Prescribed implementation path
When you implement Pega Care Management, you might want to use the Utilization Management Microjourneys or you might want to use Care Management Microjourneys. Based on your organization's needs, this section provides links to the Microjourneys that you might want to configure and use.
Case type | Utilization Management | Care Management |
Authorization | X | |
Admission | X | |
UM case | X | |
Task Accelerator | X | X |
Member | X | X |
Alert Accelerator | X | X |
Goal Accelerator | X | X |
Problem Accelerator | X | X |
Work | X | |
Concurrent review | X | |
Discharge plan | X | |
Appeal | X | |
Materials Accelerator | X | X |
Admission notification | X | |
Visit | X | X |
Intervention Accelerator | X | X |
Barrier Accelerator | X | X |
Case conference | X | |
Discharge worksheet | X | |
Medication therapy management | X | X |
Care plan | X | |
Task | X | |
Problem | X | |
Alert | X | |
Member | X | |
Incident | X | |
CarePlan Accelerator | X | X |
Care gaps | X | |
Work | X | |
Goal | X | |
Program referral | X | |
Barrier | X |
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