Freedom251 › Patient Case Management
Conduent Care Management
Facts from Conduent Care Management's own pages
- 24/7 Nurseline
- A 24/7 Nurseline gives members toll-free access to registered nurses using evidence-based guidelines and includes rapid triage screening. · downloads.conduent.com, 14 Nov 2026
- Case management
- Case management identifies high-risk, high-cost members and uses collaborative care planning with the member, family, and healthcare team. · downloads.conduent.com, 14 Nov 2026
- Claims integration
- The Health Navigator suite integrates pharmacy and medical claims with eligibility data for reporting, benchmarking, and modeling. · downloads.conduent.com, 14 Nov 2026
- Clinical staff
- Care managers are licensed clinicians and engagement specialists, and teams may include pharmacy technicians and provider specialists. · downloads.conduent.com, 14 Nov 2026
- Company security
- Conduent’s 2023 responsibility report lists HIPAA compliance and says 92% of environments with personal health information completed annual HIPAA risk assessments. · downloads.conduent.com, 14 Nov 2026
- Compliance recognition
- Conduent lists Care Management qualifications that include recognition as a Quality Improvement Organization-like entity by CMS. · downloads.conduent.com, 14 Nov 2026
- Integrated services
- The program combines utilization management, case management, disease management, and advocacy in a member-centered model. · downloads.conduent.com, 14 Nov 2026
- Member identification
- An integrated care management system identifies members through utilization review, readmission risk assessments, and predictive modeling. · downloads.conduent.com, 14 Nov 2026
- Member reach
- The team supports members through their health journey and finds alternative contact information for 89% of targeted members. · conduent.com, 14 Nov 2026
- Outreach channels
- Engagement with a member may use text messages, telephone, email, and in-person coaching groups. · downloads.conduent.com, 14 Nov 2026
- Program limit
- A member leaves case management when they can self-manage, meet health goals, choose to leave, or no longer meet the health plan’s eligibility criteria. · downloads.conduent.com, 14 Nov 2026
- Utilization management
- Utilization management reviews medical necessity against nationally recognized benchmarks and guidelines and steers members to in-plan, cost-effective care. · downloads.conduent.com, 14 Nov 2026
- Web tools
- Web-based tools complement the services and help identify and support population health so members can manage their own care. · downloads.conduent.com, 14 Nov 2026
- What it does
- Conduent Care Management engages health-plan members, closes care gaps, and reduces avoidable medical spend through personalized outreach and care coordination. · conduent.com, 14 Nov 2026
- Who it is for
- The care management team works with health plans on member touchpoints, outreach, and coordination of complex cases. · conduent.com, 14 Nov 2026
Where Conduent Care Management stands on Freedom251
- Patient Case Management#11 of 17