Inpatient and Outpatient Utilization Management Medical Helpline's Registered Nurses and Advocates help patients obtain appropriate and quality care, while maintaining control over costs. Our services generate quantifiable improvements in care and savings to both the patient and health plan. Our highly-specialized team determines medical necessity, location of care and appropriateness of In and Outpatient Medical, Psychiatric and Substance Abuse admissions/procedures using clinical experience and health care standards. Read More
