Pamela Radcliffe

Case Manager / Care Coordinator

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

• Aetna [Aetna Health Inc. (a PA corp.)]

• Ambetter from Buckeye Health Plan [Buckeye Community Health Plan]

• Anthem Blue Cross and Blue Shield [Community Insurance Company]

• CareSource

• Medicaid

• Molina Marketplace [Molina Healthcare of Ohio, Inc.]

• Optum [Optum, Inc.]

• Paramount Insurance Company

• United Behavioral Health

• UnitedHealthcare Life Insurance Company