Case Management

Improves quality and reduces costs through timely discharge planning, alternative treatment options and negotiated rate reductions

American Health's URAC-accredited Case Management services are designed to improve the quality of patient care while maximizing cost savings. We provide individuals a better understanding of specialized care needs, access to centers of excellence and specialty care facilities, education on alternatives to costly inpatient care, and direction toward in-network discounts. We work with members to educate and help them make choices that contribute to a healthier lifestyle, thus reducing the incidence of complications and future medical costs.

Our integrated programs provide triggers that automatically refer cases that may benefit from Case Management intervention, helping to facilitate early identification, prevent rehospitalization, and significantly reduce costs.

Solutions and Support

Case Managers are licensed registered nurses who function as advocates, facilitators, and educators, assuring that members make smooth transitions from inpatient settings to alternate care and home care when appropriate. Other benefits and services include:

  • Preparation and planning through health management
  • Effective communication
  • Follow-up and reporting
  • Treatment or care facilitation
  • Identification of support groups and systems
  • Minimization of future complications through health management
  • Specialty Case Management services for Neonates, Oncology, and Transplants
  • Comprehensive approach to patient-focused support and life management to improve the quality of patient care while maximizing cost savings
  • Dedicated Case Managers to interact with patients and family, offering a complete support network
  • Access to a Case Manager, American Health's board certified Medical Director, and a panel of board certified practicing physician specialists
  • Reporting capabilities including accurate projections on costs for future needs and statements of prognosis


To learn more about American Health's Case Management Program, please contact us by phone at 866.614.4244 or by Email at .