UTILIZATION REVIEW
CASE MANAGEMENT
DISEASE MANAGEMENT
VIRTUAL
NURSE TRIAGE
Utilization Review
Ensuring Quality Care with Efficiency
Our Utilization Review service ensures that healthcare services are both medically necessary and cost-effective. By reviewing the appropriateness of treatments, procedures, and hospital admissions, we help minimize over-utilization of healthcare resources, improve clinical outcomes, and reduce unnecessary spending.
Medical Necessity & Appropriateness: We assess whether healthcare services are aligned with clinical guidelines, ensuring that patients receive appropriate care.
Cost Control: By identifying over-utilized services and streamlining care, we help reduce healthcare costs for providers, payors, and patients alike.
Timely & Accurate Reviews: Our efficient review processes provide fast, accurate results to keep patients on track for the most effective and necessary care.
Case Management
Personalized Support for Complex Healthcare Needs
Our Case Management service is designed for patients with complex medical conditions or healthcare needs. We work closely with patients, their families, providers, and third-party administrators to create personalized care plans that ensure all aspects of the patient’s health are managed effectively. From coordinating care between specialists to navigating insurance benefits, our case managers are dedicated to guiding patients through every step of their healthcare journey.
Coordination Across Providers: We ensure that all aspects of a patient’s care are aligned, coordinating with doctors, specialists, and other healthcare providers.
Comprehensive Care Plans: Our case managers work with patients to create tailored care plans that address their unique needs, improving outcomes and overall quality of life.
Ongoing Advocacy: We act as an advocate for patients, ensuring they receive timely and appropriate care while navigating the often-complex healthcare system.
Virtual Nurse Triage
Providing Immediate Care, Anytime, Anywhere
Our Virtual Nurse Triage service connects patients with experienced registered nurses who provide timely, remote consultations. By evaluating symptoms and determining the appropriate level of care, our nurses help guide patients to the right healthcare solution, whether it’s a primary care visit, telemedicine, or an urgent care facility. This service ensures that patients receive the appropriate care quickly, reducing unnecessary emergency room visits and enhancing the patient experience.
24/7 Access to Healthcare Professionals: Patients can access our virtual nurse triage service anytime, ensuring that they receive the right care at the right time.
Efficient Triage Process: We help direct patients to the most suitable care option, streamlining the decision-making process and minimizing wait times.
Cost-Effective Care: By reducing unnecessary visits to emergency departments, we help control healthcare costs while ensuring quality care.
Disease Management
Empowering Patients to Manage Chronic Conditions
ServusCare’s Disease Management services are designed to support patients with chronic conditions, helping them manage their health more effectively and improve their quality of life. Through personalized support, education, and resources, we help patients manage their conditions, reduce hospital readmissions, and prevent complications, all while keeping healthcare costs under control.
Chronic Disease Support: We provide patients with the tools and knowledge to manage chronic conditions such as diabetes, heart disease, and asthma, improving long-term health outcomes.
Education and Resources: Our team offers ongoing education to help patients understand their conditions and make informed decisions about their care.
Reducing Hospital Readmissions: By proactively managing chronic conditions, we help reduce the risk of complications and readmissions, improving patient health and reducing healthcare costs.