Disease Management Programs to Help Your Patients

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.