Our Services

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At Pinnacle Health Management, our team of nurses and health care professionals conduct in-depth analyses of your employees’ medical needs to ensure they are receiving the necessary care to promote better health outcomes.

Health Management

Our systematic approach to health management focuses on improving health outcomes and preventing related complications. Our clinical staff works directly with providers and independent review organizations to address and resolve gaps in care such as medicine adherence and assistance with specialty referrals. Our curriculum approach to health education includes one-on-one calls with a care manager to provide enrolled members with the tools and support to inspire lifestyle changes.

Pharmacy Benefits Management Integration

Prescription medicine adherence is an essential component of managing chronic conditions. We can integrate our system and services with Pharmacy Benefits Management (PBM) vendors to monitor enrolled members’ prescription adherence and limit drug interactions.

For Employers who utilize Pinnacle’s PBM services, our on-site licensed clinical pharmacists work hand-in-hand with doctors and pharmacies to determine which medicines are right for members and which to should avoid, according to your unique body composition. These relationships give Pinnacle Health Management the unique advantage of working within a comprehensive health care team on behalf of its members.

Utilization Management

For Employers who utilize Pinnacle’s Claims and Benefit Administration services, we offer utilization management which includes discharge planning, clinical case appeals, provider certification, and quality of care associated with each facility to ensure that the least costly, yet most effective, treatment is used.


Our wellness programs* help your employees embrace healthy habits through customizable wellness challenges, quarterly wellness newsletters, monthly wellness and safety toolkits, and educational wellness presentations.

*This program is available as an add-on.

See what Pinnacle Health Management can do for you