MRx Navigate: Navigate UM

What is Navigate UM?

Navigate UM is a utilization management program that uses a combination of insights and innovation to ensure patients receive proper medical and behavioral healthcare. This fully-integrated utilization management program covers prior authorization, concurrent review of inpatient admissions, transition of care assessment and appeal management.

We understand that each organization is unique, so to best meet your needs, we offer the flexibility of selecting Navigate UM as a standalone offering.

What we offer:  

Our expert team of intake specialists, nurses and physicians perform these services, which are compliant with NCQA standards, and offer a comprehensive suite of reports to track trends and identify opportunities.

expertise | Magellan RxExpertise

Providing comprehensive peer-to-peer review

Efficiency | magellan rx managementEfficiency

Efficiently managing turnaround times

Accuracy | Magellan rx managementAccuracy

Providing medically necessary care based on nationally recognized clinical guidelines

prevention | magellan rx managementPrevention

Preventing fraud, waste and abuse

guidance | magellan rx managementGuidance

Referring members into care management

support | Magellan Rx ManagementSupport

Minimizing readmission through transition of care

Who can benefit from Navigate UM?

  • Health plans
  • Employer groups
  • Government entities
  • Third-party administrators

Please note that individual program implementation is dependent on plan size and other factors. We will partner with you to create a custom solution that best fits the needs of your unique population.

Let us show you how Navigate UM can reduce your population’s health risks.

Connect with us today! Want more? Check out our MR Navigate suite of integrated solutions here.