Case Management Services
A Comprehensive Service Designed to Meet Your Health Care Needs
Medical Director Review
• Our staff utilizes a medical review board and specialists for peer-to-peer reviews.
• Our Medical Director meets with our staff daily to ensure efficient and effective reviews.
• Medical review requests have a standard turn around time of 1-2 days, though more extensive reviews may take longer.
Education
• 60% of the CBG CMS RN’s hold a Bachelor of Nursing Degree (BSN).
(Compared to only 34% of Ohio RN’s who hold a Bachelor of Nursing Degree (BSN))
Advocacy for:
• Patient
• Health Plan
• Commerce Benefits Group
Interaction:
• Personal interaction with employee member.
• Continuity of care and follow-up with members encouraging proactive involvement in healthcare, and, ultimately, long term cost containment of high insurance claims.
• Early identification and intervention of cases with potentially high claims utilization, and severe economic impact to the employer.
• Healthcare cost reduction and decrease utilization of expensive resources.