Guiding you every step of the way, Case Management Specialists will develop and provide the highest quality medical management and wellness programs to our participants and clients while educating and promoting consumerism regarding the business of health care.
The inherent outcomes of effective medical management and wellness programs include:
- Increased consumer satisfaction
- Quality medical care
- Cost effective, medically appropriate health care
- Heightened awareness of navigating through our complex health care system
Our medical management and wellness specialists and consultants are experienced in a variety of nursing specialties, physical therapy, occupational therapy, speech therapy, pharmacy management and health promotion services. We measure results with true, accurate and well established cost savings guidelines.
CMS will customize our services to meet your needs. We will work collaboratively with your other health care cost containment providers to promote an integrated approach to all cost containment services. Various reports, both individual and aggregate are available based upon our clients’ needs and expectations.
Patient and client surveys assist with ongoing evaluations of our medical management and wellness programs. Such input encourages ongoing excellence, allowing us to take pride in reducing the financial impact of high dollar claims without compromising quality care.
“I love the fact that we can always speak to the nurse handling the case. The staff at CMS always recognizes the urgency of certain situations and has a very personal approach with the patients and participants.” -Third Party Administrator
“Considering the cost of health care and the tangled web it weaves, CMS is very insightful on how to provide the best benefit to the employee AND to save our company money.” -Senior HR Representative
“The nurse case managers of Case Management Specialists strive to maintain the highest quality care for our insureds in the most cost effective manner.” -Client, Group Health Carrier
“I really appreciate you taking the time to explain the plan language and how it is applied to my benefit. You really got involved and helped us in a situation that would have been terrible for my mother financially if I would have agreed to send her to this facility. I’m so glad you were looking out for us.” -Patient’s daughter
“CMS provides exceptional service.” -Client, Health Insurance Company
“Though we never met personally I am writing to tell you how very much you helped me throughout my husband’s illness. Each and every time I called you, you returned my calls promptly-with sincere compassion tried to guide me to help in any way you could. You made me feel that no question was impossible to solve and that it was never a bother to you. Bless you Kelly for your beautiful compassionate spirit. Thank you for the respect you showed us.” -Wife of a patient
“First Steps For Parents was a great resource for me. I read an extensive amount of resources throughout my pregnancy, but nothing compared to the advice and assistance I received from the First Steps nurse.” -Participant, First Steps For Parents Program
“Deb is exceptional! My wife and I were going crazy before Deb got on the case and Deb made everything happen. She was so clear and so helpful and proactive, and had such a nice, positive way of interacting. She shared herself with us. She made us feel like the whole thing was do-able with going into hospice. There were so many things we needed and Deb was there all the time.” -Husband of a patient
“(It’s) wonderful that we get an e-mail indicating that the file was received and CMS “got it” and who the file had been assigned to.”
-Client, Quality Assurance
“No wonder our members feel so well cared for, you all do a great job.” -Client, Health Insurance Company