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Hospital Case Management Managed Service

Our service blends people, process and technology to deliver unparalleled value across key case management functions.

Enable case management excellence

Optum® Hospital Case Management Managed Service is a data- and technology-driven, shared-risk, managed service partnership. It enables case management (CM) excellence through:

  • Centralized processes and operations
  • Optimized best practices and workflow
  • Integrated CM workflow orchestration technology

Results over the 10-year partnership include:

  • Financial performance benefits
  • Enhanced staffing support
  • Extensive investments in innovation
  • Best-in-class CM operations

Key benefits

Optum is one of the only hospital case management services in the market today to offer a holistic delivery model.

High-performing team

We apply best-in-class processes and technology to streamline case management delivery and support continued CM education and advancement.

Enhanced patient experience

Partnering with us will allow you to enable upstream discharge planning, focus on patient care, reduce excess days, and streamline patient progression.

Improved financial performance

You can improve financial results by reducing costs and strengthening revenue integrity and compliance.

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Product information and resources

  • PDF

     

    Fact sheet

    A shared-risk, managed service partnership

    Along with optimized case management model delivery, our solution leverages reporting and analytics to monitor efficiency, overall effectiveness, opportunities for improvement and sustainability.

    Download fact sheet

Complementary solutions

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Reduce the burden of managing ancillary benefits programs separately across the care continuum. Our solutions leverage an affordability framework to close gaps for better care with lower costs.

Hospital Case Management Optimization

We offer real-time data and analytics, applied innovation, and expert guidance and investment in case management to optimize performance.

Information Technology (IT) Performance

Transform information technology, security, operations and economics to improve outcomes and enhance provider and patient experiences.

Patient Help Line

Optum experts address patients’ immediate symptom concerns and clinical questions, day or night, 365 days a year.

Practice Extend for Providers

An interdisciplinary team helps your practice advance patients' well-being, at no cost to you or your patients.

Learn how we can help transform your case management function