Nurse Case Management

Proactively guide claims to the best outcomes through active medical management.

One of the defining factors in maintaining control over a medical injury claim is knowing when to apply the right resources at the right time. A data-driven case management strategy delivered by experienced nurse case managers can positively impact the quality and cost of claims.

Every day of lost time on a workers compensation claim impacts the employer’s bottom line. Our approach combines early and aggressive medical intervention, along with medical bill review and managed care data virtualization and integration, to speed up recovery and return to work while controlling loss costs.

With a nurse case manager on the claim, disability claims can be shortened as much as 25% and claims closed an average of 18% faster.

Conduent works with you to formulate and implement a comprehensive set of nurse case management services. Conduent’s portfolio of case management solutions include:
· Telephonic case management
· Catastrophic case management
· Pharmaceutical case management
· Surgical case management
· Early intervention case management

All of our programs can be seamlessly connected with our injury reporting, nurse triage and medical bill review services for an integrated managed care solution.