Medical Case Management

Value Added Case Management

Highly competent and resourceful nurses compose the core of the Allied Managed Care Medical Case Management Program. As a member of the team, a licensed nurse contributes the additional expertise necessary to contain costs pertaining to work related and no-fault/liability claims. Allied Managed Care nurses provide the medical experience, skill, and rapport with medical providers that facilitates patient recovery, early return to work, and fast claim resolution. With extensive knowledge about pertinent medical issues and a comprehensive understanding of current insurance laws and practices, our nurses bridge the gap between appropriate medical care and the rules and regulations within the insurance claims process. Our nurses focus on the utilization of medical care and assist in ensuring that the necessity, frequency, and duration of medical care are appropriate for the respective injury. We realize that “time is money” and offer proactive, timely strategies to guide patients toward medical stability quickly and cost-effectively.

Customized Service for Each Client

Allied Managed Care’s objective is to obtain the best value for our clients. We start by identifying the specific cost drivers of our clients’ individual program and customize our services to aggressively confront those challenges. In establishing the appropriate referral criteria and implementing any combination of our case management services, such as Field or Telephonic Nurse Case Management, Early Return to Work, Utilization Review, Hospital Bill Audits, Life Care Planning, and Peer Review, we maximize every opportunity to control the utilization and cost of medical care and work disability time.

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80 South Lake Avenue, Suite 500 ~ Pasadena, CA 91101 ~  (800) 431-6336 ~ (626) 441-3999 ~ Fax (626) 441-3799