Course Code: REL-ACU-0-UMQP
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2027
Learning Objectives:
Describe the components, common criteria, regulations, and clinical practice standards of utilization reviews.
Identify how utilization management impacts variances in the quality of healthcare services.
Outline:
Section 1: Utilization Management
Understanding Utilization Management
Review
Key Takeaways
Section 2: Process and Assessments
Utilization Review
Review
Key Takeaways
Section 3: Quality of Care
UR and Quality of Care
Review
Key Takeaways
Section 4: Conclusion
Course Summary
Course Contributors
Resources
References
Subject Matter Expert: Wendy Sutas, BSN, RN
Ms. Sutas has been a nurse for over 26 years, with more than 11 years working in utilization review.
Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Acute Care Facility.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.