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CASE1 FOR CASE MANAGERS
3x Productivity. Better Outcomes. Less Stress.

Good Morning, Sarah

Monday, October 18, 2025
8:30 AM
47
Total Cases
5
Need Attention Today
12
On Track
AI-Prioritized Tasks for Today
🚨 Robert Martinez - Cauda Equina Alert
URGENT Case #4756 Emergency protocol initiated
⚠️ IME Report Due - Jennifer Lee
Due Today Case #5892 Document request sent
📊 Cost Spike Detected - David Kim
Review Needed Case #4813 +$5,200 vs prediction
✅ RTW Assessment - Maria Lopez
Ready Case #5104 87% RTW probability

AI Assistant

Smart Recommendations for Case #4756
🏥 Immediate Actions
• Emergency transport to St. Mary's Hospital (in-network, 2.3 miles)
• Dr. Sarah Kim (spine specialist) notified - available at 10:30 AM
• MRI pre-authorization auto-submitted to carrier (approval likely within 2 hours)
• State board EDI filing completed automatically
💬 Pre-Drafted Communications
Email to employer: "We've identified a critical medical condition requiring immediate intervention. All costs covered under emergency protocol. Employee being cared for at St. Mary's Hospital."

Text to claimant: "Robert, we've arranged immediate care with Dr. Kim at St. Mary's. Transport arriving at your location in 15 minutes. You're in good hands."
📊 Cost Management
Early intervention on Cauda Equina can save $180K+ in long-term costs. Recommended treatment plan: Emergency surgery ($48K), 12-week PT ($3,200), modified duty RTW program ($1,800). Total estimated cost: $53K vs $230K+ if delayed.
One-Click Actions Available

Real-Time Case Activity

8:32 AM - Just now
Emergency transport confirmed - ETA to St. Mary's Hospital: 15 minutes
8:30 AM - 2 minutes ago
MRI pre-authorization approved - Carrier response: APPROVED ($2,450 covered)
8:28 AM - 4 minutes ago
Medical records synced - Epic EHR: 12 new documents, 3 lab results auto-categorized
8:25 AM - 7 minutes ago
State board filing completed - California DIR: Emergency status update filed automatically
8:23 AM - 9 minutes ago
Claimant self-reported symptoms - Red flag algorithm detected Cauda Equina (88% confidence)
8:20 AM - 12 minutes ago
Communication sent - Employer notified via email + SMS, auto-generated status report attached
Integration Activity (Last Hour)
✓ Epic EHR: 12 docs synced
✓ CVS Pharmacy: Rx updated
✓ CA State Board: Filed
✓ Bill review: Auto-approved
✓ Carrier system: Updated
✓ Claimant portal: Active

Today's Accomplishments

8
Cases Closed
23
Tasks Completed
$127K
Cost Savings Identified
Critical Win: Life Saved
Robert Martinez: Cauda Equina syndrome detected by AI at 8:23 AM. Emergency surgery completed at 2:45 PM. Full recovery expected. Without early detection, permanent paralysis was likely. Estimated lifetime care costs avoided: $2.1M.
Time Saved Today
4.2 hours
AI automated 18 tasks that would have taken 4 hours 12 minutes
Work Hours
8:30 - 5:00
No overtime. Balanced workload. Stress-free day.
The Case Manager Experience
3x
Productivity
More cases. Better outcomes.
4 hrs
Saved Daily
AI automates the busywork
0
Overtime
Balanced workload
💚
Lives Saved
AI detects what matters
Work smarter. Not harder.