Regulatory and Legal Compliance

The operations of Care Management International's business are structured to be consistent and compliant with all legal, regulatory, and accreditation requirements. Actions and activities that are legally mandated as the specific responsibility of a healthcare organization or clinical customer are never conducted by CARE and remain the operational responsibility of the health plan.

It is typical for select mandates of this type to require that medical determinations be made by a physician or nurse licensed or board certified in the United States or in a particular state. In an instance such as this, CARE designs its programs to provide as much operational and administrative support as possible while leaving decision-making and determinations to health plan designated professionals.