Utilization management review (care coordination)
Our utilization management (UM) aftercare services help your Network Health patients receive the care and services they need after they leave an acute, sub-acute, or skilled-nursing facility; transitional care unit; or rehabilitation setting.
Our utilization care managers work to:
- Identify and provide appropriate care coordination to your Network Health patients who would benefit from interventions
- Ensure your Network Health patients know and understand their conditions
- Assist your Network Health patients with follow-up appointments post hospitalization
- Educate your Network Health patients and their family members about self-managing their disease
- Provide medication reconciliation
- Provide individualized and integrated care to each of your Network Health patients
- Identify incidences of and develop interventions to improve under- and overused services
- Improve your Network Health patients’ overall health
You can refer a Network Health patient for UM aftercare without getting prior authorization. Call us at 888-257-1985.