UnityPoint Health - Madison

Case Management Program

The UnityPoint Health - Meriter Case Management Program is a clinic-based initiative to assist Meriter primary care patients, their support network, as well as the Meriter physicians and staff, in the planning, coordination and management of care services for those with complex medical, social and/or financial needs. 

Support for the patient's journey is achieved through the development of a plan of care with the participation of all members of the health care team. The focus is on the unique needs and goals of the patient through engagement, shared decision making and collaboration in care. The patient, their support network and primary care team will be provided with assistance in navigating the health care system. 

What are the Goals of the Outpatient Complex Case Management Program? 

The goal of our program is to work with you and your health care team to: 

  •  Identify your health care needs and goals, as well as communicate them to your health care team 
  • Work with your health care team to make sure they're meeting your needs 
  •  Assist you in coordinating your health care with primary and specialty care providers, as well as your care within the hospital, clinic and community 
  •  Help you understand your health problems, treatments and options 
  •  Facilitate your access to services at Meriter and in the community 

Who is eligible for the program? 

You must be under the care of a Meriter primary care physician, as well as meet some of the program's set criteria, such as having 3 or more illnesses or multiple visits to the Emergency Department and hospital admissions. 

What are the benefits of the program? 

You'll have a consistent contact person from our program who will help you navigate the health care system, and hopefully, improve your health and well-being. Your case manager will be your health care advocate and make sure you're getting well-coordinated care when you need it. He or she can also be your link to services at Meriter and throughout the community.

Is there a cost? 

No, there is no cost to the program. 

What can I expect if I choose to participate? 

You'll be contacted by a case manager who will do an initial assessment with you. Your case manager will then develop an individualized care plan with goals for you and your support network. Your case manager will partner with you, your support network and your health care providers to put the plan into action. Your progress will be constantly evaluated, making sure your goals are being met and adjusting the plan if needed. Once you're meeting your goals and your health is on-track, you can discuss transitioning out of the program. 

How do I sign up for the program? 

Simply contact your primary care physician and he/she will refer you into the program. Your physician will also be happy to answer any of your other questions about the program.