Care Management

When healthcare is oriented around the unique needs of the patient, it can lead to higher patient satisfaction and better clinical outcomes. Qualis Health takes a patient-centered approach that honors each individual’s culture, social context and values—and empowers patients to play an active role in making decisions about their own care.

Qualis Health was honored with two Case In Point magazine Platinum Awards in the categories of "Medicaid Case Management Program" and "Utilization Management Program" in 2010.

Case Management

Our case managers guide injured and ill patients as they navigate through a complex healthcare system to obtain high quality, patient-centered, cost-effective care. Care coordination is a systematic approach that includes careful assessment of an ill or injured person's unique healthcare needs, individualized care planning, removal of barriers to the receipt of appropriate medical and social services and continuous monitoring to assure the best possible outcomes.

Utilization Management

We assist our clients to be responsible stewards of healthcare resources by avoiding overuse, misuse and underuse of health services. Our utilization management best practices assure that patients receive the right care, in the right setting, at the right time.

Qualis Health provides web-based utilization reviews and targeted review programs based on extensive data analysis. We focus on patient safety and cost containment, leveraging our deep experience and knowledge of evidence-based protocols to deliver appropriate and optimized care.