Utilization Management In Mental Health

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Utilization Management - StatPearls - NCBI Bookshelf

(5 days ago) WebUtilization Management (UM), initially referred to as Utilization Review (UR), remains a well-recognized component of a cost management approach in the health care service delivery and payment arenas. UM processes include interventions that take …

https://www.ncbi.nlm.nih.gov/books/NBK560806/

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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. We believe that when the MHN care …

https://www.mhn.com/providers/working-with-mhn/clinical-operations-practices/utilization-management.html

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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 …

https://www.bcbsil.com/provider/clinical/clinical-resources/behavioral-health-program/bh-utilization-management

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Utilization Management in Healthcare Smartsheet

(7 days ago) WebUtilization management (UM) is a complex process that works to improve healthcare quality, reduce costs, and improve the overall health of the population. This guide explains how it works, who it helps, …

https://www.smartsheet.com/content/utilization-management

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Best Practices: Level-of-Care Decision Making in Behavioral Health

(2 days ago) WebSowers W, George C, Thompson K: Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS): a preliminary assessment of reliability and …

https://ps.psychiatryonline.org/doi/10.1176/appi.ps.54.11.1461

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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 …

https://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.51.5.621

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Psychotherapy, Parity, and Ethical Utilization Management - LWW

(8 days ago) WebThis article explores the potential impact of mental health parity mandates and recent clarifications of the American Psychiatric Association’s ethical code on this split for …

https://journals.lww.com/practicalpsychiatry/Fulltext/2017/01000/Psychotherapy,_Parity,_and_Ethical_Utilization.7.aspx

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Mental Health Utilization - NCQA

(2 days ago) WebMental health disorders can be characterized by changes in behavior, thoughts and mood, and affect an individual’s ability to carry out daily activities and capacity to work, succeed …

https://www.ncqa.org/hedis/measures/mental-health-utilization/

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Utilization Management Guidelines & Manual Texas Health and …

(Just Now) WebThe Utilization Management Program Manual is a resource for technical assistance to providers to develop and monitor their local UM programs and processes. Providers of …

https://www.hhs.texas.gov/providers/behavioral-health-services-providers/behavioral-health-provider-resources/utilization-management-guidelines-manual

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Utilization Management in a Large Managed Behavioral Health

(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 …

https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.51.5.621

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Mental Health Service Utilization Review Patterns in a Medicaid

(Just Now) WebMedicaid managed care organizations dedicate significant resources to the practice of utilization review for mental health services. We examined data from a large …

https://www.ajmc.com/view/mental-health-service-utilization-review-patterns-in-a-medicaid-managed-care-program

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Blue Shield's utilization management decisions

(4 days ago) WebTo request Utilization Management criteria or with questions, contact UM staff by phone or fax: Phone: (800) 541-6652 (option #6) Fax: (844) 807-8996. Blue Shield's policy for UM …

https://www.blueshieldca.com/bsca/bsc/wcm/connect/provider/provider_content_en/guidelines_resources/guidelines_procedures/utilization_management

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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 …

https://www.careoregon.org/docs/default-source/providers/behavioral-health/bh-utilization-management-procedure-handbook.pdf?sfvrsn=a5d69887_5

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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 …

https://www.amerihealthcaritasnc.com/assets/pdf/provider/behavioral-health-um-guide.pdf

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Utilization Review Clinician - Behavioral Health, Remote-TX + 4 …

(1 days ago) WebYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a …

https://jobs.centene.com/us/en/jobs/1496575/utilization-review-clinician-behavioral-health/

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebCall Utilization Management (UM) Department at 1-800-682-9094 a minimum of five business days prior to the procedure. Failure to notify UM within a minimum of five …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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2022 DIRECTORY OF MENTAL HEALTH SERVICES - Hudson …

(4 days ago) Web395 Grand Street. Jersey City, NJ 07302 (201) 915-2100. Child & Adolescent Outpatient Department Outpatient Therapeutic Services for Children and Families 3.5 -18 Years of …

http://hudsoncountynj.org/wp-content/uploads/2022/04/MH-Directory-2022.pdf

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Horizon Blue Cross Blue Shield of New Jersey Points of Contact

(3 days ago) Web1-800-991-5579 (for NJ State Health Benefits Program/School Employees Health Benefit Program) 1-888-247-9311 HorizonBlue.com Website issues …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Navigating_Horizon_POC_Worksheet_FINAL.pdf

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