UMQI

by Lilly MacRae, RN Supplemented by the Safety Net Innovations grant that Community Health Center Network (CHCN) was awarded by the Blue Shield of California Foundation, we are in the early stages of implementing our Care Transitions program at our highest utilized hospitals, Highland Hospital and the Sutter campuses – Summit and Alta Bates. Care […]

By Melissa Marshall, MD The CHCN Utilization Management Department is happy to introduce its newest employee, Grace Moore, APRN-BC, in a new position for our organization, Manager of Care Coordination. Grace comes to CHCN after being with Brown & Toland for seven years; first as an HIV Clinical Specialist and later as a Care Management […]

CHCN has a convenient and secure online authorization tool which enables providers to submit efficient and timely requests, allowing them to concentrate on patient care.  The tool provides faster response time; in most cases, urgent requests will be processed immediately and you can do real time status checks of authorization requests. Online Authorization Submission allows […]

In order to support the health centers’ work on the new CHCN risk measurements, we are able to produce three reports: Members with no PCP visit, ER frequent flyers, and Members with IP admissions.