Case and Care Management

Our Case and Care Management VA Services provide vital support to healthcare providers by streamlining key administrative tasks related to patient management and care continuity. From coordinating case management and telehealth services to reviewing clinical records and verifying insurance, these services ensure seamless and efficient patient interactions. We handle patient education materials, satisfaction surveys, and referral tracking to enhance engagement and care outcomes, giving providers the time and resources to focus on quality patient care.

  • Provide assistance in managing patient cases, tracking progress, and coordinating care plans to ensure continuity and quality of care.

    Software Used: Salesforce Health Cloud, Allscripts Care Director, CaseWorthy

    Expertise: Assisting case managers in tracking patient progress, coordinating care plans, and documenting treatment plans to support continuity and comprehensive care.

  • Organize telehealth appointments and assist patients with technical setup to ensure successful virtual consultations.

    Software Used: Google video, Doxy.me, Zoom for Healthcare, Amwell

    Expertise: Scheduling and managing telehealth appointments, assisting with technical setup, and providing guidance to ensure patients have seamless virtual consultations.

  • Review patient records for accuracy and completeness, helping to maintain updated, compliant documentation that supports clinical decision-making.

    Software Used: Epic EHR, Cerner, AthenaHealth

    Expertise: Reviewing and ensuring accuracy in clinical records, identifying documentation gaps, and assisting in maintaining compliant and up-to-date patient information.

  • Verify insurance coverage and manage pre-authorization requests to streamline billing and patient access to care.

    Software Used: Availity, Waystar, Kareo

    Expertise: Verifying patient insurance coverage, managing pre-authorization requests, and helping clarify patient financial responsibilities, ensuring billing accuracy and coverage compliance.

  • Develop clear and informative educational materials to help patients understand their diagnoses, treatments, and care plans.

    Software Used: Microsoft Word, Adobe Acrobat, Canva

    Expertise: Creating clear, informative educational materials to help patients understand diagnoses, treatment plans, and wellness practices, enhancing engagement and compliance.

  • Manage and track patient referrals to specialists, ensuring timely communication and follow-ups for comprehensive care.

    Software Used: ReferralMD, CarePort, AthenaHealth

    Expertise: Coordinating patient referrals to specialists, tracking progress, and maintaining communication between providers to support comprehensive and timely care.

  • Design and distribute patient satisfaction surveys, gathering valuable feedback to inform improvements in patient care and experience.

    Software Used: Qualtrics, SurveyMonkey, Google Forms

    Expertise: Designing, distributing, and analyzing patient satisfaction surveys to gather actionable feedback, helping providers enhance patient experience and satisfaction.

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Administrative Support

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Compliance and Regulatory Management