For Providers

Disease Management Programs

Disease Management Programs to Help Your Patients
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Horizon NJ Health has Disease Management Programs established to coach and educate low to moderate risk members in the management and treatment of their disease. The available programs cover:

  • Diabetes
  • Congestive Heart Failure (CHF)
  • Hypertension
  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)

Members are referred through:

  • Primary Care Physicians/Specialists
  • ER/IP reports
  • Encounter claims
  • Case Management/Utilization Review
  • Pharmacy claims
  • Complex Needs Assessment (CNA)

The goals of the Disease Management Health Education Programs are:

  • To educate both members and providers in health management based on nationally recognized standards of care
  • To promote an optimal, realistic level of an individual’s wellness and functionality
  • To promote behavior modification and facilitate member and provider communication
  • To enable the member/family to make independent, informed health care decisions
  • To provide a disease prevention and wellness education program that will improve the quality of health for our members
  • To promote the cost-effective utilization of financial and human resources
  • To improve overall member and provider satisfaction with Horizon NJ Health

For more information on these programs, or to refer a member to a program, call the Disease Management Department at 1-800-682-9094.