Join the "How to Become A Utilization Reviewer" Course and get insight and guidance on how secure a position working in utilization review.
What is Utilization Review: Utilization review in a nut shell is reviewing medical records for proper billing and documentation. You are ensuring that healthcare professionals are doing their job correctly and are not abusing the healthcare system.
What does this job entail: This career has no direct patient care involvement and no lifting or manual labor. It is primarily a computer based job that can allow you to work from home. Each day you'll receive charts that you'll need to review for fraud/abuse and either approve or deny reimbursements.
Course Description:This is a pre-recorded online, on-demand course for rehabilitation professionals to become proficient with the roles and functioning of Utilization Review.This course is designed for therapists to better excel as utilization reviewers and in utilization management.
This course describes the purpose of utilization review, the roles and responsibilities of utilization reviewers, the basic elements of the UR process, describe the kinds of information that are integral to determining medical necessity and appropriateness of care including clinical guidelines, Medicare, length of stay and prior authorization all to help improve the ability to appropriately perform utilization review.
Course Information:Course time: 2 hours Course will be provided via pre-recorded power point lessons and individual video recordingsTherapists will be required to complete Google form with a feedback questionnaire and post test prior to receiving certificate
Course Outline:Part 1: Introduction To What Is Utilization Review and Management: 60 min10 min: Describe how and why the utilization review (UR) process was created10 min: Describe the role of the utilization review professional30 min: Review and describe the basic elements that make up the entire utilization review process10 min: Medical terminology, teach the verbiage and language which may be uniquely used while working in a utilization management environment
Part 2: Deep dive into each criteria within the utilization review process and its importance in driving ethical and appropriate medical care: 60 minDescribe information that is integral to determining medical necessity and appropriateness of careDefine clinical guidelines, provide several examples of clinical guidelines, and explain how they are usedDescribe the factors determining a patient’s length of stayDiscuss prior authorization and how it affects length of stayDiscuss diagnosis related groups and how that is relevant in the Utilization review processDifferentiate between the different parts of Medicare and such things including fee for service insurance plans, HMO, PPO, Point of service plans and explain the importance of the appeal and denial processExplore other utilization management considerations (2 Midnight Rule, Status Reconciliation, and 3 Day SNF Rule)
Learning Objectives: By the end of the course, each participant will: -Have a deep understanding of utilization review and the roles and responsibilities one has-A complete understanding of the basic elements of the UR process-Understand the kinds of information that are integral to determining medical necessity and appropriateness of care including clinical guidelines, medicare, length of stay and prior authorization all to help improve one’s ability to appropriately perform utilization review to the best of one’s ability.
Presenter: Liezl Geli PT,DPT
Location: Online, on demand, via Alternative Healthcare Careers (moc.sreeracerachtlaehevitanretla%40ofni)
Target Audience: PT/PTA/OT/COTA/SLP/ATC and other medical professionals
*Quiz and survey required at end of course*Please see bottom of page for cancelation and disclosure policies
Here's what else is included in this course:
Here's the online course outline:What is a Utilization ReviewerWhat are the skills you need to be one?How much does a Utilization Reviewer make?How soon can you start a Utilization Reviewer career?How can you start working from home as a Utilization Reviewer?How to write your resume and cover letter (2 videos on this, one by Bill and one by Emma)How to create a LinkedIn profile that may get you job offersHow to search for UR jobsHow to ace your interviewHow to excel at Utilization Review**Plus 2 case studies going over how to perform UR reviews
This course includes:- Over 4 hours of video training on UR in's outs-2 hour CEU course on how to perform the actual UR skills-4 different therapist turned UR interviews-Sample resume and cover letters-Sample interview questions-List of additional certifications you could get to help your job chances-Private Facebook group-2 hours CEUs for OT/OTA and PT/PTA-Plus FREE professional resume review
"I just wanted to let you know that I found this course very helpful! It really prepared me for my job interview with Utilization Review Companies and gave me a thorough overview of what UR entails".
Nora, Occupational Therapist and Now Utilization Reviewer
"I joined on Thursday and just finished catching up on the webinars. I have learned so much already! It reinforces that this is something I want to pursue and also that I need to make some changes to my resume!
Shelby, Occupational Therapist and Now Utilization Reviewer
"I owe everything to you Bill Daly! Thank you so much for your unending help and guidance! "
Liezl, Physical Therapist and Now Utilization Reviewer
Amy, Physical Therapist and Now Utilization Reviewer
My interview went well! I was confident and prepared - thank you to this course!
Isabel, COTA who successfully applied and performed an interview and is now waiting to hear back.
The UR Course was very informative and helpful. I learned more through this course than I have in any other course for quite some time!
Over 6 hours of content to help you get the job!
We provide you with resume, cover letter templates, interviews with therapists turned UR, simple to follow videos and instruction to help you get
We really support our course members! I respond to emails within 24 hours and truly do my best to support you and answer any questions you have.
You can get this course reimbursed by employers due to our CEU approval.
Special needs and accommodations:
Disclosure and other information