Our Case Management Services

  • Self-insured insurance companies, managed care/PPO’s and Third Party Administrators (TPA), and private patients
  • Worker’s Compensation
  • Nurse Causality Reviews
  • Pharmacy Consistency Reviews
  • Chart reviews
  • Legal medical file reviews
Healthcare Case Management
injury claim management

Case Management Services (cont.)

  • MG1, MG2, and C4 authorization requests (NY State)
  • Expertise in Worker’s Compensation and Utilization Review in multiple states, nationwide.
  • No Fault/Liability For Motor Vehicle Accidents
  • Discharge Planning Assistance
  • Additional services available, upon consultation
  • Risk Management

Health Navigation Services

  • Research Clinical Trial opportunities
  • Appointment tracking and record retrieval
  • Assisting patients to locate quality doctors and facilities
  • Assistance setting up on-line accounts (ie. MyChart)
  • Arrange for second opinions

Our Mission

At SJ Healthcare Consulting, PLLC, our nurses have the client as the primary focus. Our goal is to deliver quality, and timely case management services by focusing on cost containment and utilizing best practice and years of nursing experience in various healthcare settings in the healthcare industry.

Our nurses focus on integrity and excellence in all aspects of file handling.

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