The Role of Artificial Intelligence in Utilization Management – Enhancing Healthcare Decision-Making

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πŸ“’ Earn 3 CE Contact Hours! – BRN Approved

πŸ”Ή Presented by MedScholaria Consulting INC

πŸ”Ή Self-Paced, Online Course

 Course Overview

Artificial Intelligence (AI) is transforming Utilization Management (UM), medical necessity reviews, and workflow automation. This self-paced, online course provides practical knowledge for nurses, case managers, and healthcare administrators on how AI enhances decision-making while addressing ethical and regulatory considerations.

πŸ“Œ Explore AI-driven UM innovations

πŸ“Œ Analyze real-world case studies on AI in healthcare

πŸ“Œ Understand compliance with CMS, NCQA, and URAC guidelines

Upon completion, participants earn 3 CE contact hours, approved by the California Board of Registered Nursing (BRN).

Course Objectives

By the end of this course, you will be able to:

βœ”οΈ Define AI and its applications in healthcare utilization management.

βœ”οΈ Describe how AI enhances decision-making in medical necessity reviews.

βœ”οΈ Evaluate AI-driven predictive analytics, automation, and cost efficiency.

βœ”οΈ Analyze ethical concerns, regulatory requirements, and compliance risks.

βœ”οΈ Apply best practices for integrating AI in UM workflows.

Course Format & Learning Experience

πŸ’» 100% Online & Self-Paced – Learn at your convenience!

πŸ“š Engaging Content – Case studies, interactive quizzes, and downloadable resources.

πŸ“œ Earn Your CE Certificate – 3 BRN-approved contact hours upon completion.

Who Should Take This Course?

βœ”οΈ Utilization Management Nurses

βœ”οΈ Case Managers & Healthcare Administrators

βœ”οΈ Compliance & Quality Improvement Professionals

βœ”οΈ Anyone interested in AI-driven healthcare solutions

Course Pricing & Enrollment

πŸ”Ή Standard Price: $79

πŸ”Ή Limited-Time Early Bird Offer: $69

πŸ”Ή Group Discounts Available

πŸ“§ Questions? Contact Us: polina@medscholaria.com

Refund & Cancellation Policy

If a participant cancels their enrollment within 48 hours of purchase, they are eligible for a full refund.

No refunds will be issued for incomplete or partially completed courses.

If MedScholaria Consulting INC cancels the course, a full refund will be processed within 10 business days.

πŸ“œ BRN Provider Statement

β€œProvider approved by the California Board of Registered Nursing, Provider Number CEP18046, for 3 contact hours.”

Course Content

Module 1: Introduction to Artificial Intelligence in Utilization Management (30 min)
Module 2: AI-Driven Decision Support in Utilization Management (45 min)
Module 3: Ethical and Regulatory Considerations (45 min)
Module 4: AI Implementation in Utilization Management – Case Studies & Best Practices (60 min)
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