Definiti provides Utilization Review, Medical Case Management, Complex Nurse Review and a utilizes a state of the art Care Management Technology to Self-Insured organizations (both private and public entities), Commercial Insurance Carriers and Third Party Administrators. We bring valuable solutions to help our clients navigate and comply with the medical reforms in California SB899 and Texas House Bill 7, in addition to being able to achieve an average net reduction of 40-50% off of requested medical services.
Care Management at Definiti starts with our Nurse Case Managers; highly credentialed and experienced nurse case managers with extensive experience in managing the complexities and nuances Workers’ Compensation cases. All of our Medical Case Managers hold RN Licensure and focus on assessing and coordinating medical treatment and return to work as timely and safely as possible.
Each nurse assigned to our clients has extensive experience in aggressively managing injured workers and dealing with occupational injuries. Definiti follows URAC Case management standards as well as CMSA Standards of Practice. Our professional staff is bound by the standards and ethics of the certifications they hold, as measured and reflected in our quality assurance programs.
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