When the client agrees to the Medical Care Management Program for a specific patient, the care manager will begin a thorough process of assessing the patient’s diagnosis, prognosis, care needs and procedural outcome desired. This detailed work requires contacting the physician and healthcare team as well as speaking with the patient and family to gather all information about the patient’s case. In assuring the most cost-effective treatment, the Medical Care Manager will also verify PPO network status.
After the assessment is completed, the SRS Medical Care Manager will develop a treatment plan that will include the desired care and most cost-effective outcomes and timeframe to successfully meet immediate, as well as short and long-term care needs for the patient.
Once the plan is established the client will receive a report with an evaluation summary that includes expected outcomes, treatment plan, and cost savings. The SRS Care Manager will maintain communication with the providers, the patient and the clients. The SRS Medical Care Manager will closely monitor the quality of care and services of each individual.