Utilization Management

 

CommCare maintains a comprehensive network of behavioral healthcare providers specializing in behavioral health services. This wide range of services and behavioral health products includes crisis intervention, employee assistance and professional services, all of which are carefully monitored for quality assurance and client satisfaction.

As a model of collaboration between health professionals, mental health institutions, health plans and the public sector, CommCare is positioned to provide cost-effective, culturally sensitive services to vulnerable, at-risk populations.

Our method of delivering treatment is based on a community approach, while incorporating the concepts and principles of managed care. We strive to provide the highest caliber of clinically sound and consumer-friendly behavioral healthcare services in the marketplace.

 

Our Utilization Management services include:

• Level of care determination
• Prior authorization
• Grievances and Appeals
• Clinical criteria development
• Quality improvement programs and activities
• Provider recruitment and credentialing
• Concurrent review
• Retrospective review