care management
Comprehensive Care Coordination That Delivers Results
what we do
At Telligen, we believe effective care 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 care management expertise serves millions of lives across state Medicaid programs, commercial plans, and self-funded employers—helping members navigate complex healthcare journeys, achieve successful community transitions, and maintain stability through intensive, relationship-based support.
Our specialized solutions
We offer targeted expertise across the care continuum:
Complex Transitions & Community Living
- Institutional-to-Community Transitions: Supporting individuals transitioning from nursing facilities and specialized mental health rehabilitation facilities to independent community living
- Post-Transition Stabilization: 18-month intensive support model ensuring sustained community tenure
- Housing Navigation & Placement: Coordinating permanent supportive housing, landlord engagement, and move-in logistics
- Specialized Transition Services: Legal aid, employment supports, benefits navigation, and accessibility modifications
Behavioral Health Integration
- Inpatient Behavioral Health Review
- Care Coordination for Physical and Behavioral Health Comorbidities
- Trauma-Informed Care & Crisis Intervention
- Peer Support Services with Lived Experience Specialists
Complex Medical Management
- High-Risk/Complex Case Management
- Hepatitis, Hemophilia, HIV/AIDS Care Coordination
- Chronic Disease Management with Person-Centered Health Coaching
- Self-Management Support & Embedded Care Manager Model
Care Transitions
- Continuity of Care Services
- Discharge Planning
- Emergency Department Utilization Reduction
- Transitions of Care Coordination with 30-Day Engagement
Population-Specific Programs
- Delivery/Post-Partum Care
- Disabled Children Living at Home (DCLH)
- Long-Term Services and Supports (LTSS)
- Williams and Colbert Consent Decree Class Member Support
“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
Hub-and-Spoke Care Management Model
Our innovative model places the member at the center, with a dedicated Care Manager serving as the single point of contact. Specialized transition coordinators, community liaisons, peer specialists, and subject matter experts form a coordinated network—ensuring members receive comprehensive, individualized support without fragmentation.
High-Frequency, Person-Centered Engagement
- Weekly in-person visits during critical transition phases
- Motivational interviewing and trauma-informed care techniques
- Service plans developed in the member’s own words
- Flexible engagement strategies based on individual readiness for change
Advanced Technology Platform
- Qualitrac® Care Management System: Real-time documentation, dynamic dashboards, and automated alerts
- Telligen Connect® App: Secure messaging, appointment reminders, and 24/7 service plan access for members
- Enterprise Data Management: Seamless integration with state systems and health plans
- Healthcare Intelligence Dashboards: On-demand reporting and outcome tracking
Holistic, Conflict-Free Assessment
We address medical, physical, emotional, financial, psychosocial, and behavioral needs through comprehensive assessments that identify health disparities and social determinants of health barriers—ensuring services are person-centered, culturally responsive, and aligned with member goals.
state solutions
assessments
care management
quality & performance improvement
quality measurement & reporting
