CASE MANAGEMENT & COORDINATION OF CARE

FCMSA primarily serves the needs of the disabled and elderly to enhance the well-being and well-being of our community. We are a solutions-oriented team that focuses on providing patient-centered care planning and support services necessary for members to live independently as they age happily. We use proprietary technologies and lean management processes to provide optimal care while improving results and reducing costs. FCMSA protects this mission through a collaborative process of assessment, care planning, coordination and evaluation to meet the comprehensive long-term care needs of an individual and their family at all levels of care, regardless of location (Home or Facility). 

MANAGED LONG-TERM CARE 

Developing a trained staff along with the right process and system design ensures a sound operation. When it comes to member demands and needs, it takes an efficient and resourceful staff to deliver the solutions and results needed to meet federal / state regulations and program requirements. FCMSA staff have a decade long experience in providing care in a variety of settings. Our experience in case management and care coordination will ensure that staff are prepared and effective to fulfill their roles in the cycle of care.  

UTILIZATION MANAGEMENT 

Our utilization management process uses evidence-based criteria and guidelines to assess medical necessity and appropriateness of health care services. This ensures that services are delivered in the least restrictive and most cost-effective manner, while maintaining quality of care and program compliance. The use of inter-rater reliability standards enables our team to maintain consistency in its decision-making process, which in turn creates fair and balanced results for all members. 

Chronic Care Management (CCM) means having a continuous relationship with a dedicated health care professional who knows you and your history, gives you personal attention, and helps you make the best choices for your health. Your dedicated health professional will help you keep track of your medical history, medications, and all the doctors you see. You’ll receive a comprehensive care plan that outlines your treatment plan and goals. 

Remote Patient Monitoring (RPM) enhances a patient’s support system to target appropriate care and facilitate optimal health. It provides an engagement and empowerment tool that supports community patient care. As a comprehensive solution, RPM ensures all data and encounters are available to clinicians to provide history for evidence-based decision making, while collaborating with all entities along the care continuum.