care management
Comprehensive Care Coordination That Delivers Results
what we do
At Telligen, we believe effective case management is a collaborative journey. Our person-centered approach engages members and stakeholders in a comprehensive process of assessment, planning, facilitation, care coordination, evaluation, and advocacy—delivering improved health outcomes while optimizing cost efficiency.
Our case management expertise serves millions of lives across state Medicaid programs, commercial plans, and self-funded employers—helping members navigate complex healthcare journeys while optimizing resource utilization.
Our specialized solutions
We offer targeted expertise across the care continuum:
Complex Medical Management: High-Risk/Complex Case Management, Hepatitis, Hemophilia, HIV/AIDS Care Coordination
Behavioral Health Integration: Inpatient Behavioral Health Review, Care Coordination for Physical and Behavioral Health Comorbidities
Population-Specific Programs: Delivery/Post-Partum Care, Disabled Children Living at Home (DCLH), Long-Term Services and Supports (LTSS)
Care Transitions: Continuity of Care Services, Discharge Planning, Emergency Department Utilization Reduction
Chronic Disease Management: Person-Centered Health Coaching for Chronic Conditions, Self-Management Support, Embedded Care Manager Model
“My health coach always listens to my questions and concerns and offers me helpful answers and ways to address them. She gives me great information on the phone and by mail. It feels nice when she calls to see how I’m doing on the health plan we made – it drives me to want to do the best I can.”
Contact a State Medicaid Solutions Expert Today!
The telligen difference
Personalized Approach: Dedicated case managers build trust through motivational interviewing techniques.
Integrated Technology: Our Telligen Connect app and Qualitrac® system enhance engagement and coordination.
Holistic Assessment: We address medical, physical, emotional, financial, psychosocial, and behavioral needs.
Proactive Intervention: We identify health disparities and address social determinants of health barriers.
Evidence-Based Reviews: Our oncology program incorporates NCCN guidelines review for treatment plans.
state solutions
assessments
care management
quality & performance improvement
quality measurement & reporting
