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As a part of our continued growth, we are searching for the right individuals to join our clinical and administrative team!

True Integration Meets Maximum Flexibility

Improving quality of care while lowering costs sounds like an impossible dream. It isn’t. With Kreative Nursing Solutions (KNS), your members will receive optimal care while your plan operates at peak efficiency.
As healthcare costs continue to climb, at-risk organizations need new ways to lower expenditures while maintaining a high quality of care. The only way this can happen is through operational efficiencies – doing more with less.
Kreative Nursing Solutions, helps payers meet the triple aim of improving the care experience, improving member’s health, and lowering overall costs. It is a modular, flexible, user-friendly, web-based solution that gives plans a 360-degree view of their population. That view helps avoid unnecessary procedures, while encouraging engagement and collaboration with members and providers. Think of our platform as your care traffic controller.
Flexibility is the key to successful implementation of KNS. You have existing systems, and we can integrate with any or all of them to form a single cohesive platform. Kreative supports all the core functionality of care management, population management, and utilization management, and à la carte modules can be incorporated at launch or integrated as needed.
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Stratify members of all risk levels and organize them into campaigns based upon specific criteria such as claim information or pharmacy data. Complete bulk actions for the population such as referring to Care Management or sending correspondence.
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Population Health

Working with our certified specialists, all registered nurse case managers can alleviate confusion as well as resolve concerns regarding medical care and coverage…
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Population Health

Working with our certified specialists, all registered nurse case managers can alleviate confusion as well as resolve concerns regarding medical care and coverage…
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Care Management

Chronic medical conditions account for the majority of healthcare dollars and lost workdays. Our health management (formerly known as disease management) programs…
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Proven tools help you improve care across the continuum, manage a comprehensive care team, and educate and engage patients.
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Care Management

Chronic medical conditions account for the majority of healthcare dollars and lost workdays. Our health management (formerly known as disease management) programs…
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Manage member, provider, authorization denials, payment issues, and other types of appeals and grievances with our solution. Users are guided step-by-step through the process using automated tasks with configurable turnaround times and attachments.
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Appeals and Grievances

Many clients currently offer plans with some sort of reference-based pricing integrated into the plan design, most commonly for out-of-network claims. The majority of clients leverage Medicare as the reference base…
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Appeals and Grievances

Many clients currently offer plans with some sort of reference-based pricing integrated into the plan design, most commonly for out-of-network claims. The majority of clients leverage Medicare as the reference base…
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Customer Service Innovations

Our Customer Care Representatives are 100% focused on call quality and are not incentivized by average call duration or number of calls taken…

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We have you covered you from the moment you take a call or greet a walk-in. Create new issues, provide immediate answers, and efficiently route problems to the appropriate case worker.
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Customer Service Innovations

Our Customer Care Representatives are 100% focused on call quality and are not incentivized by average call duration or number of calls taken…

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Stay on top of prior authorizations, inpatient stays, concurrent and retrospective reviews. Workflow is driven by evidence-based guidelines and authorization rules to be efficient while ensuring compliance.
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Utilization Management

Our clinical staff processes pre-certification and concurrent reviews using nationally recognized medical guidelines to determine the appropriateness of the medical treatment plan, the treatment setting, and the length of stay…
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Utilization Management

Our clinical staff processes pre-certification and concurrent reviews using nationally recognized medical guidelines to determine the appropriateness of the medical treatment plan, the treatment setting, and the length of stay…
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Access to Claims Data

Through complete integration of our systems with yours, this allows us to continuously update our reporting to focus on trend drivers, benchmarking, plan performance measures, and other reporting needs our clients have…

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Young businesswoman working and talking phone at office table, business casual lifestyle
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Access to Claims Data

Through complete integration of our systems with yours, this allows us to continuously update our reporting to focus on trend drivers, benchmarking, plan performance measures, and other reporting needs our clients have…

Learn more
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Actionable Results

We provide complete and detailed reporting, identifying trends related to any facet of the plan, including high-cost claims and emergency room visits. Our team then consults with our clients on ways to address problems and identify opportunities specific to their plans…
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Actionable Results

We provide complete and detailed reporting, identifying trends related to any facet of the plan, including high-cost claims and emergency room visits. Our team then consults with our clients on ways to address problems and identify opportunities specific to their plans…
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Our Clients

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Please feel free to send us a message, we are ready to answer all your questions or give the info that you need about our services.