A steady hand
through every claim.
Horizon Health Care Consultants delivers expert nurse case management for injured and ill employees across the Mid-Atlantic and Northeast — ensuring every case gets the clinical oversight it needs.
Women's Business EnterpriseNational Council
Women-Owned Small BusinessSBA Federal Contracting Program
Our Coverage Area
Horizon delivers field case management across a growing national footprint. Hover over a state to see its coverage status.
"We always deliver the services we promise."
“Horizon Health Care Consultants provided an incredible experience. I can not share my experience enough with those close to me.”Karen Smith — Philadelphia Energy Co.
Ready to work with Horizon?
Submit a referral online or reach out to discuss how we can support your managed care program. We respond the same business day.
Clinical expertise that
moves claims forward.
Carriers and TPAs across the Mid-Atlantic and Northeast choose Horizon because we operate like an extension of their claims team.
Horizon gives adjusters and TPAs a clinical partner who actively manages each case — not just monitors it. We coordinate directly with treating providers, flag overutilization early, and keep the injured worker on the fastest medically appropriate path to recovery.
Our team covers the full case management spectrum: telephonic early intervention, on-site field management, and vocational services for when return to original duty isn’t possible. One point of contact. Consistent clinical oversight. Measurable results.
Carriers and TPAs across the Mid-Atlantic and Northeast choose Horizon because we operate like an extension of their claims team — responsive, clinically rigorous, and focused on outcomes that matter to the bottom line.
Early Intervention
Telephonic case management from day one controls medical spend and accelerates recovery timelines.
RN Case Managers
Nurse case managers working directly with injured workers, providers, and claims teams.
WBENC & WOSB Certified
Nationally certified by WBENC (Women's Business Enterprise National Council) and the SBA's Women-Owned Small Business Federal Contracting Program.
Customized Programs
Every engagement tailored to your specific operational and clinical requirements.
Cost Containment
Measurable reductions in medical and indemnity costs through coordinated case management.
Responsive Service
Same-day response. Clear communication at every stage of the case lifecycle.
Ready to work with Horizon?
Submit a referral online or contact our team to discuss how we can support your managed care program.
End-to-end managed care.
One trusted partner.
Every engagement scoped to your specific operational and clinical requirements.
On-site clinical oversight.
From day one.
Our RN case managers go on-site to coordinate directly with the injured worker, treating providers, and your claims team. The goal is clear: appropriate care, no delays, and the fastest medically supported path back to work.
Case management activities focus on full recovery and return to pre-injury work for the claimant.
- Comprehensive Medical Case Management
- Task assignments including appointment attendance
- Catastrophic Case Management
Stop escalation
before it starts.
Early intervention is where the biggest cost savings happen. Our telephonic case managers engage within days of injury, benchmarking treatment against national guidelines and keeping communication open across all stakeholders.
When utilized properly, TCM improves teamwork, cooperation, and communication between the employer, employee, treatment provider, and insurer.
A path forward
when the original isn’t possible.
When return to original duty isn’t an option, our vocational specialists identify transferable skills, assess the labor market, and develop a realistic return-to-employment plan.
- Vocational Evaluation and Assessment
- Transferrable Skills Analysis
- Job Analysis and Development
- Labor Market Surveys / Earning Power Assessments
- Transitional Employment
- Vocational Testing
- Expert Testimony
- Forensic Vocational Services
Objective medical opinions
from credentialed physicians.
Access a credentialed network of board-certified, actively practicing physicians across multiple specialties and lines of coverage. Every report undergoes QA review by a medical professional before delivery.
- Workers’ Comp, Auto (No Fault/PIP), Liability, Disability
- File preparation and record organization
- Retrieval of diagnostic study results and radiology films
- Translation and transportation if required
- Appointment reminders and attendance confirmation
- Quality Assurance Review on every provider report
Systematic savings
at every stage.
Horizon delivers medical bill review and cost containment through strategic partnerships — fee schedule application, PPO repricing, duplicate detection, and out-of-network negotiation. Fast turnaround. Customized reporting.
- Accurate Fee Schedule and UCR Application
- Comprehensive PPO Network Access
- Out-of-Network Negotiated Discounts
- Trauma Bill Negotiations
- Duplicate Bill Detection
- Electronic Data Interface (EDI)
- Customized Savings Reports
Defensible projections
for long-duration claims.
For catastrophic and long-duration claims, our Life Care Planners develop comprehensive cost projections covering all future medical and non-medical needs — giving adjusters and attorneys a reliable foundation for resolution.
A Life Care Plan projects the future medical care needs of a disabled individual and corresponding costs for both medical and non-medical needs over the projected term of disability.
Surface what’s been
missed from the start.
On complex, high-exposure claims, our reviewers build a complete medical chronology from inception — surfacing inconsistencies, overutilization patterns, and red flags that can shift the trajectory of a case.
- Objective records review, summary and analysis
- Identify developing trends and symptom consistency
- Identify red flag issues
- Recommendations based on medical evidence
- Medication usage, overutilization, cost projections
Resolve diagnostic disputes
with independent review.
Independent radiologic review by board-certified radiologists and neuroradiologists — resolving disputes on MRIs, CT scans, and bone scans. Particularly effective on contested causation claims involving disc pathology and degenerative conditions.
- Herniated Disc vs. Bulge
- Age Determination of Herniation, Fracture, or Tear
- Acute Injury vs. Degeneration
Extended capabilities
through strategic partnerships.
Through clinical partnerships, Horizon extends its capabilities to include specialized assessments for complex claims.
- Impairment Rating — Medical assessment of injury as a percentage value assigned to the body as a whole or specific body part.
- Ergonomic Assessment — Determines if a workplace is properly arranged to maximize productivity and prevent future injuries.
- Home Assessment — Evaluates adaptive equipment or home modification needs and independence in activities of daily living.
A clinical partner,
not just a vendor.
Horizon was built to bring clinical rigor and accountability to workers’ compensation and disability case management across the Mid-Atlantic and Northeast.
Our job is not to deny care — it’s to make sure every dollar of medical spend is clinically justified, appropriately directed, and moving the injured worker toward recovery.
To become the leading provider of managed care services in the Mid-Atlantic and Northeast regions by delivering flexible, innovative, comprehensive, and cost-effective managed care solutions.
Built on clinical expertise and accountability.
Horizon Health Care Consultants was built to bring clinical rigor and accountability to workers’ compensation and disability case management. We operate as a true partner to the carriers, TPAs, and employers we serve.
Every referral is handled by experienced clinical professionals who understand both the medical and financial dimensions of a claim. Responsive communication, transparent reporting, and measurable outcomes are the standard — not the exception.
Our organization is committed to ensuring that every client receives consistent, reliable service backed by clinical expertise and a genuine commitment to moving each case forward.
Submit a referral
in minutes.
All submissions are reviewed promptly by our clinical intake team. We promise the services we can deliver — we always deliver the services we promise.
Work with people who take
case management seriously.
We’re a clinical team that takes ownership. RN case managers, vocational specialists, and managed care professionals — we’d like to talk.
We hire clinicians who take ownership. If that’s you, let’s talk.
Horizon Health Care Consultants is comprised of dynamic, dedicated individuals driven to affect the best outcomes for our clients. Horizon offers excellent salary, benefits, and a one-team orientated approach.
We are looking for high-quality professionals — RN case managers, vocational specialists, and managed care professionals — who want to do meaningful work with a company that values their expertise. Competitive compensation, strong benefits, and a collaborative team environment.
Employment Application
Download, complete, and return via email or mail.
Questions?
Get in touch.
Ready to discuss a referral or learn more about Horizon’s managed care program? We respond the same business day.
“Thank you for your interest in HHCC. Contact us today for your managed care needs.”
144 East DeKalb Pike, Suite 200
King of Prussia, PA 19406