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Health Services

Case Management

Why Would I Need Case Management?

The need for case management services is determined through a collaboration between you, your family or caregiver, your health care team, and your provider. This collaboration will include a comprehensive assessment of your health, psychosocial needs, and use of health care services and resources.

Case management can help by:
• Coordinating your care.
• Assessing, planning, and facilitating services for you.
• Evaluating your options.
• Advocating on your behalf.

You or your family member may need case management if you have:
• Instability with chronic health problems
• A serious terminal illness
• An increased need for different provider specialties due to multiple diseases or conditions
• A need for more support and education during a critical period

Who are Case Managers?

Case managers are usually nurses or social workers who can help you and your family figure out complex health care and support systems. They will work with you to coordinate the services and other community resources you need

They can help:
• Provide advocacy, support, and education
• Reduce burden and streamline appropriate utilization of care
• Partner with members of your healthcare team to assist in coordination of your healthcare needs
• Monitoring for progress and desired outcomes

Who may need case management?

A case management evaluation is recommended for clients in the following categories:

Diagnostic Categories

  • Catastrophic illness or injury including all cancer diagnoses
  • Chronic or terminal illness
  • Multiple medical and/or co-morbid behavioral health problems

 Patient Status

  • Functional/Physical deterioration
  • Lack of family/social support

 Patient Behaviors

  • Non-adherence/resistance to treatment
  • Inability to follow treatment

 General Indicators

  • Repeat hospital admissions
  • Multiple ER visits
  • Multiple providers
  • For Active Duty Soldiers only:
    • Temporary (recurring) and permanent profiles
    • IDES candidates
    • Meets criteria for Soldier Recovery Unit (formerly WTU)

Case Management

**All Case Management clinics are closed every Thursday 1:00pm-3:00pm**

Patient Centered Medical Home (PCMH)

Family Medicine Blue Team:  (808) 433-8150
Family Medicine Red Team:   (808) 433-8156
Pediatrics:  (808) 433-8174
Hours: Mon-Fri 7:30 a.m. - 4:00 p.m.
Location: Family Medicine Bldg F/682 and Pediatrics Bldg B/680

Soldier Centered Medical Home (SCMH)

Hours for all below SCMH areas: 
Mon-Fri 6:30 a.m. - 12:00 p.m. & 1:00 p.m. - 3:30 p.m.

Combat Aviation Brigade (CAB)
Phone: (808) 656-1632
Location: Wheeler Army Airfield, Aviation Clinic

Phone: (808) 433-8581
Location: BLDG 672/M 2nd floor
Phone: (808) 655-6792
Location: BLDG 2027
Phone: (808) 433-8785
Location: BLDG 673/N 2nd floor

Brain Injury Clinic

Phone: (808) 433-8199
Hours: Mon-Fri 7:00 a.m. - 12:00 p.m. & 1:00 p.m. - 4:00 p.m.
Location: BLDG M/672, 1st Floor

Soldier Centered Medical Home 
Embedded Behavior Health (eBH)

Phone: Multi-D (808) 433-8742/CAFBHS (808) 433-8286
Hours: Mon-Fri 7:30 a.m. - 4:30 p.m. 
Location: BLDG O/674  2nd Floor

DDHC Facility Map

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