Case Management

Amalgamated Medical Care Management’s Case Management services are delivered by Certified Case Managers who apply their broad clinical knowledge along with an understanding of various psycho-social and behavioral components, insurance/managed care plans, as well as essential medical and social resources to help promote optimum patient outcomes. These compassionate patient advocates work in collaboration with other clinicians and healthcare providers, including hospital case management and utilization management teams, to help meet the patient’s medical and human needs, coordinating care across the healthcare continuum, while also supporting goals of sound medical resource utilization, preventive healthcare and cost-effective interventions. Amalgamated Medical Care Management’s Case Management services focus on:

  • Delivering the highest standard of case management in accordance with the Commission for Case Manager Certification’s (CCMC) Code of Professional Conduct, as well as the Case Management Society of America’s (CMSA) Standards of Professional Case Management Practice;
  • Evidence-based care and in-depth clinical acumen;
  • Compassionate patient care and communication;
  • Thorough patient assessments, ongoing monitoring and related reporting and documentation;
  • Helping patients understanding the important in adhering to their treatment plans; and
  • Accessing appropriate healthcare and social resources to support a patient’s well-being.

Amalgamated Medical Care Management’s Case Management services reflect:

  • A deep understanding of the needs of the most medically-challenged and complex patients, often with comorbid conditions;
  • Efficient care coordination;
  • Management of long- and short-term care goals;
  • Supportive transition of care;
  • Accurate reporting and documentation to support population health management and value-based healthcare objectives;
  • Ability to navigate the intricacies of health plans, insurance, rate negotiation, legal, regulatory, healthcare reimbursement requirements, government agencies and the coordination of benefits;
  • Our nation’s multiculturalism and an understanding of ethnic patient and family needs; and
  • Accredited pursuant to URAC standards;
  • Accredited pursuant to the standards of Clear Health Quality Institute.

In the past few weeks there have been numerous restrictions placed on businesses throughout the United States. Many states and localities across the country have enacted temporary restrictions on non-essential business operations, requiring millions of workers to stay home. Amalgamated Life Insurance Company, which is based in New York, is considered an essential business and therefore is not subject to these temporary restrictions.

However, in an effort to protect the health and safety of our employees, their families and communities, we have taken a series of company-wide actions, across all Amalgamated Family of Companies locations, to implement work from home and other flexible arrangements where feasible. Despite these changes, we will continue to provide you and your members with the customer service levels you have come to expect from us prior to the coronavirus outbreak.

We are diligently working with our partners and vendors to utilize our remote capabilities and infrastructure. We are also in constant communication with UPS and the USPS to stay informed of any potential changes in service. For the duration of this state of emergency, Amalgamated Life Insurance Company will comply with any required Notice Obligations by emailing and/or mailing notices to all consumers.

If you have any questions or concerns please reach out to your Amalgamated Family of Companies representative or our customer service center at: 914-367-5000. They are well-prepared to answer your questions and can address your specific needs.