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Clinical Academy: Essentials of Managed Care
Activity description
This module explores how strategic priorities guide clinical and operational decisions in managed care environments. Participants will learn how aligning daily actions with organizational goals enhances efficiency, improves patient outcomes and supports sustainable care delivery.
Provided by
This activity is jointly provided by Optum Health Education and UnitedHealth Group.
Commercial support
There was no commercial support received for this activity.
Target Audience
This activity is designed to meet the educational needs of health care professionals who have an interest in strategic priorities in a managed care setting.
Learning Objectives
At the end of this educational activity, participants should be able to:
- Define strategic priorities in a managed care setting.
- Explain how goal-setting frameworks support clinical and operational alignment.
- Identify key categories of strategic priorities, including customer satisfaction, innovation, and operational efficiency.
- Describe the clinician’s role in contributing to strategic goals through everyday decision-making.
Activity Planners
Rhea Adante, RN
Sr. Training Manager, LS Clinical
Optum Global Advantage
Olufunmilayo Aiyegbo, RN, DNP, FNP-BC
VP Clinical Workforce Operations and Strategy
Optum Home and Community Care Solutions
Elizabeth Albert, MD
Clinical Activity Manager
Optum Health Education
Sarah Chart, RN
Sr. Director Healthcare Optimization & Strategy
UHG Medical Affairs
Optum Health Education
Lea Ann Craig, RN, BSN, MBA
SVP, E&I and IFP Quality & Clinical Performance Strategy
UnitedHealthcare, Employer & Individual
Karen Drum, DNP, MSN, RN, ACRN, CCM
RN Director of Case Management, Employer & Individual
UnitedHealth Group
Leslie Durham, RPh
Sr. Pharmacist in Charge, Optum Specialty Pharmacy Services
Optum
Hany Farid, MD
Senior Medical Director
Optum California
Nilesh Gokal, MD, FAAFP
Chief Medical Officer
Optum NV
Crystal House, RN, MSN
Director, Clinical Capability Development
Optum Global Advantage
LaRhonda Jones, MD
Medical Affairs Fellow
ECS-Senior Behavioral Medical Director – Central Region
Optum
Neeta Kher, MD, MBA
Senior Behavioral Medical Director, East Region
ECS-Behavioral Clinical Operations
Optum
Valerie Koch
Olga Kosenko, PhD, MBA
Sr. Director, Optum People Team
Optum
Chris Ledet, FNP
Director of Advanced Practice Clinicians, M&R Peoples Health
UnitedHealthcare
Camila Lucasey, RN, BSN, MBA
Vice President, United Clinical Services
UnitedHealthcare
Rachel Mickelson
Sr. Project Manager, Project Management Office | Strategy & Operations
Enterprise Talent Development & Learning
UnitedHealth Group
Dominique Miskell Cloutier, RN, BSN
Senior Director, Integrated Care Team
Optum
Carrie Mullin, MBA
Healthcare Optimization & Strategy Director, Medical Affairs
UnitedHealth Group
Jaime Murillo, MD, FASE, FACC, FAHA
SVP & CMO, Medical Affairs
UnitedHealth Group
Bishalya Neupane
Sr Clinical Informatics Content Manager | CACS
Optum
Corey Olson, MBA
Associate Healthcare Optimization & Strategy Director, Medical Affairs
UnitedHealth Group
Preedar Oreggio, MD
Senior Medical Director, LA NorthEast
OptumCare
Stephanie Perera, RN, BSN, CCM, MBA
Director of Behavioral Health Utilization and Case Management
Optum
Kimberly Pratt, MSN, GNP-BC, CRNP
Vice President of Clinical Operations
Optum Home and Community
Optum
Michael Radnor, PharmD
Manager of Pharmacy Operations
OptumRx
Jen Rogers, RN, BSN, MPM, MHP
Senior Director Healthcare Optimization & Strategy, Medical Affairs
UnitedHealth Group
Heather Rohman, MHDS, MLS(ASCP), ASQ CQIA
Healthcare Optimization & Strategy Consultant, Medical Affairs
UnitedHealth Group
Mara Rubin, MHS
Chief of Strategy, Medical Affairs
UnitedHealth Group
Robert Stephenson, PsyD
OBC Director of Psychological and Neuropsychological Testing
Atrius Health
Deborah Taff, PMP, MT-BC
SVP, United Clinical Services
Clinical Operations & Adherence
UnitedHealthcare
Alexander Vance, M.S.
Director, Enterprise Talent Development and Learning
UnitedHealth Group
Margaret-Mary Wilson, MD, MBA, MRCP, FNMCP
Chief Medical Officer & Executive Vice President
UnitedHealth Group
Gaurav Zirath
Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Optum Health Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.
The planners have no financial relationships to disclose.
Accreditation statement
In support of improving patient care, this activity has been planned and implemented by Optum Health Education and UnitedHealth Group. Optum Health Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit designation statements
This activity was planned by and for the health care team, and learners will receive 2.75 Interprofessional Continuing Education (IPCE) credits for learning and change.
Nurses
The participant will be awarded up to 2.75 contact hour(s) of credit for attendance and completion of supplemental materials.
Nurse practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
Pharmacists/Pharmacy technicians
This activity is approved for 2.75 contact hours ([0.275] CEU) in states that recognize ACPE.
Attending the full program will earn 2.75 contact hours.
Unique Activity Number(s): JA0007123-9999-25-064-H99-P/T
Physicians
Optum Health Education designates this enduring activity for a maximum of 2.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
PAs
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
Dietitians 
Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (One IPCE credit=One CPEU).
If the activity is dietetics-related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (One 60 minute hour=1 CPEU).
RD's and DTRs are to select activity type 102 in their Activity Log. Performance indicator selection is at the learner's discretion.
Psychologists
Optum Health Education is approved by the American Psychological Association (APA) to offer continuing education for psychologists. Optum Health Education maintains responsibility for this program. 2.75 CE hour.
Social workers
As a Jointly Accredited Organization, Optum Health Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Optum Health Education maintains responsibility for this course. Social workers completing this course receive 2.75 enduring continuing education credits.
Attendance
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.
Available Credit
- 2.75 ACPE - Pharmacists
- 2.75 ACPE - Pharmacy Technicians
- 2.75 AMA - Physicians
- 2.75 ANCC - Nurses
- 2.75 APA - Psychologists
- 2.75 Attendance - General Attendance
- 2.75 CDR - Dietitians
You must be logged into your account to participate in this activity. Get started by completing the “Evaluation”; then follow the prompts at the bottom of the screen. At the end of the activity, you will be able to view, save or print your certificate of participation. A complete listing of all of your activities can be found under “My Account,” “My Activities.”