case Management module

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Configurable, Workflow-Driven Module

In collaboration with case managers, providers, and members we have developed our Qualitrac® Case Management module to support a comprehensive person-centered care coordination process by combining innovative technology and user-friendly design in a cloud hosted SaaS product that integrates easily into your population health enterprise systems environment.

Effectively manage the whole person with Qualitrac. Using our Member Hub, our Care Team portal, and our mobile app, the case manager, member, and member’s care team can effectively communicate and manage the member through their LTC, behavioral health, or medical needs. Qualitrac guides the case manager through the process while also giving them flexibility to configure and adapt to the unique needs of every member. Communication and information sharing is available with our accessible solution for the member’s care team including natural supports and community-based organizations.

Case Management Module Features

Configurable business rules FHIR-enabled batch and real-time data interfaces
Comprehensive, integrated member view Automated referral creation
Library of configurable assessments Person-centered plan development
Integrated service authorizations Scheduling and assessment tracking
On-demand dashboards and reporting Fully integrated risk stratification process
Member mobile app Online access for the member’s entire care team

Qualitrac’s population health data and risk stratification outputs enable us to support high- acuity clients through clinical health management activities and interventions that address social determinants of health, barriers to care or other triggers that prevent members from complying with/achieving treatment and care plan goals.

We also work with providers and stakeholders to identify health disparities within various populations to determine measure impacts, as well as proactively address social determinants of health.

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Qualitrac Modular Solutions

case management module

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utilization management module