Care coordinators spend too much time searching for member context, writing case notes, and deciding what to do next. Case Health AI surfaces the right information, generates documentation automatically, and identifies the next-best action for every member — so your team can manage more cases without adding headcount.
40%
reduction in documentation time per case
2x
cases managed per coordinator
3x
return on investment
Care Coordination
Aggregate Member Context
The agent pulls member history, claims data, recent clinical events, open tasks, and care gaps from your connected systems — assembling a complete picture before the coordinator opens the case.
Generate Case Summaries
AI generates a structured summary of every member's status, recent events, open tasks, and care plan progress — so coordinators start every interaction with context, not questions.
Surface Next-Best Actions
The agent identifies what needs to happen next for each case — prioritizing by risk level, task urgency, and care plan status so coordinators always know where to focus.
Coordinate Across the Care Team
Tasks are routed to the right team members, handoff notes are prepared automatically, and transitions of care are tracked so nothing falls through the cracks between settings.
Document and Close
Case notes, interaction summaries, and care plan updates are drafted automatically after each interaction — ready for coordinator review, reducing documentation time to minutes.
Case Health AI supports care teams through the full coordination lifecycle — from surfacing the right members to closing every documented action.
Surface the members who need attention before things escalate.
The agent watches admission, discharge, and referral feeds in real time, opening a coordination thread the moment a member needs one.
Get the right information to the right person at the right time.
Reaches every party the plan of care depends on — the member, the caregiver, the receiving provider — to schedule, confirm, and remove the friction between them.
Keep every care plan and open action in view.
Keeps the thread open until every step actually happens — the appointment kept, the referral completed, the prescription picked up — nudging whoever’s holding it up.
Route complex members to clinical review before they deteriorate.
Hands the thread to a human care manager the moment a step stalls past your threshold, or the moment a member needs clinical judgment — with the full history attached.
Every call, message, and status update lands on a single thread per member — so the PCP, the specialist’s office, the health plan care manager, and the caregiver all work from the same picture, without a status-check phone tree.
Live status for every open step, not a static care plan PDF
Consented caregiver visibility where appropriate
Full history exportable to your care management platform
Case Health AI identifies the right next action for every open case — so coordinators spend their time acting, not deciding what to do.
Next-best actions are surfaced for each member based on care plan status, open tasks, recent clinical events, and configured clinical rules.
Cases are prioritized automatically by risk level, task urgency, and member acuity — so the highest-need members receive attention first.
Outreach is prepared in advance with member context, relevant talking points, and suggested follow-up questions ready before the call begins.
Escalation recommendations are generated when a member meets clinical or operational criteria that require higher-level review or a care plan change.
Case Health AI handles the documentation work that follows every member interaction — freeing coordinators to spend time on care, not notes.
Case notes, interaction summaries, and care plan updates are drafted automatically after each interaction — ready for coordinator review and approval without starting from a blank page.
Members showing signs of deterioration, care plan non-adherence, or high-risk patterns are surfaced automatically — so the right cases are escalated before they reach a crisis.
"I used to spend half my shift writing notes and tracking down member history before I could even start a call. Case Health AI surfaces everything I need before I pick up the phone, and the notes write themselves after. I manage twice the caseload I did before."
Lisa Park
RN, Care Coordinator, Regional health plan, 200,000+ members
Care Coordination
40%
2x
3x
Everything you need to know about how Case Health AI supports care coordination teams.
