Introduction to Utilization Management

Course Overview

Course Outline

1. Introduction 
2. Utilization Management Process and Steps  
3. Utilization Management Benefits and Challenges 
4. Legal Aspects of Utilization Management 
5. Role of the Utilization Management Nurse 
6. Pros and Cons of the Utilization Management Nurse Role 
7. Required Nursing Education and Skills 
8. A Day in the Life of the Utilization Management Nurse 
9. The Future of Utilization Management 
10. Case Study 
11. Case Study Questions 
12. Conclusion 
13. Final Reflection Questions

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.

In this course, we will discuss Introduction to Utilization Management. It will take the average learner 180 minutes to complete and awards 3 contact hours of continuing education.

Course Outcomes

After completing this course, the learner will rate a 4 out of 5 on the Likert Scale for their ability to:

1. Describe the purpose and goal of utilization management.
2. List the utilization management process steps, benefits, and challenges.
3. List the education and certification requirements for the utilization management nurse role.
4. Explain the responsibilities and skillset of the utilization management nurse.

Target Audience

• Registered Nurses (RN)
• Advanced Practice Registered Nurses (APRN)
• Licensed Practical Nurses (LPN/LVN)

Requirement for Completion

1. Enrollment in the course by the learner
2. Read and learn all course materials
3. Complete the course evaluation
4. Attest and testify learning of the course materials

Accreditations + Approvals

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.