Clinical Edge
Mobile Clinician
Mobile Clinician, part of Clinical Edge, is a mobile care management app for field teams. It works online and offline on Windows and iOS, so care managers keep serving members even without an internet connection.
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One-Click Care Planning
Build complete care plans in one click. Mobile Clinician auto-fills configured care plan items, so care teams spend less time on dropdowns and more time with members.
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Dynamic care plan completion
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Single-click field fill
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Build care and service plans on-site
Streamlined Assessments
Speed up assessments with Mobile Clinician, which auto-populates related questions to reduce documentation time and give care teams more time for member care.
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Auto-populated interrelated questions
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Less manual data entry
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Capture care planning information on-site
Electronic Signature Support
Capture consent on the spot. Members sign electronically for consent and service plan acceptance during the same visit, with no paper follow-up.
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E-signatures for member consent
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Service plan acceptance
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Completed in a single member visit
Clinical Edge Suite
Care
Management
Streamlined workflows and centralized member data help care teams deliver personalized, evidence-based, whole-person care.
Utilization
Management
Clinically sound, workflow-driven tools with intelligent automation optimize the authorization lifecycle and support compliance.
Appeals
and Grievances
An intuitive, end-to-end solution consolidates appeals, supports regulatory compliance, and delivers one-click packet creation.
Mobile
Clinician
Secure mobile access lets field staff run assessments, build care plans, capture consent, and start referrals online or offline.
Member
Engagement
A scalable digital platform pairs omnichannel communication with advanced tools to deliver measurable health outcomes.
Population
Health
Real-time analytics and effective stratification identify at-risk populations and help your teams close care gaps faster.
Quality360
NCQA-certified quality management links HEDIS gap identification to care workflows, streamlining closure and reducing manual work.
Authorization Portal
End-to-end workflows, automated approvals, and real-time provider communications boost operational agility across your plan.
Business Intelligence
Advanced reporting and dashboards for CMS and NCQA give your teams the insight to drive smarter, data-backed decisions.
Clinical Edge
University
24/7 access to module-based training, so staff can build product expertise on their own schedule, from anywhere.