Services For Success

SMM Comprehensive Care Management Services

SMM provides small and large Health Plans with complete care management solutions, or specific services to achieve their clinical, quality and financial goals. SMM has an experienced and well-trained team of case managers with experience in Health Plan, Community, Behavioral, and Provider Care Management.

Our case managers are adept in addressing the Clinical Needs, Social Determinants of Health (SDoH), Behavioral Management and Social Well-Being needs.

SMM Services:

Face-To-Face Case Management Services:

Health Risk Assessments, Health Screening and Wellness Assessments
Transitions of Care Management (Community & Embedded)
High-Risk and High-Cost Intensive Case Management
Complex Case Management
Long-Term Services and Supports Waivers and Personal Care Service Assessments
Hospital and Facility Embedded Case Management
Skilled Nursing Facility and Custodial Case Management
Physician Office Embedded Case Management
Health Condition Category for Risk Adjustment Optimization
Community Outreach Workers
Health Coaches

Telephone Based Services:

Health Risk and Wellness Assessments
Transitions Management (RN Acute & SNF)
Complex Case Management

Case Management Staffing:

Field Case Managers (RN and LMSW Caseload)
Telephonic Coordination (RN and LMSW)
Utilization Management (RN Pre-Cert, Concurrent & Retrospective Review)
Community Health Coaches (Certified)
Community Health Workers (Field Outreach)
Long-Term Services & Supports (RN & LMSW, Waiver, PCS, Home Mod)

Case Management Training:

Basic Case Management for Nurses, Social Workers and Physicians
Advanced Case Management for Nurses, Social Workers and Physicians
Specialty Case Management Program Training
Compliance and Quality Training
SNF Case Management Training
Quality Improvement Training With CPHQ Prep
Certified Case Manager Exam Training
LTSS Training
PCS Training