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CASE MANAGEMENT
Highly trained Registered Nurses serve as patient advocates, collaborating with patients and providers to attain the most cost-effective treatment and maintain quality of care.
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Focusing on acute and life-threatening diagnoses such as:
Cancer
Premature delivery
Organ transplants
Cardiac issues
UTILIZATION MANAGEMENT
Independent medical reviews ensure medical necessity and enhance care quality.
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Adding value by:
Reducing healthcare costs
Achieving medical care compliance
Minimizing hospital and ER visits
Screening members for other HealthWatch services
DISEASE MANAGEMENT
Promote health and control costs through education on chronic conditions, goal setting and patient-specific provider coordination for improved medical knowledge, fewer ER visits and lower costs.
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Multidisciplinary, multilingual Care Coaches led by a Medical Director include:
Registered Nurses
Dietitians
Respiratory Therapists
Exercise Physiologists
Diabetes Educators
Obstetric Nurses
Mental Health Professionals
Resources
Download Utilization Management Program Consumer Rights and Responsibilities [PDF, 319KB]
Download Download Utilization Management Notification Form [PDF, 244KB]
Download Disease Management Participant Rights and Responsibilities [PDF, 78KB]
Download Physician Rights and Responsibilities 2016 [PDF, 419KB]
ADDITIONAL SERVICES
GPA NURSE NAVIGATORSM
A patient concierge program, designed to help members maximize their benefit plans with step-by-step guidance through the healthcare system.
Each team includes:
Multilingual
Registered Nurses
Multilingual Medical Support Specialists
Physician Advisor
BEWELLSM
A customized wellness program offering your workforce interactive tools to promote improved health habits and increased engagement.
BeWellSM offers:
Certified Wellness Experts
Tailored Program Design
Communications to Suit Your Population
Best-In-Class Management Reporting
Integrated Biometric Screenings
Custom Wellness Portal & Mobile App
Innovative Healthy Me & More Coaching Program delivering online education using varied media sources, accountability, community support, and motivation to achieve goals
LIFESTYLE COACHING
A lifestyle coaching program for individuals who want to achieve a healthier lifestyle and prevent future health problems. Participants work with a Specialized Care Coach telephonically receiving one-on-one support, motivation and accountability to reach their health goals.
Lifestyle Coaching Programs include:
Back Pain
High Blood Pressure
High Cholesterol
Stress Management
Tobacco Cessation
Weight Management