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Pathway Review Systems, Inc.

Case Management

Case ManagementCertified Case Managers provide intense management for members with high complex cases. Our team assists members through complicated medical situations, providing ongoing assessment, advocacy, and education. Case management offers a high degree of coordination and care planning using assessment planning, implementation, monitoring and evaluation. Savings for members and for the plan result from close, individualized follow-up, alternative care recommendations and negotiations with providers as appropriate. Members benefit from a low case manager to patient ratio which ensures calls are answered promptly with a high degree of personalized interaction.