Royal's Care Management Team provides utilization management, case management, and clinical outreach services. Under the direction of Royal's Chief Medical Officer, we provide a medical management call center staffed only by clinicians. Royal can help you with:
- Prior authorization
- Inpatient management
- Appeals management
- Comprehensive reporting supported by our UM/CM software
Our case management programs are tailored to each client. We have achieved significant success in maternity, asthma, diabetes, HIV, and comprehensive care management. Royal offeres HEDIS programming and reporting for several clients using our integrated data warehouse. We can also assist your team with quality improvement activities and studies.