Looking for Utilization Management

and MCG Training?

Then this course is for you!

It's a Catch-22 of needing MCG training to get

a job but need a job to get MCG training


So, Case Management Institute partnered with MCG...


To bring you the first (and-only) course with MCG training outside of an employer!


That's right! If you want MCG Training and your employer doesn't offer it,

this is the only course available.

Utilization Management and MCG Fundamentals

                         
  • Utilization Management and MCG Fundamentals

Was $897.00 Now Only $767.00

  • Enroll Now and get…

  • Instant access to the course
  • 9 Nursing Continuing Education Credits (for more information (go here)
  • Access to MCG Certified instructors
  • Certificate of Completion
  • Eligibility to complete MCG Certification* 
regular course

One sentence summary of what they get

$

99

/month

  • Lifetime Access
  • Immediate Start
  • Access to All Modules
Advanced course

One sentence summary of what they get

$

127

/month

  • Lifetime Access
  • Immediate Start
  • Access to All Modules
  • X number of bonuses
  • Access to Private Facebook Group
  • 30 minute private coaching call

The basics of Utilization Management


This course introduces you to what Utilization Management is, 

why it is necessary, and teaches you the Utilization Management Process.


It gives you a solid foundation to begin or advance your career in UM.

Here’s What You’ll Get When You Enroll

Learning to fit your lifestyle

We understand your busy lifestyle. That's why our course offers the freedom to learn at your own pace, anytime, anywhere that you have a computer & internet. 


Gain the knowledge and skills you need with the flexibility and convenience that fits your schedule.

Nursing Continuing Education Credits
  • This course is pre-approved for 4 CNE credits from Case Management Institute, LLC, an approved Florida Board of Nursing provider. You will receive an additional 5 CNE through MCG for a total of 9 CNE.


Click here to learn more about the continuing education credits. 

Expert Instructors To Guide Your Success

Our instructors are certified in MCG and dedicated to helping you get the most out of this resource. 


Benefit from their real-world experience and expertise as they guide you on your journey to becoming a skilled and confident Utilization Manager. 



Unlock the Path to MCG Certification!

  • Upon completing the course, you'll have the opportunity to pursue MCG Certification. This certification validates your expertise and opens doors to new career opportunities. Licensed healthcare professionals can gain access to MCG and take the certification test.


  • For more information about the certification process and fees, visit the MCG website HERE.

Experience Real-World Scenarios in our Simulation Lab!
  • Our course goes beyond theory by providing hands-on experience using the same program utilized by Utilization Managers nationwide. Dive into real case simulations, allowing you to apply your new knowledge and develop practical skills.


  • Gain confidence and proficiency as you navigate through various scenarios and make informed decisions. Get ready to excel in your role with our immersive simulation lab.



  • Certificate of Completion


      Upon completing the Utilization Management and MCG Fundamentals Course, you'll earn a valuable Certificate of Completion. 

      Showcase this achievement in the education section of your resume and LinkedIn profile, distinguishing yourself as a dedicated professional committed to continuous learning.


  • For more information about the certification process and fees, visit the MCG website HERE.

Here’s what past students are saying about the course

Rebecca Varney

I signed up for the Utilization Review MCG Course because I was applying to positions in the hospital and all of them wanted experience using either MCG or InterQual. I did not have experience using either. I have interviewed for 2 case management positions and was able to explain to the HR department that I was taking MCG training through CMI. I have a second interview for one of the positions and I interviewed with the entire team at the other after they found out I was already taking the class. I have high hopes that this is what will get my foot in the door. Thank you CMI!

Bobbi Allen

This is a great course overall. It provided in depth explanations, examples, and hands-on case studies. It had presented info in many different ways so it doesn't matter what your learning style is. I am so grateful I got the opportunity to take this course and feel prepared to apply for a UM/UR position.

Diana M McElvy

I attempted to become a UM nurse with a large hospital in my home town. I struggled terribly with navigating MCG and was unable to achieve the speed that was needed to be successful in that position. since leaving the job I took this course and now I truly feel that my speed would come much easier because I know better how to navigate MCG. It feels really nice to know I CAN do it! Many have said you need to work the job to be able to succeed in learning MCG, but I disagree. You need to learn MCG, then get the job.

This UM Course Includes: 

1

Unit 1: Introduction to Utilization Management and the UM Process

In this unit, you will dive into the fundamentals of Utilization Management, including a clear understanding of the distinction between Utilization Management and Utilization Review. Explore the UM Process, Appeals, and Denials to develop a working knowledge of effective Utilization Management practices.

2

Unit 2: Insurance Principles

Explore the fundamental aspects of insurance coverages and principles in this unit. Gain insights into the two primary categories of health insurance: private (including employer-sponsored health coverage and individual policies) and public (such as Medicare and Medicaid).


Acquire a solid foundation of terminology, principles, and concepts that will serve as the bedrock for your successful career in Utilization Management. 

3

Unit 3: Health-Related Legislation 

Gain a foundational understanding of healthcare and disability-related legislation that impacts utilization management, including the Affordable Care Act and its significant enhancements to mental health legislation.


Expand your awareness of the key legislative factors shaping the healthcare landscape and acquire valuable insights to guide your proficiency in utilization management.

4

Unit 4: Acuity and Severity Levels, Levels of Care, and Care Settings 

You will receive a comprehensive understanding of the different levels of care available in various healthcare settings, as well as the admission and continued stay criteria associated with each level.


This equips you with the knowledge necessary to ensure patients receive safe, cost-effective care in the most suitable setting based on their specific needs. 

5

Unit 5: MCG-Inpatient & Surgical Care 

Through hands-on practice, you will learn how to leverage MCG to assess the appropriateness of procedures and admissions to acute care. Gain proficiency in identifying the optimal recovery course or general treatment course for patients, as well as the criteria for discharge from acute care.


Explore the tools available for effective discharge planning, differentiate between observation and inpatient criteria, and determine the appropriate length of stay.


Master the utilization of ISC-Rapid Review Guidelines and develop the skills to utilize them effectively. 

6

Unit 6: MCG-General Recovery Care 

Gain practical experience in applying the General Recovery Care guidelines and understanding its core focus. Compare and contrast the nuances between General Recovery Care and Inpatient & Surgical Care guidelines, equipping yourself with the knowledge to determine the appropriate use of each.


Explore the utilization of Clinical Indications to assess the suitability of admission to inpatient care and effectively manage the General Recovery Course during an inpatient stay. 


Discover the wealth of discharge planning resources embedded within General Recovery Care and gain proficiency in their application. 

7

Unit 7: MCG-Home Care 

Learn how to utilize MCG to evaluate the appropriateness of admission to the home care setting. Gain an understanding of the General Treatment Course, its components, and its significance in guiding patient care. Use the Recovery Course to expertly manage a patient's home care status, optimizing their recovery journey. Lastly,


Uncover a wealth of valuable discharge planning resources embedded within Home Care, empowering you to facilitate smooth transitions for patients. 

8

Unit 8: MCG-Recovery Facility Care  

Gain experience in applying the Recovery Facility Care guidelines to determine the appropriateness of admission and optimal patient care in sub-acute, acute inpatient rehabilitation, and skilled nursing facility settings.


Explore levels of care, determine appropriateness using Clinical Indications, manage treatment courses, and access valuable discharge planning resources. 


In addition to the 8 units listed above, you also get the following...

Bonus

Bonus 1
Personalized Instructor Support

We've got your back every step of the way. Gain direct access to our MCG Certified instructor for assistance and guidance.


Whether you need clarification, have questions, or require feedback on assignments, our instructor will be there to support you.


Communicate conveniently through email ensuring a seamless learning experience.

Bonus 2
Additional MCG Practice

Take your MCG skills to the next level with our bonus unit featuring additional case scenarios.


Perfect for MCG Certification preparation or simply sharpening your expertise. Boost your confidence and proficiency with these valuable practice resources.

colleen morley

About The Course Instructor,
Colleen Morley

Dr. Colleen Morley DNP, RN, CCM, CMAC, CMCN, ACM-RN, FCM

is MCG certified and has held positions as the Director of Case Management, overseeing Utilization Review, Case Management and Social Services as well as Director of Utilization Management and Care Coordination for Managed Medicaid and commercial populations. She currently holds office as President of CMSA National Board and Secretary for ANA Illinois.


About The Course Instructor,
Connie Saunders

Constance Saunders, MN, BScN, RN, CCM, AE-C Is a Master’s prepared Registered Nurse, who graduated in 1996 and a certified case manager and asthma educator. Connie is MCG certified in Utilization Management and enjoys surfing, walking her dog Lollie, and reading.

Connie Saunders
  • Utilization Management and MCG Fundamentals

Was $897.00 Now Only $767.00

  • Enroll Now and get…

  • Instant access to the course
  • 9 Nursing Continuing Education Credits (for more information (go here)
  • Access to MCG Certified instructors
  • Certificate of Completion
  • Eligibility to complete MCG Certification* 
regular course

One sentence summary of what they get

$

99

/month

  • Lifetime Access
  • Immediate Start
  • Access to All Modules
Advanced course

One sentence summary of what they get

$

127

/month

  • Lifetime Access
  • Immediate Start
  • Access to All Modules
  • X number of bonuses
  • Access to Private Facebook Group
  • 30 minute private coaching call

Special Savings!

Buy the Foundations of Case Management and UM/MCG 

combined for the special price of $1067.00


Foundations of Case Management, Utilization Management & MCG Course

For those who really want to take it up a notch, we offer the Foundations of Case Management and Utilization Management and MCG course. 


This is the ULTIMATE course in that it gives you hands-on experience using MCG software. MCG is the software used by many insurance companies and hospital case managers to determine if a procedure or admission is medically necessary. 

Not sure which course is best for you? Read about how the courses compare here.

Don’t wait!

Look at what past students have to say about this course

Jan Mahurin

My goal is to be a Utilization review nurse however, I did not have the knowledge of what it entailed. I found this course to be so extremely helpful. If you are looking to go into this area, this course will definitely prepare you. You can't go wrong taking this course.

Kathy Li

Enjoyed the course. Found it very educational & I have understood & learned a lot. Instructors are great, communications were easy with positive feedback.


Update: Now working in Utilization Management after completing our course!

Robert Moore

Becoming certified in MCG will allow me as a travel Case Manager to be qualified for positions that I have not been qualified for in the past.

Frequently Asked Questions

How long does it take to complete the course?

Do you offer a payment plan?

Will I be able to get a job in Utilization Management after taking this course?

How long do I have access to the course?

Why do you require a personal email address to purchase the course?

When & where is the course presented?

How is the course presented?

What are the requirements to take this course?

Does this course prepare me for MCG certification?

 Is this course right for me?

  • Utilization Management and MCG Fundamentals

Was $897.00 Now Only $767.00

  • Enroll Now and get…

  • Instant access to the course
  • 9 Nursing Continuing Education Credits (for more information (go here)
  • Access to MCG Certified instructors
  • Certificate of Completion
  • Eligibility to complete MCG Certification* 
regular course

One sentence summary of what they get

$

99

/month

  • Lifetime Access
  • Immediate Start
  • Access to All Modules
Advanced course

One sentence summary of what they get

$

127

/month

  • Lifetime Access
  • Immediate Start
  • Access to All Modules
  • X number of bonuses
  • Access to Private Facebook Group
  • 30 minute private coaching call

Special Savings!

Buy the Foundations of Case Management and UM/MCG 

combined for the special price of $1067.00


Foundations of Case Management, Utilization Management & MCG Course

For those who really want to take it up a notch, we offer the Foundations of Case Management and Utilization Management and MCG course. 


This is the ULTIMATE course in that it gives you hands-on experience using MCG software. MCG is the software used by many insurance companies and hospital case managers to determine if a procedure or admission is medically necessary. 

Not sure which course is best for you? Read about how the courses compare here.

Deanna's personal note



I understand the frustrating catch-22 situation you find yourselves in. Employers want to hire UMs and CMs with MCG Experience, but you can’t get MCG training until someone hires you!!


Like every good case manager, I love to find a solution to a problem. So I reached out to MCG and leveraged our success with online CM certification courses to see how we could solve this issue. This resulted in a partnership with MCG to bring YOU the ideal course that teaches you the essentials of Utilization Management and MCG Careweb. 


But that's not all!


Committed to your success, we developed a simulation lab where you can gain invaluable hands-on experience through practical exercises. This way, you won't just grasp the theory but also confidently apply your knowledge in real-world scenarios. 

And here's the exciting part: upon successfully completing our course, you will have the opportunity to apply for MCG Certification! 


It brings me great joy to be your trusted guide on this transformative journey as you learn to master the utilization of MCG Care Guidelines, equipping you with the necessary experience and expertise to excel in your career.


With warm regards,

Feel confident in your decision


Talk To Us

  • We want you to feel confident in your decision to enroll in Utilization Management & MCG Fundamentals so that you can take this important step to advance in your career.


    If you have any questions, please feel free to reach out to us at Support@CaseManagementInstitute.com

Get Reimbursed By Your Employer

Most large organizations, and many smaller ones, will reimburse tuition for continuing education and/or professional development. 


Check with your supervisor or Human Resources Department.

Click here to download a proposal template

Refund Policy

  • * We wholeheartedly believe Utilization Management & MCG Fundamentals is the best program available.

  • * You will be learning from experts in the field with decades of training experience.

  • * We are committed to helping you reach your goal of advancing your career and only want to work with individuals who are as committed to their     success as we are.

  • * Due to the digital nature of the content as well as the time our instructors give to each individual student, we do not offer refunds.

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