About Us:

Who We Are

A leading provider of managed care services

CareWorks Managed Care Services has been a leading national provider of managed care services. We’ve specialized in Workers’ Compensation cost containment since 1985, and our team has the experience and expertise to create and manage custom solutions that deliver cost savings to clients and the appropriate care to injured workers. We have leveraged our experience through innovative services supported by our cutting-edge technology.  We provide greater answers and flexibility to our customers while delivering improved outcomes while providing the injured worker the best care possible while controlling medical cost.  Our processes are URAC accredited and many of our 1,100 employees are certified specialists in their areas.

Our services include:

  • Medical Bill Review
  • Case Management
  • Utilization Review
  • PPO Networks
  • Large Bill Negotiations
  • Ancillary
  • MSP Compliance
  • Group Health Services

Our services offerings are available on a stand-alone or integrated basis so we can create custom solutions that meet each client’s specific needs and factor in their specific medical and cost management guidelines.

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Why Choose CareWorks Managed Care Services

A truly effective managed care solution is one that delivers the right results for our clients and their injured workers.

CareWorks does exactly that by offering a comprehensive array of managed care services that can help you manage costs while still providing high quality care. CareWorks’s services include:

  • Medical Bill Review Services to ensure that savings are quickly identified and realized
  • Utilization Review Services that ensure that injured workers are receiving appropriate care
  • Telephonic and Field-based Case Management to guide the injured worker through the process of dealing with multiple doctors, tests and treatments for better outcomes
  • Nurse Triage that guides injured workers to the right course of treatment from the start
  • National and Specialty PPO Networks that offer negotiated discounts and fast access to doctors that understand workers’ compensation injuries and treatment
  • Certified Networks and Managed Health Plans to meet the state specific needs of our clients and their employees
  • Return to Work Programs that help you get your employees back to productivity as soon as possible and reduce indemnity costs
  • Ancillary Services offering superior equipment and services to our clients quickly, effectively, economically along with superior customer service.
  • Diagnostic Network and Scheduling Services for fast access to accurate diagnostic tests and test results
  • Medicare Secondary Payer Compliance Services that balance compliance and our clients’ actual medical exposure on a claim
  • Group Health Services offer a wide variety of programs and services that review and evaluate claims.  Our vast experience in the group health industry has allowed us to develop best practices, which are applied to meet the needs of individual clients

That means we’ll work not only from industry and our own best practices but we will include your guidelines and specifications as well.

Custom Solutions

Whether you are using one of our services on a stand-alone basis or taking advantage of the savings and efficiencies available with an integrated package of multiple services, CareWorks is committed to designing the managed care solution that works for you and delivers the maximum benefit.

That means we’ll work not only from industry and our own best practices but we will include your guidelines and specifications as well.

We're making managed care work

Let CareWorks help you increase savings and improve outcomes.

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