Kunkel Care Solutions Case Management is a service designed to ensure personalized and managed healthcare excellence. While the focus is on quality patient care, we strive to maximize health plan cost savings.
Through this service, we can help members and their families make choices that contribute to better healthcare decisions, which will minimize the incidence and severity of future complications and additional medical costs.
Our nurses work with members and their families to have a better understanding of the following:
- Special care needs
- Finding access to the most appropriate level of care
- Care alternatives to costly inpatient care
- High quality, cost-effective care
- In-network benefits and providers
Services include:
- Review catastrophic claims to identify case management candidates
- Ensure high quality and cost effective care
- Advocate for patient and family
- Coordinate care and assist with discharge planning
- Cost negotiation, when appropriate
- Quarterly reporting to include program savings
- Direct members to cost containment programs early on in care plan
Disclaimer: Statements on this website as to policies and coverages provide general information only. All coverages are subject to terms, conditions and exclusions of the actual policy issued.