coordinator can be a valuable resource during this time. They can help you navigate the healthcare system and ensure you're getting the care you need.

If you're making lifestyle changes to improve your health, a Care Coordinator can help you set goals and develop a plan to achieve them. They can also connect you with resources and services to support your journey.

You never have to go it alone. Your health plan from Blue Cross Blue Shield of Massachusetts comes with a Team Blue Care Manager, your go-to-person for help, advice, and support.

They're health care experts, made up of Registered Nurses, licensed mental health specialists, and more, who can coordinate your care experience. They speak the language of doctors and hospitals, making it easier for you to communicate your needs.

You can have a Team Blue Care Manager by your side, anytime you need to navigate your care. They'll help you set goals, provide answers about your medications, and get in touch with your health care provider to clear up questions or confusion.

Imagine having one person to manage all the moving parts of your care, coordinating an entire team of health care professionals, uncovering resources to help you make the most of your plan, and always following up to help you stay on track and avoid unnecessary costs.

Getting started is easy, and there's no additional cost. Just call 1-800-392-0098 to understand your options, and have an advocate with you every step of the way.

The salary for a Blue Cross Blue Shield of Illinois Member Care Coordinator is a crucial consideration for anyone thinking of pursuing this role. As of February 2025, the average annual salary for this position is $80,759.

This salary translates to approximately $39 per hour, which can provide a good income for someone with the right qualifications and experience. Salaries can vary significantly based on factors such as geographic location and individual qualifications.

The salary range for a Member Care Coordinator at Blue Cross Blue Shield of Illinois typically ranges from $74,037 to $88,705. This range reflects the diverse roles within the company and the varying levels of experience and qualifications among employees.

Keep in mind that salaries can vary significantly based on factors such as years of experience, specific skill sets, educational background, and relevant certifications.

BCBS Care Coordinator Services are designed to support you in various ways. Here are some examples:

A BCBS Care Coordinator can help you navigate the complexities of healthcare by setting up care with your doctor and other healthcare team members. This can include scheduling in-person visits or phone calls to discuss your care plan.

BCBS Care Coordinators can also assist with Medicaid-covered behavioral health services, which may include counseling or therapy sessions. These services can be especially helpful if you're struggling with mental health issues or substance abuse.

One of the key benefits of BCBS Care Coordinator Services is the ability to help you get services and find health issues before they get worse (preventive care). This can include regular check-ups, screenings, and other preventive measures to keep you healthy.

A BCBS Care Coordinator can also help you, your family, and your caregiver better understand your health condition(s), medications, and treatments. This can be especially helpful if you're managing a chronic condition or have complex medical needs.

Here are some specific services that BCBS Care Coordinators can provide:

Medical necessity decisions at Blue Cross NC are guided by evidence-based care guidelines from MCG Health and Blue Cross NC corporate medical policy.

Our licensed nurses use MCG to authorize coverage for inpatient services, home care, and rehabilitation services. They update these guidelines annually.

Physicians can obtain a copy of a specific MCG or a Blue Cross NC medical policy by calling the Care Management department at 800-672-7897, ext. 57078.

Blue Cross NC medical policies are also available through the "Provider" portal on the Blue Cross NC website at BlueCrossNC.com.

If a nurse cannot approve a service, a Blue Cross NC medical director will review the case and may approve or deny coverage based on MCG or Blue Cross NC medical policy, along with clinical judgment.

Only a medical director can deny coverage for a service based on medical necessity.

A Blue Cross NC medical director is always available during regular business hours and can be reached by calling 800-672-7897, ext. 51019.