Care Coordination

Care Coordination, as delivered by our team at ICM, refers to a process that assures that our members find the right facility for their care, experience safe discharges, and enjoy proactive collaboration with medical resources. This fierce advocacy benefits the member and the plan (both clinically and financially). Unlike many large insurance companies, ICM focuses only on the members and Plans, not on contract kickbacks with providers or investors, which allows us to deliver a focused and customized solution. We conduct a tailored approach, much like our plans themselves.

Your Trusted Patient Care Coordinator

At ICM, our nursing staff monitor the care patients receive in hospitals and work with the hospital to ensure a safe and effective discharge process. We may facilitate transfer to an appropriate level of care such as a skilled nursing facility or their home when the time is right. Our care coordination team supports obtaining additional medically necessary equipment, such as hospital beds, wheelchairs, or home oxygen. The care coordination can also coordinate and support other medically necessary services, including a home nurse or therapist.

Anybody with a complex medical condition that is covered under a health plan that contracts with ICM is suitable for care coordination support. We review each hospitalization through preauthorization and, if it will be of assistance, implement care coordination.

Once discharged from the hospital, ICM nurses may contact the patient or their caregivers to assist with education and support during recovery. Patients and their families are sometimes not well versed in advocating for additional services and understanding the benefits available. With a care coordination plan in place, an advocate guides you through the disjointed and often confusing healthcare system. This allows you the time and space to focus on healing.

The Benefits of Having ICM as Your Health Care Coordinator

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For Patients

  • Assistance in discharge planning, with a special focus on coordinating other providers to ensure a holistic approach to recovery.
  • Clinical oversight of your discharge plan so you can utilize your available benefits to their full extent.
  • Choice of preferred or contracted providers.
  • Reduced likelihood of hospital readmission.
  • Recovery in the comfort of your own home if that is clinically appropriate for your situation.
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For Clients

  • Early notification of potentially high-cost patients so that you can budget accordingly.
  • Better understanding of the potential expenses of the plan.
  • Additional focus and support for the relatively small percentage of health care members/patients who spend the majority of the healthcare dollar.
  • Trained, compassionate nurses are available to assist your health care members and their families in the face of a challenging medical condition.
  • Patient steerage to network and contracted providers.
  • Close working relationships with stop-loss carriers for the management of high-cost cases.

Your Questions Answered

Care coordination is an umbrella term used to describe a patient’s care when and after leaving the hospital. It aids patient recovery by utilizing nurses to monitor their care, ensuring a safe and effective discharge from the hospital.

Why Choose Innovative Care Management?

At ICM, we do healthcare differently. Our top priority has always been to give our patients and clients the best quality care at an affordable price because we believe every single member we work with deserves nothing less. Our compassionate care and non-adversarial approach are why we retain more than 97% of our client base every year.

With failed discharges being costly to treat in addition to being disruptive to a patient’s recovery, ICM aims to reduce the likelihood of these events. Solid discharge plans prevent failed discharges and reduce hospital readmissions. ICM is dedicated to achieving the best for all of our patients and clients.

If you’re looking for medical management services for your health plan, you want to know you can trust your provider. ICM has been a reliable and independent organization for over 30 years now, doing our best to sincerely help each and every client.  To find out how we can be of service to you, reach out today to speak with an ICM team member.

Learn More About Care Coordination

We work with clients and patients across all 50 states, and our focus is on delivering a premium service with a compassionate approach. 

Call us today to learn more about our health care coordinator services.

Learn More About Care Coordination

We work with clients and patients across all 50 states, and our focus is on delivering a premium service with a compassionate approach. 

Call us today to learn more about our health care coordinator services.