Published September 2019
There’s no way to predict where life will take you—or what kinds of health care challenges you’ll face along the way. Your health care needs are as unique as you are, and Harvard Pilgrim Health Care understands that you need guidance that’s personalized to your needs. That’s why we offer comprehensive support and empowerment for many medical conditions with our nurse care managers.
Working with a Harvard Pilgrim Nurse Care Manager
Harvard Pilgrim’s nurse care managers can provide member-centered support and personalized guidance, from helping members manage a condition, to helping them understand health insurance costs, to coordinating access to high-quality care for even the most complex health conditions.
"Harvard Pilgrim’s nurse care managers can provide member-centered support and personalized guidance."
Specialized Support Services
A nurse care manager works with the Harvard Pilgrim member, the primary care provider, and other health resources to:
- Assess the member’s health care needs
- Coordinate health care services
- Develop a customized plan for the member that includes education and disease prevention strategies
- Help with implementing and monitoring customized plans, and any ongoing health care needs
- Help members receive high-quality care in a location that best fits their needs
If you are currently a Harvard Pilgrim member, and would like to learn more about our care and disease management programs, or to see if you’re eligible to participate, call (866) 750-2068.
Watch the video below to see how one member found empathy and an ally in his complex health care journey:
Special Programs and Services
Many of our nurses receive special training to provide specific services to members with complex health needs. With programs to help you avoid hospitalization, we help you manage all aspects of your health. Depending on your insurance plan, you may have access to other special programs and services, including:
- Chronic kidney disease program
- Health coach program
- Medical social work services
- Oncology (cancer) care management
- Rare disease management
We believe that each of our members deserves the most inclusive, personalized care we can provide. No matter what your needs, we help you achieve your health care goals while staying as healthy as possible. To learn more, call (866) 750-2068.
To confirm eligibility for any programs or services mentioned in this article as it relates to your specific health plan, please reach out to your account executive or HR benefits team. You may also speak to our member services team at (888)-333-4742 or by sending a secure email. And for plan details and other member resources, log in to the member portal.