Medical Management and Health Coaching
Holistic coaching model engaging patient and physician, addressing behavior change, access to care and shared decision-making with local, embedded personal health nurses.
Medical Management
- Pre-certification
- Embedded personal health managers (RNs)
- Pre-certification
- Utilization management
- Large case management
- Chronic condition management
- Absence management
- Embedded personal health managers (RNs) to supplement physician office practice to manage high risk patients to manage or prevent chronic conditions
- Outreach and engagement with physician offices
- Coordinating with the PCP, outreach and engagement of member
- Familiarity with local, hospital based services and domestic/network tiers
- Manage return to work and Rx selection/cost
- Telephonic well coaching for moderate health risk management

