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Clinical Care Team


When you’re with Highmark, you never have to face health issues by yourself – you have a team at your side. Your Clinical Care Team works with you to help you stay healthy, manage medical expenses, and coordinate the care you need.

A team of experts, just for you

Your Highmark Clinical Care Team consists of health professionals from a variety of medical fields, like:

— Registered nurse case managers

— Registered nurse disease managers

— Behavioral health specialists

— Social workers

— Pharmacists

— Medical directors

— Care team coordinators

Keeping your needs at the heart of everything we do

Your team will work to make sure your personal health needs are being met, including:

Case management:
A case manager can help coordinate your care and provide ongoing support for you and your family.

Disease management:
A registered nurse will help you better understand your condition, treatment options, and help you manage it so that you can live your best life.

Care transitions:
If you have a hospital stay, we’ll make sure you understand all your discharge instructions, help set up follow-up appointments, and make sure that any equipment you need at home is there waiting for you.

AIS Home Visit Program:
When needed, your Clinical Care Team can connect you with our Advanced Illness Service (AIS) Home Visit Program. This Highmark program offers extra in-home support to help you and your family when you are facing a serious medical condition.

Medication Therapy Management:
Your Clinical Care Team pharmacist works with your prescribing doctors to ensure that your medication regimen is safe, effective, and affordable. A pharmacist on your team can also help you:

— Review your prescription and over-the-counter medications, including vitamins and supplements

— Answer questions

— Discuss possible side effects

— Check for potentially harmful interactions between medications or supplements

— Explore options for lower-cost medication alternatives

— Provide a personal medication record for you and your prescribing doctors