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What We Do - Care Solutions - Allied Care - Case Management - Hero Image

Helping Members Manage Complex Care with
Confidence

Our URAC-accredited Case Management program helps members navigate the complex healthcare system with clinical expertise, while significantly reducing costs to clients.

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Where Clinical Expertise Meets
Compassionate Support

Triggered by Utilization Management or other referral sources, Case Managers, who are registered nurses and licensed social workers, guide members through complex health journeys to ensure they receive the right care at the right time, in the right setting, and at the right cost.

What Our Case
Managers Do:

  • Collaborate with providers to deliver high-quality, cost effective care.
  • Conduct telephonic assessments to determine member needs and available resources.
  • Review treatment plans for medical necessity and standards of care.
  • Help members and families understand their treatment journey and benefits.
  • Work closely with stop-loss carriers to manage high-cost, complex cases.

Program Highlights

  • Comprehensive approach to patient-focused support and life management.
  • Dedicated Case Managers offering a complete support network for members and families.
  • Clinical expertise supported by Allied Care's board-certified medical director and panel of practicing physician specialists.
  • Early identification of high-risk cases to prevent rehospitalization and reduce costs.
  • Group- and member-specific reporting to measure program impact.

Speciality Services

  • Oncology Plus
  • Behavioral Health
  • High-Risk Maternity
  • Neonatal/Pediatric
  • Transplant
  • Medical Evacuation
  • Rehabilitation
Outcome:

Better health outcomes, lower costs, and a positive member experience.

Guided Care

Average Case Management ROI:

2.6 : 1

Case Engagement Rate:

95.9%

(of contacted)

Average Oncology + ROI

1.5 : 1

2025 Total Management Savings

$28M

Guided Care That Makes a Measurable Difference

See how Allied Care’s Case Management program reduces plan exposure while improving member health.

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