 Care Manager Module
The Care Manager Module is designed for those organizations that coordinate or manage care for their customers. It adds key functionality such as Care Plans and Service Purchase Orders. The Care Manager completely automates the process of generating the paperwork associated with adding or modifying services on a customer Care Plan including generation of Service Purchase Orders for Providers.
Care Manager Module features include:
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Ability to
create unique Care Plans per customer capturing key information
from various GO! HealthSuite© Modules including System, and Customer
Modules
ü
Ability for
instant access to Care Plans by Client, by Case Managers, by
Discharged client, by Social Security #
ü
Automated
Care Plan with budget calculations based on actual Provider,
Service and Insurance plan
ü
Instant
access to Care Plan information and Case Manager Case Loads
ü
Drill down
and audit trail capabilities
ü
Automated
scheduling of Care Plan re-assessment based on user defined
criteria
ü
Automated
tracking of customers’ unmet needs
ü
Automated
ability to transfer Case Loads between Case Managers
ü
Ability to
capture case Narratives online for electronic storage
ü
Ability to
capture and track issues requiring additional follow up online
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Ability to
view status of services by Client
ü
Ability to
Close and/or Suspend individual services and enter reason codes
and effective dates
ü
Ability to
automatically trigger creation of updated SPO based on changes
in Services
ü
Ability to
view Services by Client by Status
ü
Ability
Automated SPO creation based on Care Plan information
ü
Automated
delivery and tracking of SPO's to providers
ü
Automated
creation of SPO notifications to providers for Closing of
Service, Discharge, Suspension, revision in frequency and/or
Insurance Plan
ü
Automated
interface between SPO's and Claim Adjudication Module for
monitoring of Provider utilization
ü
Ability to
generate projected spending information based on active SPO's
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