Disease Management

Dobson and Associates has developed a unique and comprehensive Disease Management Program which can be customized to meet the needs of the client. Our program involves telephonic and face-to-face contact by appropriate health care professionals. We utilize the services of registered nurses, pharmacists, licensed clinical social workers, respiratory therapists, health educators and dieticians to enhance and maximize training and educational opportunities for members with chronic diseases. Primary Disease Management Services are provided by a registered nurse disease management specialist who will then coordinate with the other health care professionals as needed to meet the individual needs of the member. The goal of Disease Management is to promote a healthier life style and to improve the wellbeing and medical management for the member with a chronic illness. This in turn will reduce lost work days for illness, reduce overall medical expenses over time, and increase productivity.

Dobson and Associates offers Disease Management for the following conditions:

Asthma
Coronary Artery Disease
Hypertension
Diabetes
Weight Management
Cystic Fibrosis
HIV/AIDS
Renal Failure
Transplant
High Risk Pregnancy
Chronic Pain
Back Pain
Heart Failure
Emphysema/COPD
Joint and Spine Disorders
Hemophilia
Hepatitis
ADD/ADHD
Depression

A Disease Management Specialist will coordinate all services for the client and members. The Disease Management Specialist will:

∙ Direct care on site Disease Management/Case Management for client’s who are enrolled in the program;

∙ Provide face-to-face assessments with the member and their family;

∙ Contact and follow-up on clients with chronic disease states to promote changes in lifestyle and regular attendance to medical appointments;

∙ Organize educational programs for employees and management staff;

∙ Negotiate with workplace management to assist with work accommodations for employees with chronic illnesses as needed;

∙ Attend physician appointments and/or coordinating with hospital staff for members who have and acute or chronic illness to maximize treatment options and member compliance;

∙ Maintain a Disease Management/Case Management case load for members who are admitted to the Disease Management Program. The Specialist will track compliance and outcomes for the program;

∙ Assist with applications for Short Term, Long Term and Social Security Disability as appropriate;

∙ Design, promote and implement a Healthy Pregnancy Program specifically for the needs of the group;

∙ Coordinate with Dobson and Associates, LLC, TPA and Stop Loss Carriers as appropriate for high risk/high dollar clients.

∙ Provide Health Fair services at least twice a year. Health Fairs can be held at varying times at the client’s request to meet the needs of staff working various shifts;

∙ Provide Claims Review and contact with members with high dollar claims;

∙ Provide education of supervisors/management regarding specific member needs as appropriate;

∙ Provide Risk Assessment and Health Questionnaires to identify potential members at risk;

∙ Coordinate with Claims and Utilization Management programs;

∙ Provide coordination and communication with client and/or client representatives.

You may contact our Disease Management department at:

(801) 274-3028 or (877) 402-9805