We are
ConniCare
- Create a personalized plan of care
- Give you 24/7 access to a personal case manager
- Coordinate your care with doctors, insurance, and other healthcare providers
- Manage costs thru discount negotiation & streamlined care
- Minimize your waiting for appropriate services
- Review your bills & ensure accurate costs
Professional
Services
- Patient Advocate Services
- Concierge Case Management
- Workers' Compensation
- Medical Care Management
- Other Related Services
HIGH quality case management is ConniCare.
GREAT Care Coordination is ConniCare.
SMOOTH Transitions in Care is ConniCare.
Concierge Case Management
WE provide distinguished cleint contact experiences.
WE are ConniCare. YOUR Nurse Case Manager, Navigator, Advocate, Care Manager.
YOUR ConniCare.
ConniCare will build a customized program to care for patients with complex diagnoses, often with multiple co-morbidities. No two patients are alike, so a customized case management plan is developed to assist the patient and family meet their needs and achieve goals. Coordination often includes working with multiple physicians and requires meeting their need for efficient delivery of services. Patients often have difficulty working their way through the maze of healthcare and working with the insurance company’s need for cost-effective solutions to care requests. Our nurses have many years of experience in this area and can assist in care coordination while considering the needs of all parties. As a result, patients are more likely to make less costly medical decisions, are more satisfied with their care, and report an improved quality of life.
Let ConniCare help you so you can work on getting better. Examples of patient mix by diagnoses include those with:
- Cancer
- HIV
- Transplant
- Trauma or work injury
- Stroke
- Congestive Heart Failure
- Chronic Obstructive Pulmonary Disease
- Diabetes
Worker's Compensation
Worker's compensation case management is medical case management that focuses on returning the injured worker to work as quickly as possible since the direct and indirect costs of a claim can be high for an employer. The employer is paying not only for the medical and wage replacement benefits, but also for lost productivity. The medical case management nurse is the liaison between the injured worker, employer, claim representative, physician, and often the attorney representing the injured worker.
We welcome employers or health plans looking for medical management or worker’s compensation in the field of healthcare. We focus our efforts on meeting your needs and balancing those with the needs of patients.
Medical Care Management
Referral Review – Indications for Care Management
- Relationship of accident to injury is unclear
- Medical guidelines indicate the treatment may be excessive
- Treatment plan is not clear or definitive
- Lost time over 30 days
- Indications for an Independent Medical Examination (IME)
- Multiple medical conditions with multiple diagnoses exist, treatment is unusual or excessive
- Multiple medical providers and ancillary services
- Possibility of pre-existing conditions
- Delay in return to work
- Medical and non-medical issues seem to complicate recovery
- Recovery slow without medical indication
- Medical treatment does not correlate with accident, injury or disability facts
- Treating providers have failed to provide medical information or clarification despite requests
- Failure to follow the medical treatment plan, unwillingness to communicate
- Unusual medical conditions
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals. Whether the patient has catastrophic injuries, brain trauma or complicated medical conditions, ConniCare can provide concierge style care management in the most cost effective manner possible.
Case management is provided by a team of nurses and refers to the planning and coordination of health care services appropriate to achieve the goal of medical rehabilitation. Medical case management may include, but is not limited to, care assessment, including personal interview with the injured employee, and assistance in developing, implementing and coordinating a medical care plan with health care providers, as well as the employee and his/her family and evaluation of treatment results.
There are multiple types of medical case management that can be further defined. Below are the major services provided by ConniCare.
Coordination of Services
Our medical case management includes working with multiple companies, physicians and other care providers to coordinate services. Here are some of the more common coordinated services:
- Independent Medical Evaluation
- Second Opinion
- Peer Review
- Functional Capacity Evaluation
- On-site Medical Case Management: Limited or Full
- Assignment of DME, home health, or pharmacy needs
- Provide Initial Case Activity report on all referrals within 24 hours
- Contact injured person and physician within 24 hours
Our Care Management Process
- Create a personalized plan of care
- Give you 24/7 access to a personal case manager
- Coordinate your care with doctors, insurance, and other healthcare providers
- Manage costs thru discount negotiation & streamlined care
- Minimize waiting for appropriate services
- Review your bills & ensure accurate costs
