Case management is also utilized when the health status and outcomes could be improved through more intensive monitoring and care coordination. Quality Management activities provide a formal structure for the development, approval, implementation and modification of organizational processes necessary to continuously evaluate and improve the quality of care and services being provided to members. This QM program also provides for the verification of credentials of physicians, facilities, ancillary providers and other community-based agencies requesting to participate in a health plan. Customer Service and Satisfaction is the core of business enterprise activities. Our various customers must see value in services delivered in order for the system to achieve desired levels of success.
Customer satisfaction drives enrollment, retention and contract renewals.
Click here for more information on any of these subjects for the Business Operations Key Personnel Roster.