UM007-OCMM PA Workflow NHO_3.23_NoonCST
March 23, 2021
NEW HIRE ORIENTATION
This course provides an overview of the Prior Authorization Medical Director process in order to render a determination.
Target Audience
Optum Care Management
Utilization Management
Medicare
Medical Director
Prior Authorization
Learning Objectives
Identify the Prior Authorization review process requirements.
Restate the workflow of a Prior Authorization review.
Explain case review time frame prioritization.
MATERIAL INFORMATION
Prior Authorization Medical Director Determination Workflow (SOP)
Prior Authorization MD Determination Documentation (SOP)
Prior Auth Peer to Peer Process (SOP)
Medicare Review Timeframes Grid (JA)
PA Workflow (TM)
WebEx
United States
Available Credit
- 0.00 Attendance