Do these staffing challenges sound familiar?
BH facility success hinges on staff quality and experience. Monitoring and managing staff performance is key to development and retention. Understanding influence factors promotes better work environments, reduces nurse turnover rates, and improves staffing success.
ARGO’s behavioral health team, with over 50 years of clinical and Utilization Review (UR) experience, is well aware of UR staff issues.
Problems with today’s UR job include:
- Average per-patient UR time ranges from 1 to 2.2 hours of prep work before UR call.
- All work is time-bound with hard deadlines.
- Task failure has dramatic patient care and facility financial consequences.
- Manual search of EMR for evidence of medical necessity is time-consuming.
- Timely collaboration is challenging.
- Denials are caused by not meeting deadlines, inadequate documentation, and insufficient medical necessity evidence!
Strengthen Staff Performance and Development
BHCC empowers leaders to assess their teams and identify gaps that need to be addressed. This proactive approach enhances individual and team performance.
BHCC enables leaders to use data to pinpoint top performers within the team. This process helps build effective practices that can be replicated across the department. It’s about fostering a culture where best practices drive improvements in patient care and institutional success.
By focusing on data-driven strategies to recognize strengths and address areas of opportunity, you can build a more cohesive, effective, and successful team that prioritizes exceptional patient care while nurturing staff development.
Retain Great UR Staff
Healthcare staff burnout creates high turnover and retirement rates. Streamlined work processes prevent the need for last-minute pushes to prepare for insurance reviews. This reduces stress and chaos. Behavioral Health nurses, therapists, and providers feel valued when using an automated product that understands and improves their daily workflow.
Improve Care Team Collaboration
Effective collaboration within the care team improves the results for patient care. Automated alerts and notifications of pending deadlines and missing documentation enhance collaboration and reduce the need for UR staff to chase down providers. UR workflow automation improves staff collaboration to minimize missing and incomplete documentation and a lack of readiness for UR calls.
Patient information is continuously updated, keeping the most recent and relevant information close at hand so UR staff are well prepared for calls. If the evidence suggests that payor approval is more likely at an alternate level of care, the team can easily coordinate and prepare for the change.
A Day in the Life in UR
See how Behavioral Health CareChain makes your utilization review process easier to manage. Get your patients the care they deserve while saving staff’s valuable time.
Ready to Learn More?
Contact us to schedule a live demo or receive additional information.
