Care Managers are registered nurses and social workers, who assist members by helping with transitions between hospital and home or other care settings and helping members access needed health and support services.
This program is available to high-risk expectant moms. Support is provided to support the health of the mother during pregnancy and after right after the baby is born. Pregnancy and newborn care education is available as well as assistance with referrals to available community resources. Enrollment is at no cost and confidential.
Care management services may be short-term for members who are transitioning home after a hospital stay or when a member is new to our plan and needs help finding new providers within the network.
Care management services may be long-term for members with catastrophic or highly complex cases. For members with complex needs, SummaCare Care Managers will assist in understanding the condition and will coordinate arrangements for complicated plans of care. The SummaCare Care Manager stays in touch with providers and other caregivers and provides assistance with finding needed care within the plan network.
In the event a SummaCare member reaches the plan limits on certain types of care, a SummaCare Care Manager is available to help the member find other resources.
To contact a Care Manager for help with a transition or for more information about SummaCare's Care Management program, call 330.996.8931 or 877.888.1164 (TTY 711) Monday-Friday between 8:30 a.m. and 5:00 p.m.
From October 1 - March 31
8:00 a.m. to 8:00 p.m.
seven days a week
From April 1 - September 30
8:00 a.m. to 8:00 p.m.
Monday - Friday
Outside these hours, you may leave us a message and a representative will return your call the next business day.