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This web site states the following, "Changing the direction of case management since 1994." We noticed that the web page also said " The Directions Group is an innovative case management and rehabilitation consulting firm serving individuals and their families, employers, third party administrators, insurance companies, and law firms across the Southeast." It also said " Experienced and credentialed professionals provide case management and consulting from eight service hubs including Charleston, Columbia, Greenville, Savannah, Atlanta, Asheville, Charlotte, and Raleigh." The header had medical as the highest ranking optimized keyword. It is followed by case, management, and vocational which isn't as ranked as highly as medical. The next words thedirectionsgroup.com uses is case. management was included and will not be viewed by search engines.