Qualis Health has offered comprehensive care management services since 1974. Our portfolio of public and private sector customers includes Medicare, Medicaid, self-funded health plans, and workers’ compensation programs. The Qualis Health suite of services provides our customers with dynamic tools for reviewing and managing healthcare services. We help patients with catastrophic/chronic diseases and injuries across the continuum of their healthcare needs.

Recognized by URAC for meeting or exceeding national standards for health utilization management, case management, and independent review, Qualis Health takes pride in the professionalism and clinical expertise of our care management team. Our team includes highly qualified and dedicated clinical professionals—medical directors, clinical reviewers, and case managers—with diverse areas of expertise who can manage any care need from one single episode, such as an outpatient review, to a complex patient who has diverse needs. Whether collaborating with the patient, physician, family, or payor, Qualis Health works to provide a personalized care plan that helps each patient obtain the services and support necessary for their healthcare needs.