Utilization Management
Utilization Management
AllMed Healthcare Management is a utilization management and independent review organization providing comprehensive nurse and physician review solutions to payers and plan designated organizations nationwide. Their clients include leading health plans, managed care organizations, coordinated care organizations, third party administrators (TPAs) and pharmacy benefit managers (PBMs). Their services are deployed through PeerPoint, AllMed's state-of-the-art proprietary medical review portal. AllMed seek physician reviewers to join their network.
See also: IMEDECS
CareCentrix is a leader in managing care to the home. They connect patients with the care they need at home, through a national network of over 8,000 credentialed provider locations, with customer care centers located across the United States. CareCentrix provides optimal access to quality home care for more than 19 million lives by connecting providers with patients and helping them navigate the complex home care system.
CareCentrix’s extensive range of services provides support and coordination for patients and their families in every step of the healing process, including home health, durable medical equipment (DME), home infusion, sleep management and care management services, which ultimately improve care transitions and reduce unnecessary readmissions and emergency room visits.
"CareCentrix empowers health at home through whole-person care coordination and value-based benefit management. Our home-centered approach starts with the members we support, leveraging data and insights to deliver the right care at the right time from hospital to home."
See also: Carewell
Clarify Health Solutions provides the breakthrough technology and analytics platform to personalize and optimize patient care journeys. Our purpose-built solutions - developed by a world-class team of data scientists and engineers from the financial services industry, top clinical operations experts, and logistics specialists - are transforming healthcare processes and workflows. Clarify delivers actionable insights that enable physicians, health systems, payers, and life sciences organizations to deliver better care today and evolve for a value-based world.
HMS® advances healthcare by helping organizations reduce costs and improve health outcomes. Through our industry-leading technology and analytics, we save billions of healthcare dollars annually while helping consumers lead healthier lives. HMS provides a broad range of payment accuracy solutions that help move the healthcare system forward.
Olive is the automation company creating the Internet of Healthcare. Addressing healthcare's most burdensome issues with intelligent automation, Olive shines a bright light that drives connections between siloed technology. It increases revenue, reduces costs and improves efficiency for hospitals, health systems and payers, so everyone can benefit from a healthier industry tomorrow. Remote positions are location-specific.
HELIOS® by VirtualHealth is the first comprehensive care management platform purpose-built to power the entire ecosystem of care. Utilized by some of the most innovative health plans in the country to manage millions of members, HELIOS® streamlines value-based and person-centered care with intelligent case, disease, and utilization management workflows, standard and custom data integrations, broad-spectrum collaboration, patient engagement, real-time telehealth, and configurable analytics and reporting.
