Case Management
Case management is a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet the plan members health and human services needs.
Based on the needs and values of the member, the case manager link appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client centered, timely, efficient, and equitable.
With most insurance case management results the vast majority of members that could be helped by case management are not actively participating. Synergy Healthcare offers a solution by embedding a case manager as a Nurse Advocate into the framework of the employers health plan and wellness program. This approach achieves optimum value and desirable outcomes to the member and the employer.