What Is Utilization Review? | Behavioral Health Utilization Management Explained

What is utilization review, and why is it so important for patients who are receiving care for mental health and substance use disorders?

Jane Parkinson-Lauer, Vice President of Behavioral Client Services, breaks down how utilization management ensures patients receive the care they deserve.

A highly experienced UR professional, Lauer provides a step-by-by process for how an effective utilization review team advocates for patients, including:

– Gathering all the information needed from the patient’s EMR
– Carefully interpreting those notes to determine whether the patient is getting the appropriate level of care
– Delivering the clinical picture clearly and passionately to the case manager

Lauer also discusses why behavioral health utilization review is so important for patient outcomes.

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