HMC HealthWorks is your trusted partner in managing rising healthcare costs and ensuring that your members receive the most effective, highest quality behavioral health care in the most appropriate environment.
Our Behavioral Health Utilization Management Program provides:
Clinical Utilization Management for Higher Levels of Care
24/7 Crisis Assessment & Triage by Licensed Clinician
Benefits, Eligibility, and Referral Information
ACCREDITED: Health Utilization Management – Expires 10/1/19
HMC understands that no two clients are the same and we offer the flexibility required to provide exactly the program that you want, including specialized reporting, options for using HMC’s provider network or an external network, options for claims pre-pricing and/or full payment, and client-defined benefit plans.
Direct access to an Account Team which includes a dedicated account executive and clinical and operational leadership who are always available to provide guidance and problem solving.
Collaboration and Integration
Internal integration with EAP, wellness and chronic condition management, plus external collaboration with other vendors such as medical and case management.
Transitions of Care
Each case is assigned to a specific care manager who follows the participant from initial admission to a higher level of care through all step downs. Throughout the process the assigned care manager identifies and addresses any barriers to follow-up, supports compliance with aftercare and better ensures long-term ongoing success.
Our board certified psychiatrists and licensed clinical care managers go above and beyond traditional UM, taking a holistic approach to assessment and ongoing review, and partnering with treating providers for treatment shaping when appropriate.