Case Management Referrals

You can submit automated referrals for Clinical Care and Wellness (CC&W) case management programs via NaviNet®. This feature will help connect members with chronic conditions and complex medical needs with the right clinical support.

To access this feature:

  • Log into NaviNet and select the appropriate Health Plan.
  • Click the Case Management Referral and Inquiry link under Workflows for this Plan to go to the Clinical Care & Wellness page.
  • Click the Create New Referral button under Submit New Referral to CC&W.
  • Follow the steps to create and submit the referral.

We also want to remind you that the Highmark Member Clinical Programs and Services catalog (complete with useful information and helpful resources) is available to further your understanding of the full range of programs and services available to all Highmark members.

We encourage you to review this catalog to help identify members who can benefit from the programs and services we offer.