Care Management Solutions That Improve Member Outcomes
Effective care management is at the heart of delivering better healthcare experiences. By coordinating services, engaging members, and connecting individuals with the resources they need, care management programs improve health outcomes while helping organizations reduce costs and meet quality goals.
TotalMed provides comprehensive Care Management Outsourcing solutions that help health plans expand capacity, improve member engagement, and deliver personalized support throughout the continuum of care—our professionals become a seamless extension of your team.
Comprehensive Care Management Services
TotalMed delivers flexible care management solutions designed around your organization’s specific needs.
Case Management
Support members with complex conditions through individualized care planning, coordination, discharge planning, and ongoing clinical support.
Chronic Care Management
Help members with multiple chronic conditions through proactive outreach, education, medication support, and engagement.
Care Coordination
Improve communication between providers, members, caregivers, and community resources for a connected experience.
Transitional Care Management
Reduce avoidable readmissions by supporting members during transitions between care settings.
Population Health Management
Identify at-risk populations, close care gaps, and support preventive care initiatives that improve quality measures.
Member Outreach & Engagement
Increase program participation through personalized outreach, health education, and wellness coaching.
Experienced Care Management Professionals
We recruit experienced healthcare professionals who understand the clinical, operational, and regulatory requirements of managed care organizations.
Registered Nurse Case Managers
Care Coordinators
Utilization Management Nurses
Licensed Clinical Social Workers
Behavioral Health Care Managers
Population Health Specialists
Health Coaches
Community Health Workers
Care Navigators
Member Engagement Specialists
Why Outsource Care Management?
01
Expand Care Management Capacity
Quickly scale your team without the time and expense of recruiting, onboarding, and training internal staff.
02
Improve Member Experience
Dedicated care managers build meaningful relationships and help members stay engaged in their care.
03
Support Better Health Outcomes
Proactive coordination reduces unnecessary ED visits, avoidable hospitalizations, and preventable readmissions.
04
Strengthen Quality Performance
Support HEDIS®, STAR Ratings, and value-based care through consistent member engagement.
05
Reduce Administrative Burden
Free internal clinical teams to focus on high-priority initiatives and direct patient care.
Built For Today's Health Plans
Our Care Management Outsourcing solutions support organizations across the healthcare industry, including:
Commercial Health Plans
Medicare Advantage Organizations
Managed Medicaid Plans
Accountable Care Organizations (ACOs)
Integrated Delivery Networks
Provider Groups
Third-Party Administrators (TPAs)
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Build Stronger Care Management Programs
Partner with TotalMed to gain access to experienced care management professionals, flexible outsourcing solutions, and a trusted workforce partner dedicated to improving healthcare outcomes.