Courses/Beginner Utilization Management Nurse Training

Beginner Utilization Management Nurse Training

A comprehensive training program for nurses entering the Utilization Management field. Learn prior authorizations, CPT codes, ICD-10 basics, DOFR, POS, LOB, medical necessity review, authorization intake, documentation review, approval notes, pends, denials, and full UM job readiness.

14 Modules 31 Lessons Self-paced Certificate included

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Course Curriculum

Essential UM Terms Part 118m

Essential UM Terms Part 216m

CPT Code Introduction14m

Reading CPT Code Descriptions20m

Beginner Utilization Management Nurse Training

Course Curriculum

UM Vocabulary & Key Terms

CPT Codes Basics

ICD-10 Diagnosis Codes

DOFR - Division of Financial Responsibility

POS - Place of Service Codes

LOB - Lines of Business

Authorization Intake

Documentation Review

Medical Necessity Review

Approval, Pend & Denial Basics

UM Note Writing

Common Case Examples

UM Job Readiness

Final Exam