What a tele-case manager does
Real-time review of ED and inpatient admissions against MCG or InterQual criteria. Live support to the admitting physician on whether the case meets inpatient status. Guideline-based documentation entered into the chart to support the level of care actually delivered. Handoff to concurrent utilization review to prevent denials downstream.
Why hospitals use tele-case management
Community hospitals rarely have 24/7 in-house case managers. That means observation-vs-inpatient decisions get made at 2 AM without expert input, then get denied on review three months later. Tele-case management puts a case manager in the loop when the decision is actually being made — protecting revenue and cutting denials.
The premium standard for tele-case management
The nurse on the other end should be US-based, actively licensed, and experienced with MCG or InterQual. Beam's tele-case managers are RN-licensed with a minimum of 3 years case management experience — not a script-following contact center.
Frequently asked
Is tele-case management the same as utilization review?
Related, not identical. Tele-case management supports the status decision at the point of admission. Utilization review is the concurrent (and retrospective) check on whether admitted care meets criteria. Both use MCG or InterQual.
What is the ROI on tele-case management?
The biggest lever is fewer avoidable observation-vs-inpatient reclassifications on the back end and fewer denials. For a mid-size community hospital, this typically means six- to seven-figure annual revenue protection.
Who provides tele-case management?
US-based RN case managers licensed in the states they cover. Beam's tele-case managers have a minimum of 3 years of case management experience and are actively verified against OIG / SAM.
How Beam delivers tele-case management
Beam is the premium telemedicine partner — every clinician is NPI-verified with a minimum of 3 years post-residency (or post-credential for allied roles).
See Beam Tele-Case Management