Care Management is a vital connection linking the patient, payor and all treating clinicians. Care Managers act as advocates, communicators and catalysts for the patient, the provider and the payor. Medical Care Managers focus on facilitating the delivery of more individualized, coordinated care. Strategic Health Corporation is “URAC” Accredited for Care Management.

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Medical Case Management has become a crucial feature of risk management programs and it is necessary for controlling the escalating costs of serious illnesses and chronic diseases. Care Management assures that the medical services the client is paying for are essential, effective and being delivered in the most appropriate, coordinated and cost-effective manner available.

As part of our Medical Care Management Program we include but are not limited to the following;

• Assess the needs of the patient and family

• Identify resources

• Coordinate care

• Negotiate ancillary services

• Assess appropriateness and medical necessity of care

• Coordinate discharge planning

• Assist the patient in understanding his/her condition

• Assist the patient/family in appropriate medical care decisions

• Represent the client as a qualified and objective third party

• Assess quality of care

• Provide network assistance

• Provide Physician Advisor assistance

• Provide nationwide coverage

• Perform on-site visits upon request