Everest Care Management Market Research Report
1. Company Overview
Name: Everest Care Management (ECM)
Mission: No information is available
Founded: No information is available
Founders: No information is available
Headquartered: Lancaster, PA
Number of Employees: No information is available
Revenue: No information is available
Key People:
- Holly Thompson, President
- Michael Ness, VP of Business Development
- Amanda McComsey, Chief Operations Officer
- Kimberly Balamuta, VP of Case Management Services
- Bonnie Staller, Regional Director
- Stephanie Townsend, Quality Auditor
- Patrick Roy, Human Resource Generalist
Known For: Specializing in medical case management, focusing on workplace injuries, and providing case management services including field and telephonic case management, catastrophic case management, and telehealth.
2. Products
Field Case Management (FCM)
- Description: Comprehensive services to assist employers, third party administrators, and insurance carriers in resolving workers' compensation cases.
- Key Features:
- Diagnosis assessment
- Causation determination
- Return to work planning
- Target to modified/full duty
Telephonic Case Management (TCM)
- Description: Offers the same comprehensive services as FCM but without face-to-face interaction.
- Key Features:
- Cost-effective
- Convenient
- Uses digital communication
Medical Management Solutions (MMS)
- Description: A blend of FCM and TCM services.
- Key Features:
- Hybrid approach
- Task assignments
Legal Nurse Consultant (LNC)
- Description: Review medical documents for efficiency and cost-effectiveness.
- Key Features:
- Medical Cost Projection
- Medical Liability Assessment
- Life Care Planning
Catastrophic Case Management
- Description: Specialized management for life-changing injuries.
- Key Features:
- Immediate and comprehensive care
- Expertise in various types of severe injuries
Employer Services
- Description: Development of worker’s compensation panels and disability management.
- Key Features:
- Customized medical provider panels
- Coordination with Human Resources for non-work-related absences
Telehealth Case Management
- Description: Facilitates medical care access via telehealth.
- Key Features:
- Scheduling and coordination of appointments and tests
- Remote medical consultations
Work Injury Management
- Description: Case managers facilitate the resolution of workplace injury claims.
- Key Features:
- Comprehensive diagnosis
- Adjusting return-to-work plans
3. Recent Developments
Accreditations & Certifications:
- URAC Accreditation: ECM is one of seven URAC accredited case management companies in PA and one of 74 nationwide. They achieved Case Management accreditation since 2014 and Workers’ Compensation Case Management 7.0 since 2023.
- Woman-Owned Business: Certified by the Women’s Business Enterprise National Council (WBENC) and acknowledged for tax incentives and procurement opportunities.
Community Engagement:
- Lancaster Chamber of Commerce: Member for nearly 20 years.
- Kids’ Chance: Long-term sponsor supporting scholarships for children affected by work-related injuries.
- Pennsylvania Self-Insurers’ Association (PSIA): Long-term member advocating for improved workers' compensation laws.
Professional Development:
- Employee Expertise: Advanced nursing degrees and URAC certifications among majority of employees.
New Products/Features:
- No new products launched
- No new features added to existing products
- No new partnerships reported
Community & Memberships
- URAC Accreditation
- Women’s Business Enterprise National Council (WBENC)
- SBA Women-Owned Small Business
- Lancaster Chamber of Commerce
- American Association of Occupational Health Nurses (AAOHN)
- Case Management Society (CCMSA)
- Kids’ Chance
- Pennsylvania Self-Insurers’ Association (PSIA)
Contact Information
Email: [info@everestcm.net](mailto:info@everestcm.net)
Phone: (717) 239-0500
Address: PO Box 1557, Lancaster, PA 17608-1557
Confidentiality Notice: The information contained in this report and any associated documents is confidential, proprietary, and privileged and may be subject to protection under various state and Federal laws and regulations regarding non-public personal health and financial information. Unauthorized access or dissemination is prohibited and may be subject to legal penalties.
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