Case Management

Providing care while managing expenses

Case Management assesses and coordinates services for people with chronic conditions, in need of longer-term support, or in need of broader access to healthcare providers. We work with the individual to ensure they make informed decisions using evidence-based medical guidelines.

Through education, empowerment, support and advocacy, we help people reduce costs and experience a higher quality of life. One in 12 adults discharged from a hospital is readmitted within 30 days, adding $16 billion to the cost of health care in the United States1.

Case Management Services include:
  • Case Management. Case Management Nurses provide education and empower people by addressing care opportunities to minimize disease progression and decrease future spend.
  • Transitional Case Management. Case Management Nurses help people understand discharge instructions and medications by evaluating and coordinating post-hospitalization needs for those identified as being at risk of re-hospitalization or as frequent users of high cost services.
  • Complex Case Management. Case Management Nurses collaborate with physicians, individuals and their families to help develop and coordinate appropriate care plans to address complex health issues. These may include catastrophic cases that need coordination of multiple providers, access to community resources or longer-term support. We also work to solve complex access, care plan, psycho-social or specialty knowledge requirements.

Sources
1 Anna Sommers & Peter J. Cunningham. “Physician Visits after Hospital Discharge: Implications for Reducing Readmissions.” December 2011.