Digital Healthcare Operations: Case management

Reduce administrative tasks so case managers can focus on providing care

In today’s healthcare environment, clinical and non-clinical teams can spend more than one-third of their time on administrative tasks as part of the case management process. This work often requires accessing multiple systems and an excessive amount of manual tasks. Applying additional non-clinical or clinical staffing, and digital technology solutions, such as AI and automated communications, reduces manual work so your case managers can focus on providing care to improve the health of targeted, high-risk patient populations.

Several parts of the case management process can benefit from digital technology:

Structure leads to digitization

Because case management is so structured, several parts of it are highly amenable to digitization. Case management begins with the identification of the population at the highest risk, perhaps because they have chronic conditions, a history of medication-adherence issues or other complicating factors. Machine learning-driven algorithms can help to identify these members, but AI can also integrate multiple data sources, including social determinants of health (SDOH) data, to find the members most likely to not only benefit from case management because of their risk levels but also engage.