OCMM Medical Director Determination Workflow
This course is for Medical Directors who work either prior authorization cases or inpatient cases. It reviews the workflow and process for a review as well as inform Medical Directors on how to prioritize cases and adhere to required time frames for the completion of the review.
Optum Care Management
Define the Medical Director determination workflow process.
Describe the different types of determinations.
Identify the timeframe requirements for case reviews.
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