We Build Solutions to Enhance Medical Care Coordination for Your Members or Patients

People. Process. Technology.

Achieve Clinical Services specializes in executing innovative solutions that optimize medical care coordination for your members or patients. With a deep understanding of the constantly evolving healthcare landscape, we utilize people, processes, and technology to improve patient outcomes, reduce costs, and strengthen overall healthcare delivery.

 

Our "Center of Excellence Programs" effectively manage chronic conditions and address short and long-term goals using adopted standards of practice to ensure the highest quality of care possible.  Our team works closely with clients to develop customized care plans grounded in evidence-based practices, optimizing health outcomes, and improving the overall quality of life for members and patients.

Clinical Services Offered

Case Management

Junior Case Management

24/7 Nurse Triage Line

Utilization Management

Condition Monitoring (e.g. Diabetes)

Health Coaching

Transitional Care (Post Discharge)

Medication Therapy Management

 

Administrative Services Offered

Customer Services

After Hours Calls

Medical Records Processing and Management

Claims Processing

ESRD Transportation and Census Review

Provider Relations

Credentialing

Multilingual Services

 

Clients We Serve

Physician Groups

Skilled Nursing Facilities

Hospital Systems

Managed Services Organizations

Independent Provider Associations

Third-Party Administrators

Health Plans