“Your Path to Better Health Starts Here.”
“Pathwise Case Management, LLC partners with health plans to improve outcomes, reduce hospital stays, and guide patients toward better health—one call at a time.”
“Our nurse-led team provides telephonic case management, transition of care support, chronic disease education, and health coaching designed to reduce costs and improve member satisfaction. We bridge the gap between patients, families, and health plans to create meaningful, measurable results.”
Why Us?
Nurse-Led Expertise
Our team is led by seasoned registered nurses with clinical insight and case management experience.
Commitment to Quality
We follow best-practice standards and partner with health plans to ensure continuity and compliance.
Tailored Care Plans
Every client receives individualized support that addresses their unique needs and health goals.
Compassion You Can Trust
We treat every client like family, providing guidance that goes beyond charts and data.
Boosting Health Outcomes
25%+
Reduction in hospital readmissions among engaged members
15,000+
Telephonic care coordination calls completed annually
95%
Member satisfaction rate reported after case management follow-up
10+ Years
Combined nurse case management and care coordination experience
Populations & Partners We Serve
Health Plans & Managed Care Organizations
Hospitals & Provider Networks
Members & Families
We partner with Medicaid, Medicare Advantage, and Commercial Health Plans to provide nurse-led telephonic case management that improves quality, reduces readmissions, and enhances member satisfaction.
🩺 Supporting HEDIS, STAR, and CMS quality initiatives through measurable outcomes.
Our care coordination team bridges communication between hospitals, post-acute facilities, and community resources to ensure smooth transitions of care.
📞 Reducing avoidable readmissions and closing care gaps after discharge.
We empower members and their loved ones to take control of their health through personalized education, follow-up calls, and coaching.
💙 Helping patients understand their care plans and live healthier, more confident lives.
The process:
How to get started
“Reducing readmissions, improving quality, and driving results starts with a call.”
01
Step 1. Connect & Collaborate
Schedule a consultation with our leadership team to discuss your health plan’s priorities, population health goals, and pain points—such as high readmissions, unmanaged chronic conditions, or gaps in care.
02
Step 2. Develop a Tailored Partnership Plan
We customize a service integration plan to match your health plan’s size, structure, and member demographics.
03
Step 3. Execute Implementation & Member Engagement
Once contracts and data sharing agreements are complete, Pathwise begins coordinated outreach and telephonic case management.
04
Step 4. Continuous Reporting & Outcomes Tracking
We provide monthly and quarterly reports highlighting results and measurable impact
05
Step 5. Scale & Sustain
As outcomes are achieved, Pathwise supports expansion to additional regions, service lines, or member populations.
Success Stories
🌟 Success Stories: Real Results, Real Impact
At Pathwise Case Management, LLC, every story begins with compassion and ends with measurable success.
Our nurse-led team delivers personalized, telephonic case management that helps members overcome barriers, regain independence, and achieve healthier outcomes—while helping our health plan partners meet quality and cost-saving goals.
“Partnering with Pathwise Case Management has been a game-changer for our plan. Their nurse team quickly engaged our high-risk members after discharge and helped reduce readmissions by nearly 25% within the first six months. The consistent communication, clear documentation, and measurable outcomes made them one of our most trusted care coordination partners.”
— Director of Population Health, Regional Medicaid Health Plan
Jennifer Cohen
“Before Pathwise called me, I was in and out of the ER every few weeks with my COPD. My nurse helped me understand my medications, set up reminders, and even taught me breathing techniques. It’s been six months since my last ER visit, and I finally feel like I have control of my health.”
— GW, Pathwise Member
Gloria W.
“We referred several post-discharge members to Pathwise for follow-up calls and case management support. Their nurses reached out within 24 hours, confirmed medication understanding, and scheduled follow-up visits with providers. Our readmission rates dropped, and our members consistently report feeling cared for and supported.”
— Clinical Quality Manager, Medicare Advantage Plan
Michael Soveign
Get Started
Ready to Get Started?
Let’s partner to improve outcomes and lower costs—one member at a time.
📞 Contact Pathwise Case Management, LLC today to schedule a consultation and start building a healthier, more connected member experience.
