Care Management

Align clinical and financial outcomes

We can help your organization lead a successful integration between clinical care continuum drivers and financial operations to deliver quality care and maximize net revenue.

Utilization management (UM)

  • Medical necessity and denial reviews
  • Staffing structure
  • Medicare conditions of participation compliance

Case management

  • Transition planning
  • Complex case reviews and escalation process
  • Effective workflow design and implementation

Population health

  • Provider alignment and collaboration
  • At-risk population
  • Patient engagement and satisfaction

Reporting solutions

  • UM committee KPIs and metrics trending to support ongoing performance
  • Denials and write-offs
  • Quality assurance and productivity

LET'S TALK

Success stories

Multi-hospital system

  • $28M annual net revenue benefit
  • Significant process changes to improve productivity and communication across previously decentralized Care Management departments

Regional hospital system

  • $13M annual net revenue benefit
  • Designed and implemented new best practices for utilization management, including clinical denials, UM committee standards, and productivity

The Nordic difference

EHR expertise

We’ll partner with you to apply our deep knowledge of EHR builds and design better workflows for your staff.

Operational experience

Our team of consultants averages over 10 years of experience helping optimize medical group and hospital operations.

 

Big-picture strategy

We have a strong track record of helping organizations break down complex and system-wide problems to establish a mission-driven strategy and vision for patient access to care.

Detailed execution

We help implement our strategies with in-person, elbow-to-elbow support, accelerating time frames to maximize your investments in technology and people.

Flexible methodology

No matter the size of your organization, our methodology is adapted to fit the specific problems you need to address.

235 Consultants with Epic Revenue Cycle module experience

$10s of millions Additional net revenue delivered to health systems across the U.S.

130 Consultants with operational (finance or clinical) backgrounds

Nordic assisted us with many process and policy improvements that enhanced our staff training, education, and daily work. We saw areas of opportunity and improvements with the trending and reporting solutions that were created. Our work with Nordic has allowed us to focus on and improve upon the quality of work we do in utilization management.

UTILIZATION MANAGEMENT DIRECTOR, Regional Hospital System

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