Mercy Utilization Management

The goal of Mercy Utilization Management is to help you provide your members with high quality, cost-effective care at all times. It’s not about adding unneeded layers of approvals or pre-certifications. It’s about doing things right.

Our caring nurses and behavior health clinicians are focused on helping members find the right providers – and the right level and type of care. We use nationally accepted guidelines to make sound medical determinations to ensure members continue to make real progress throughout their treatment.

Our utilization analytics department monitors how members use mental health benefits, identifying opportunities for quality care and cost savings. We watch for trends in diagnoses and outcomes – and guide you and your members as necessary.

This precise, measured approach allows us to provide comprehensive case and disease management services that support your members with ongoing mental health or substance abuse challenges. We work directly with these individuals to ensure they receive follow-up care and adhere to prescribed treatments to optimize health.

Mercy Utilization Management is a key component of our Managed Behavioral Health service.

  • Call Center
  • Case & Disease Management
  • Comprehensive Behavioral Health Network
  • Utilization Management


See how we can help you
improve the quality and coordination
of your behavioral health benefits.

Contact Us