Where Do I Fit In? UMCR Utilization Mgmt Certification

Certification: Where Do I Fit In? 

UMCR Utilization Management Certification

Live, Online Learning Opportunity!

ABOUT THE PROGRAM
These 90-minute programs are designed for the new and seasoned participant preparing for the NCQA-Certification process. It provides an overview of NCQA UMCR Utilization Management Certification requirements, focuses on preparing for a Survey and learning how to read a Credentialing Certification standard. This educational webinar series will be presented by Frank Stelling & Ginelle Jurlano, with a live question-and-answer session following each presentation.

WHAT YOU WILL LEARN
At the completion of this program, you will be able to:

• Understand the UMCR Utilization Management Certification standards
• Describe the core and must pass elements required for UMCR Utilization Management Certification
• Understand how to read a NCQA standard
• Understand NCQA’s Survey Process
• Prepare documentation according to NCQA’s guidelines

HOW YOU WILL BENEFIT
Participants will receive a concise presentation of key UMCR Utilization Management Certification requirements in an interactive environment that will allow for questions and answers.This will increase participants’ ability to apply these standard requirements in their own organizations, as well as receiving an enhanced understanding of how NCQA uses UMCR Utilization Management Certification in relation to Health Plan Accreditation and delegation.

WHO SHOULD ATTEND
This on-line program is geared towards individuals with one year or less of experience UMCR Utilization Management Certification as well as seasoned individuals who need a refresher on how to best prepare for NCQA UMCR Utilization Management Certification. This beginner level program is especially beneficial for those involved in collecting, reporting, or acting upon Credentialing results.Additionally, those participating and carrying out UM activities including applying UM criteria and decision making will benefit from this on-line program.

• UM Directors
• UM Managers
• UM Coordinators
• Quality Assurance/Quality Improvement Directors
• Quality Managers
• Medical Directors 
• Operations Directors
• Consultants
• Statisticians/Programmers
• Information Systems Directors
• Vendors/Contractors
• Medical/Specialty Groups
• PBMs
• Staff who work on Certification Products

DATE, LOCATION & PROGRAM FEES
Individual Registration Fee:
$95.00 per person

EXPERT FACULTY

Frank Stelling, MEd, MPH
Mr. Stelling is an Assistant Director in the Policy Department of the National Committee for Quality Assurance (NCQA). He serves as a project manager and policy leader for the Standards and Guidelines for Health Plan Accreditation and is the content specialist for quality improvement standards, providing clarification of complex policy issues both internally and externally. He also assists in facilitating the transition of new products from development to full operation.He is a member the Policy Development Group; an interdisciplinary work group charged with resolving policy issues.
Prior to joining NCQA, Mr. Stelling served in various capacities in care management and preventive services for a national managed care organization. He was a member of the quality improvement committee and led the organization through a successful NCQA survey. He has over 30 years of experience in management in managed care, hospital, public health and voluntary health organizations. Mr. Stelling has a Master of Education from the University of South Carolina and a Master of Public Health from the University of California, Berkeley.

Ginelle Jurlano, MHA
Ginelle Jurlano began working at the National Committee for Quality Assurance in August 2010. She is currently an Accreditation Manager in the Product Delivery department. She is responsible for coordinating and conducting accreditation and certification surveys for healthcare organizations. She also serves as the CVO product champion for the department.
Prior to her position in Product Delivery, Ms. Jurlano was a health care analyst in Product Development where she assisted in creating and updating NCQA programs including Health Plan Accreditation, Managed Behavioral Healthcare Organizations, Case Management, Wellness and Health Promotion, Patient Centered Medical Home and Accountable Care Organizations.
Ms. Jurlano received her Bachelors of Science at Duquesne University in Pittsburgh, PA. She received her Masters of Health Administration from University of Maryland School of Public Health in College Park, MD.

Traditional NCQA Seminar discounts do not apply to On-Line Programs.

CONTINUING EDUCATION
No continuing education credits will be granted for this program.

Event Type

1. Self Paced