Case Management Services

   Why Choose CG Care Management Services?

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 CG 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))

• 25% hold a certification in Case Management.

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.