Allied Managed Care: Nurse Case Management


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Medical Bill Review	Medical Case Management	Medical Provider Network/PPOs	Utilization Review

Field, Telephonic, and On-Site Nurse Case Management

Early Return to Work Hospital Bill Audits Life Care Planning Management Essentials Nurse Case Management Peer Review	Direction, Not Reaction
	When Allied Managed Care Nurse Case Managers handle a case, they get to the heart of it quickly by identifying any potential barriers to full recovery and return to work. Our nurses then institute the appropriate intervention to proactively direct the case toward optimal resolution. Together with injured workers and their medical providers, our nurses establish reasonable medical treatment and return to work plans. Objectively reviewing medical reports and actively managing cases, our Nurse Case Managers ensure that medical providers and patients have *accountability for progress and a timely resolution of the case. Allied Managed Care customizes interventions depending upon individual case needs, only performing services that add value to our clients. For example, for larger clients who need the value of a Nurse Case Manager in the day-to-day claims process, Allied Managed Care offers an On-Site Nurse Program, a very cost-effective strategy. Licensed nurses are placed either at the claims processing center or the employer’s location, teaming with the client to more collaboratively handle workers’ compensation cases. For clients who do not need an on-site case manager, we provide Field and Telephonic Case Management Services*.
	Facilitating Case Resolution
	Allied Managed Care's Nurse Case Managers maintain a current action plan for each claim file, with time sensitive parameters for completion. Vital information is always up-to-date in their reports, and accessible electronically by the client. For optimal results, the nurses follow our unique plan with established timeframes for completion of diagnosis determination, rehabilitation, and claim resolution.
	The Goal: Cost Savings
	Regardless of the assignment, *cost savings significantly greater than our cost to you* is the objective of Allied Managed Care Nurse Case Mangers. Our nurses coordinate treatment and return to work plans based on the objective facts of the case — they focus only on the necessary interventions that will result in moving the case forward while realizing the highest cost savings.