Prime Case Management Information

Prime Case Management is an innovative case management organization that assesses, plans, evaluates and facilitates care. We collaborate with health plans and other payer sources by providing case management and care coordination for improved health outcomes and quality of life. Our member centric infrastructure simplifies access to services. We promote independence and wellness, utilizing lower-cost community resources and avoiding facility based services. Case management serves as a means for achieving client wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation. At Prime Case Management we look at each segment of case management. The initial phase of our program begins with an in-depth assessment followed by an individualized care plan that addresses any gaps in care. Our assessments examine the member's health status: physical, psycho-social, environmental, and behavioral. Gaps in care are identified and specific recommendations are discussed in order to achieve patient wellness. Our clinicians assist members in adopting and embracing necessary changes to improve their health. We also ensure that members stay on track and make progress. Prime Case managements unique methodology and experience increases revenue, reduces costs and improves member satisfaction. Specialization and integration with Health Plan benefits, Medicare benefits, Medicaid benefits, and Home and Community Based Services is required for effective member centered case management. Our suite of services is designed to integrate with your operations and bring forth a customizable solution to your populations needs. We ensure strict compliance with HEDIS, NCQA and CMS standards and regulations. Ongoing analysis and reporting to measure program success and results is provided in all cases.