Helping you manage your complex needs
Lovelace Health Plan Case Managers are available to assist you in coordinating services with your primary care provider, home care services, and durable medical equipment providers. Case Managers assist you in developing a self-care plan which may help you feel better and stay well.
- Click here for our Case Management services for Commercial members
- Click here for our Case Management services for Senior Plan members
- Click here for our Case Management services for Salud and SCI members
Did you know that we also have Case Managers assist you in accessing Behavioral Health services and resources and in coordinating services with your primary care and behavioral health providers? Click here for more information.
Case Management may be of assistance if you have one of the following needs/conditions
- Cancer
- Neuromuscular diseases, such as Multiple Sclerosis (MS)
- Multiple medical conditions
- Conditions requiring complex home equipment or medications
- Paraplegia & quadriplegia
- Organ transplant
- Coordination of out-of-network referrals and treatment services not available in network
- Conditions requiring community resources and
- services
- Complicated hospital discharges requiring follow-up at home
- Members in remote areas who are unable to identify resources or providers for their medical care
- Infants who had complicated births or birth defects
- Expectant mothers in need of support/coordination of services
- Members who might need additional support and services in order to prevent a hospital admission
- Hospice
- Assistance with long-term placement
Who Can Make Referrals to Case Management?
Referrals for Case Management services come from multiple sources. However, Case Management will take place only with the consent of the member or the member’s power of attorney. Common sources of referral are:
- Members may self refer
- Member’s family
- Physicians
- Hospital Case Managers
- Community Case Managers
- Other – anyone who identifies a potential need may refer a member to Case Management
How do I access Case Management Services?
Please call the numbers below to refer yourself or to determine if one of our members would benefit from case management.
For Senior Plan members
Phone – 505.727.5168
Toll Free Phone – 800.808.7363 ext 75168
Fax – 505.727.5272
Toll Free Fax – 877.894.4585
The speech and hearing impaired may call 800.659.8331 (through Relay NM). Our hours of operation are Monday through Friday from 8 am to 8 pm.
For Commercial members
Phone – 505.727.5168
Toll Free Phone – 800.808.7363
Fax – 505.727.5272
Toll Free Fax – 877.894.4585
For Salud and SCI members
Phone- 727.5660
Toll Free Phone –877.894.4783
Email- SaludCaseManagement@lovelace.com.
Or request Case Management through your Primary Care Physician (PCP).
When calling to make a referral, please provide the following information:
- Contact number for person making the referral
- Member/caregiver’s current contact information
- Services you would like coordinated by Case Management
Care Concierge
Lovelace Health Plan’s Care Concierge team assists new members in their transition from non-contracted providers and services to providers and vendors contracted with Lovelace.
- Some services that a Care Concierge can help with transitioning are:
- Durable Medical Equipment
- Maternity Care
- Home Health Care services
- Patients that are in the middle of treatment, such as cancer treatments, cardiac services, etc.
- Services will be based on new benefits and authorization requirements
- This is a service in which the new member calls the Care Concierge directly for assistance
- You can contact a Lovelace Care Concierge between 9 a.m. and 6 p.m., Monday – Friday at 505.506.6661 or our toll-free number at 800.808.7363 and ask to speak to a Care Concierge. You can also e-mail us at care.concierge@lovelace.com
Our Care Concierge team includes:
- Adelina Martinez
- Dee Jones
- Laura L Lopez
LHP 811-0609
LINC 271-0609
