The All UM Nursing Roles Assessment includes questions from the following modules: • Introduction to Utilization Management • Working Together – Utilization Management Team • Utilization Management Resources for Members and Providers • Standards for Outbound Provider Communications and Outreach • Communication Log • Over- and Under- Utilization • Referrals to Case Management • Identifying Quality of Care Concerns and referrals to Quality Department • Reviewing Authorization Requests • UM Decisions and Timeline Requirements • Identifying when Medical Director Review is Required • Insufficient Information Extension Workflows • Decision Letters that Meet Expectations and Requirements • Receiving and Processing Peer to Peer Requests

• Faculty: Jamie Liske
• ID: Qu-041882