FEATURES & BENEFITS
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).
Highly-trained Clinical Workforce
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.