Carewise Health

Carewise Utilization Management strives to prevent over-utilization of healthcare services by maximizing the quality of healthcare delivery and avoiding unnecessary healthcare costs. In alignment with the benefits plan, Carewise Health provides pre-certification and concurrent review for inpatient admissions, outpatient surgeries, procedures, therapies, services, and home healthcare. 

Carewise Health is marketed by SHPS, Inc., a provider of integrated health solutions. SHPS has been providing utilization and case management programs since 1985. Independent of the health plan, Carewise Utilization Management encourages responsible use of healthcare services through pre-op counseling, discharge planning and overall decision support. It’s configurable to meet the unique needs of our large employer clients and achieve key financial and clinical goals.