Case Management

Sanctum helps case management teams automate referrals, accelerate assessments, and optimize care transitions

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Healthcare professionals collaborating

Automated Referral Management

Assessment Automation

Discharge Planning & Care Transitions

Referral Network Management

Authorization & Throughput

Performance Analytics

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Automated Referral Management

Give referring providers a direct line into your intake process — so every referral arrives complete, pre-populated, and ready for your team to act on.

Give referring providers a direct line in

Providers submit referrals through a structured workflow — ensuring complete, accurate information every time.

Pre-populated intake records

AI agents instantly create patient records in your EHR, so your team starts with a case already in progress.

Automated intake processing

State-required questionnaires are completed automatically using referral data — so eligibility groundwork is done before first contact.

Faster start of care

With intake and prep handled upfront, your team moves faster from referral to assessment and care planning.

Assessment Automation

Give your case managers their nights and weekends back, eliminate late assessments, and dramatically reduce the cost of every intake — without slowing down compliance or adding to your team.

Case managers spend minutes on assessments, not hours

AI agents cut assessment time by up to 80% and costs by 70%, so documentation is completed on the spot — no nights, no weekends, less burnout.

Assessments are never late

Faster completion keeps billing and compliance on track without follow-up or chasing charts.

Built for your EHR and workflows

Assessments match your existing formats — no rework or copy-pasting.

Automated follow-up and coordination

Tasks, reminders, and communication are handled automatically, so nothing gets missed and your team stays focused on members.

Discharge Planning & Care Transitions

Reduce the time and cost of onboarding new clients, improve conversion, and accelerate start of care without burning out your team.

Structured patient choice

AI agents match patients to the right providers and send referrals automatically — cutting placement time from days to hours.

Real-time alerts on delays

At-risk discharges and overdue responses are flagged instantly, with next steps clearly identified.

Automated referral packets

Complete, payer-ready referral packets are assembled automatically — no missing data, no rework.

Same-day placement

AI reaches out across channels simultaneously, reducing time from "ready" to "placed."

Referral Network Management

Optimize your post-acute network without manual coordination.

Custom provider networks

Routing rules are applied automatically based on service, payer, and performance, matching patients to providers who fit their needs. Build tailored networks that reflect your preferred partnerships without manual sorting.

Always up-to-date directory

Provider availability and capabilities stay continuously refreshed, so your team never chases stale contact info or outdated bed counts. Trust that every listed provider can actually accept your referral.

Full referral tracking

Every referral is logged end-to-end with a complete audit trail, giving teams full visibility into status and response times. Use this transparency to spot bottlenecks and improve outcomes.

Authorization & Throughput

Ensure accurate and timely benefit verification with automated insurance checks and eligibility confirmation.

Real-time insurance verification

Automated benefit checks with major insurance providers provide instant eligibility confirmation and coverage details for faster admission decisions.

Medicare hospice benefit validation

AI agents verify Medicare hospice benefit availability, election status, and remaining benefit periods automatically for every referral.

Prior authorization tracking

Automated tracking of authorization requirements and approval status ensures no delays in care due to missing approvals.

Performance Analytics

Turn operations into measurable insight.

Provider scorecards

Compare partners on outcomes and performance.

Productivity insights

Track workload and bottlenecks across teams.

Network intelligence

Identify gaps, unused capacity, and growth opportunities.

Case Management Success Stories

Automated discharge planning coordination reduces hospital length of stay by 20%, improving patient flow and reducing costs.

Discharge Planning

Real-time care transition tracking prevents gaps in post-acute care, reducing 30-day readmission rates by 35%.

Care Coordination

Intelligent referral matching connects patients with optimal providers based on clinical needs, geography, and insurance coverage.

Smart Referrals

Our case managers can now handle 40% more patients while ensuring better outcomes. The system does the heavy lifting so we can focus on patient care.

David Chen, MSW, Case Management Director, Regional Medical Center

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Why we built Sanctum