Behavioral Health Utilization Management Department
Listing Websites about Behavioral Health Utilization Management Department
Utilization Management - Partners Health Management - Provider
(7 days ago) WEBUtilization Management. The Utilization Management (UM) department ensures that individuals have equitable access to appropriate care across the Partners catchment area. Partners does not offer incentives to Utilization Management employees or providers to deny (reduce, terminate or suspend), limit, or discontinue medically …
https://providers.partnersbhm.org/utilization-management/
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Behavioral Health Utilization Management Program Overview
(1 days ago) WEBThe Behavioral Health Program also allows the Behavioral Health team to “touch” every member who uses behavioral health care services via our state-of-the-art analytics to identify those who could potentially benefit from our array of programs and services. Our experience has been that members who have consistent support throughout all
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Utilization Management Guidelines & Manual Texas …
(Just Now) WEBThe Utilization Management Program Manual (PDF) is a resource for technical assistance to providers to develop and monitor their local UM programs and processes. Providers of behavioral health services can use the UM Guidelines to implement a UM program. The guidelines contain HHS-approved processes and procedures for key program components.
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Utilization Management and Authorization - Kaiser …
(6 days ago) WEBcalling the Utilization Management Operations Center (UMOC) at 800- 810-4766 and selecting the appropriate prompt. Behavioral health inquiries may be called to 301- 625-5565. Updates to medical coverage policies, UM criteria and new technology reports are featured in “Network News”, our quarterly participating provider newsletter.
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Utilization Management MHN
(4 days ago) WEBIn fact, the focus of our Utilization Management process is on care - the delivery of appropriate care in the appropriate setting. Enrollees should call the Customer Service number located on your ID card, select the option for behavioral health and request to be transferred to the clinical team for assistance. All others, please call 1-888
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Utilization Management (Prior Authorizations) Blue …
(6 days ago) WEBMember Utilization Management Hours and Contact Information. Monday – Friday from 8:00 a.m. to 5:00 p.m. central time. If your provider needs to contact us, he or she may call the Provider Service Hotline number: 1-877-784-6802.
https://www.bcbstx.com/provider/medicaid/claims-and-eligibility/um
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Utilization Management in Healthcare Smartsheet
(7 days ago) WEBUtilization management (UM) is a process that evaluates the efficiency, appropriateness, and medical necessity of the treatments, services, procedures, and facilities provided to patients on a case-by …
https://www.smartsheet.com/content/utilization-management
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Utilization Management Aetna
(5 days ago) WEBAetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health …
https://www.aetna.com/health-care-professionals/utilization-management.html
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Behavioral Health Utilization Management Guide
(7 days ago) WEBContact the Behavioral Health Utilization Management (BH UM) department at 1-833-900-2262 for further clarifcation. BH UM will authorize length of services based on medical necessity per individual member. I received a denial for services based on …
https://www.amerihealthcaritasnc.com/assets/pdf/provider/behavioral-health-um-guide.pdf
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Kaiser Permanente Utilization Management Process
(7 days ago) WEBUtilization Management (UM) is a health plan process that reviews and approves, modifies, delays, or denies, based in whole or in part of medical necessity, requests by your treating provider. If the service or item is medically necessary, then you will be authorized to receive that care in a clinically appropriate place consistent with the
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Utilization Management in a Large Managed …
(5 days ago) WEBOBJECTIVE: The utilization management process of a managed behavioral health organization was examined to determine the frequency and types of reviews and the extent to which rationing of …
https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.51.5.621
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HSO Behavioral Health Utilization Management Handbook
(1 days ago) WEBThe utilization management (UM) guidelines in this document explain the process CareOregon uses in the authorization of behavioral health services for Health Share of Oregon, LLC (Health Share) members. The purpose of this handbook is to guide providers in the submission of requests for authorization of covered services and to …
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Kaiser Permanente Mid-Atlantic States Behavioral Health Level …
(5 days ago) WEBBehavioral Health Utilization Management – Contact Information • Department Phone – 301-552-1212 • Department Fax – 855-414-1703 • Department Manager – Linda Bloch, LCSW-C, RN – 240-316-5539 • Department Supervisor …
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Behavioral Health Utilization Management: Closing the Gap AllMed
(7 days ago) WEBBehavioral Health Utilization Management: Closing the Gap Between Needs and Resources. Even before COVID-19, the need for behavioral and mental health services in the U.S. was rising steeply. From 2006 to 2014, ER visits by patients with mental or substance use disorders increased by approximately 44% 1, and in 2019, nearly 50 …
https://www.allmedmd.com/blog/behavioral-health-utilization-management-closing-the-gap/
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Utilization Management in a Large Managed Behavioral …
(4 days ago) WEBJürgen Unützer, M.D., M.P.H. Objective: The utilization management process of a managed behav-ioral health organization was examined to determine the frequency and types of reviews and the extent to which rationing of service was achieved through the denial of services. Methods: A case study of the utilization management program of a …
https://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.51.5.621
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Utilization Management - NCQA
(6 days ago) WEBNCQA Utilization Management Accreditation provides a framework for implementing industry best practices to ensure: Fair and timely utilization evaluations using objective, evidence-based criteria: Collection and use of relevant clinical information to make utilization management decisions. Qualified health professionals assess requests and …
https://www.ncqa.org/programs/health-plans/utilization-management/
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Utilization Management Manager - Behavioral Health (BCBA)
(6 days ago) WEBWe have an opportunity to join the Alliance as the Utilization Management Manager - Behavioral Health (BCBA) in the Utilization Management department. WHAT YOU'LL BE RESPONSIBLE FOR. Reporting to the Utilization Management Director, this position: Provides management oversight of the Utilization Management (UM) Behavioral …
https://boards.greenhouse.io/ccah/jobs/5955227
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SUN Behavioral Health hiring Director, Utilization Management in
(2 days ago) WEBDirector, Utilization Management SUN Behavioral Health Erlanger, KY 1 week ago Be among the first 25 applicants
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CMS Behavioral Health Strategy CMS
(Just Now) WEBThe CMS Behavioral Health Strategy focuses on three key areas: 1) substance use disorders prevention, treatment and recovery services, 2) ensuring effective pain treatment and management, and 3) improving mental health care and services. These areas are aligned with CMS’s overall focus on four health outcomes-based domains: …
https://www.cms.gov/cms-behavioral-health-strategy
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Behavioral Health Utilization Management $65,000 Jobs - Indeed
(6 days ago) WEB17 Behavioral Health Utilization Management $65,000 jobs available in Jasper, GA on Indeed.com. Apply to Care Coordinator, Registered Nurse Case Manager, Health & Welfare Consultant and more!
https://www.indeed.com/q-behavioral-health-utilization-management-$65,000-l-jasper,-ga-jobs.html
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New Utilization Management Specialist Jobs in Marietta, GA
(3 days ago) WEB40 Utilization Management Specialist jobs available in Marietta, GA on Indeed.com. Apply to Insurance Verification Specialist, Authorization Specialist, Behavioral Specialist and more!
https://www.indeed.com/q-utilization-management-specialist-l-Marietta,-GA-jobs.html
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Kaiser Permanente Utilization Management Process
(7 days ago) WEBThese three parts of the Kaiser Permanente care delivery system work together to help ensure that members receive quality care. Managing how health care services and related resources are used helps improve the delivery of health care services and controls health care costs for you. Utilization Management (UM) is a process that determines
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Job Opening: Manager, Utilization Management (Behavioral …
(6 days ago) WEBThe Manager, Utilization Management (Behavioral Health) applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge and clinical criteria to solve moderately complex problems; receives assignments in the form of team and/or department goals and objectives and …
https://www.mynextmove.org/vets/profile/jobinfo?id=50CDFC5464BA4E65B6868A8E796D1B3B206
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Department of Human Services (DHS) - PA.GOV
(9 days ago) WEBOMHSAS-Bureau of Financial Management and Administration Behavioral Health Funding. In Erie, Shapiro Administration Highlights Governor’s Proposal for Major Investments in Intellectual Disabilities and Autism Services, Workforce . Department Of Human Services, Blair County Enter into Settlement Agreement to Improve the …
https://www.pa.gov/en/agencies/dhs.html
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25+ Behavioral Health Utilization Management $55,000 Jobs
(6 days ago) WEB26 Behavioral Health Utilization Management $55,000 jobs available in Jasper, GA on Indeed.com. Apply to Care Coordinator, Registered Nurse Case Manager, Clinic Coordinator and more!
https://www.indeed.com/q-behavioral-health-utilization-management-$55,000-l-jasper,-ga-jobs.html
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