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.