The purpose of the Clinical Adherence and Remediation (CAR) training team is to meet the medical management training needs of the Care Delivery Organizations (CDOs) we serve. Our training consists of utilization management and case management topics. We also create customized trainings based on the specific needs of our CDOs. We want our CDOs to know that, as they are delegated to take on specific medical management duties, our goal is to help set them up for success through training and ongoing support.

For more information, please contact the CAR training team:  CDO_OCMMTraining@optum.com.

Available On-Demand! There are no fees for participating in or receiving credit for these modules.
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Utilization Management Courses

• Inpatient vs Observation: Determining Level of Care
• Introduction to the Medicare Hierarchy
• Medicare Case Reviews: Principles of Denial Letter Writing
• NOMNC and DENC Letter Requirements

Case Management Courses

• Special Needs Plans: A Guide to Eligibility, Benefits, Model of Care and Regulatory Requirements
• Identifying Social Determinants of Health and Interventions to Improve Health Outcomes
• The Fundamentals of Population Health Management
  • Delegation 101
  • Care Management and Disease Management 101
  • Utilization Management 101
• Complex Case Management for National Committee for Quality Assurance (NCQA) Delegation (6 Modules)
• Managing Members with Chronic Conditions 
  • Heart Failure
  • Heart Disease
  • Diabetes
  • COPD
• Identification and Stratification for Care Management
• Principles of Mental Health for Case Management
• Managing Members with Chronic Kidney Disease (CKD)
• Application of Motivational Interviewing to Case Management

IRR Assessments

• MCG 27th Edition Ambulatory Care Interrater Reliability
• MCG 27th Edition Recovery Facility Care Interrater Reliability
• MCG 27th Edition Inpatient and Surgical Care Interrater Reliability
• 26th Edition: MCG Interrater Reliability – Ambulatory Care
• 26th Edition: MCG Interrater Reliability – Inpatient and Surgical Care
• 26th Edition: MCG Interrater Reliability – Recovery Facility Care

Provided by
These activities are provided by Optum Health Education and Optum Care.

Commercial support
No commercial support was received for these activities.

If you have questions regarding OptumHealth Education's activities or services, please e-mail: moreinfo@optumhealtheducation.com.