Case management
Our experienced case managers connect members to the right care at the right time in the right setting.
WHAT TO EXPECT
- Care coordination
- Education for members and caregivers
- Data-driven support for social risk factors
24-hour nurse line
Health needs often happen outside of office hours. Experienced nurses are available to triage symptoms and offer reliable, up-to-date health and wellness information.
WHAT TO EXPECT
- 24/7 access to adult and pediatric triage and support
- Linguistic interpretation specialists available for over 200 languages
- Integration with other benefit programs
Utilization management
We complete reviews for appropriateness of care. You can tailor our highly flexible utilization management reviews to support your overall benefit strategy.
WHAT TO EXPECT
- Experienced, compassionate reviews overseen by medical directors
- Customized precertification lists
- Peer-to-peer collaborations upon request
Proudly accredited by NCQA and URAC for more than 20 years
Transforming health & well-being
Let’s talk
Let’s discuss how we can work within your existing program to help you meet the acute needs of your members.