Introduction to Utilization Management
Contact Hours: 3
What's included?
Course Overview
Utilization management (UM) is a nursing specialty that has the primary goal of ensuring that patients receive the best medical care possible while managing costs and utilizing available resources to their fullest extent without duplicating services.
LPNs, RNs, and APRNs need to have a basic understanding of the appropriate delivery of quality healthcare services while managing the costs of those services. This course offers an overview of utilization management, the education and certification requirements for the role, and the responsibilities of the utilization management nurse. We will also discuss insurance and legal aspects.
Course Outline
- Introduction
- Utilization Management Process and Steps
- Utilization Management Benefits and Challenges
- Legal Aspects of Utilization Management
- Role of the Utilization Management Nurse
- Required Nursing Education and Skills
- Pros and Cons of the Utilization Management Nurse Role
- A Day in the Life of the Utilization Management Nurse
- The Future of Utilization Management
- Case Study
- Conclusion
Course Outcomes
After completing this course, the learner will rate a 4 out of 5 on the Likert Scale for their ability to:
- Describe the purpose and goal of utilization management.
- List the utilization management process steps, benefits, and challenges.
- List the education and certification requirements for the utilization management nurse role.
- Explain the responsibilities and skillset of the utilization management nurse.
Accreditations and Approvals
- American Nurses Credentialing Center (ANCC) (P0614)
- California Board of Registered Nursing (CEP 17418)
- Kentucky Board of Nursing (7-0090)
- Louisiana State Board of Nursing (58)
- Florida Board of Nursing (50-23983)
- Delaware Board of Nursing (DE-24-010127)
- Alabama Board of Nursing (#ABNP1577)
- Iowa Board of Nursing (#393)
- Kansas Board of Nursing (LT0340-0325)
Approved by the Board of Nursing in every state, you can complete your RN, LVN, and APRN CEUs with confidence.
Accreditation Statement
Nursing CE Central LLC is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
It will take the average learner 180 minutes to complete and awards 3 contact hours of continuing education.
Written For
- Registered Nurses (RN)
- Advanced Practice Registered Nurses (APRN)
- Licensed Practical Nurses (LPN/LVN)
Requirements for Completion
- Enrollment in the course by the learner
- Read and learn all course materials
- Complete the course evaluation
- Attest and testify learning of the course materials
Disclosure of Relevant Financial Relationships
Nursing CE Central nor any of the authors, planners, content experts, or any contributors have any relevant financial relationships with ineligible companies to disclose.
