Our Case Management program focuses on providing plans with support on all catastrophic and high-cost cases while providing high-risk participants with member-specific interventions.
CareValent uses a team of registered-nurse case managers who
oversee the entire spectrum of healthcare needs—including all medical services and claim cost containment.
Our processes help maximize members' insurance benefits, and ultimately optimizes cost savings to plans. We ensure the highest quality and most cost-effective treatment while providing ongoing support to patients and families as they navigate the healthcare system.
We provide our clients with comprehensive case-management reports as well as access to secure data portals so that all fiduciaries have real-time access to information. We can either provide all case-management services, or provide backup to case-management staff that is already in place.
CareValent's RNs have experience with both reinsurance and health plans, so they are knowledgeable about, and able to deal effectively with, all clinical risk-management challenges.