Experts who have been there. Advice you can rely on. Strategies that work.
We are committed to helping our clients and the members they serve navigate the ever-changing healthcare landscape through specialty services that control costs without compromising patient care.
Clinical Desk Review
Communitas provides RN clinical reviews that assist with risk management services related to the stop loss review process
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Determining Responsibility
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Core Medical Management
We work closely with our clients to pinpoint how successful healthcare management will be defined and aggressively work toward achieving agreed upon results.
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ONSITE FOR INSIGHT
What differentiates us from traditional care management services is our ability to provide immediate onsite assistance when an insured member encounters a catastrophic injury or illness. Navigating the healthcare system and coordinating the multiple aspects of care and payment requires a personal, comprehensive approach that supports everyone involved. On each case, we leverage experienced medical directors for expert consultation, who team with our on-site nurse Certified Case Managers to review the care plan to ensure that the patient is receiving the most effective care that their condition requires in order to achieve the optimal outcome for the member and the plan. We help coordinate communication between providers, mitigate the risk of complications and orient all efforts toward achieving the maximum possible recovery outcome for the patient.
RESPONSE TO COVID-19
Communitas is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. We are continuing to operate under normal business hours and are here to assist. Please refer to the CDC for the most current updates on the coronavirus status, and we will continue to share updates as situations evolve and change.
"If it weren’t for my case manager assisting me on a regular basis during several coinciding medical issues, I’m truly not sure I could have handled the stress of the whole situation. I can almost say I may have given up completely if not for her. She was truly a hard-working angel in my eyes – someone who came in my deepest time of need."
"Being a nurse with 25 years of experience, I never knew what it felt like to be “home” at a profession until now. Prior to employment, I researched the company and knew I wanted to be part of their journey. The company’s roots are firmly grounded in a culture of passionate people, and this truly makes all the difference in the world. The support from my clinical director, case management supervisor, and our team of case managers is unending."
"My case manager went over and above to resolve my claim issue. She diligently stayed on the claim until it was finalized. In the 58 years I’ve had insurance, I have never experienced anyone helping me to the extent that she did. She was 100% committed to truly helping!"
"Case Management played an extraordinary role for me during the time both before and after my surgery. During the weeks after my diagnosis, I was unable to get any information on the scheduling of my surgery. My doctor’s office was extremely hard to get in touch with and did not return any of my calls. My case manager stepped in, worked with my doctor’s office, and got my surgery scheduled which took all the stress off me."