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This medical management solution combines software and clinical sevices to reduce administration costs and improve medical outcomes.
CareSERV, a Cognizant BusinessCloud, provides an integrated, turnkey solution enabling multi-disciplinary teams to collaborate efficiently and effectively in the execution of Medical Management activities. Combining a market-leading technology platform and a highly trained clinical workforce, CareSERV improves financial and medical outcomes, network engagement, member retention, as well as clinical talent utilization.
CareSERV is built on a fully integrated, knowledge-based platform available as a service on the cloud. The solution provides enterprise-grade performance and support spanning the full spectrum of Care Management (case and program enrollment, assessment and referral management, and care planning) and Utilization Management (total health management; prior authorization; prospective, concurrent and retrospective reviews; discharge planning; documentation and letter generation; appeals and grievances; evidence-based clinical criteria and medication therapy management).
CareWorks clinical facilities are URAC accredited and staffed by over 400 licensed US registered nurses. Utilizing established best-practice workflows, this highly-trained U.S. certified medical staff works with patients and clinicians to significantly enhance payor productivity, improve medical outcomes, and reduce member and employee turnover.
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