|
|
Nursing Case Management
- On staff nursing personnel available with extensive managed care experience
- Coverage and benefits interpretation assistance and guidance
- CMS-approved CHF disease management program
- Utilization Review (UR) and Utilization Management (UM)
- On-site hospital and SNF visits for catastrophic/complex cases
- Assistance with Hospital/SNF discharge planning
- Liaison for out-of-area hospitalizations
- Pharmacy cost-savings analysis (oral, injectables, chemo, etc.)
|