Field Case Management services are utilized for more complicated and/or catastrophic cases. A network of RN’s with national certifications (CCM and/or CRRN) and at least 3-5 years experience in catastrophic case management are assigned to the files which are in Field. Cases can be identified from onset as catastrophic or directed to on-site if treatment direction goes off track.

 

Initial contact takes place within 24-hrs of referral receipt for CAT cases; 48-hrs for all others. Lifetime Cost Projections are completed at time of initial evaluation. Treatment is steered to in-network providers whenever possible; rate negotiations will take place for out-of-network treatment. The Nurse attendance at appointments facilitates the ability to decrease lost time days.