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          My Care Requests-Utilization Management Nurse

          My Care Requests-Utilization Management Nurse

          The My Care Requests dashboard gives a utilization management nurse or a clinical reviewer a comprehensive overview of their care requests and review statuses. Use the visualizations to quickly identify requests that require immediate attention based on the due date and make informed decisions on the care reviews.

          Required Editions

          Available in: Lightning Experience

          Available in: Enterprise and Unlimited Editions of Health Cloud with the Revenue Intelligence for Health or CRM Analytics for Health Cloud add-on license.

          You can filter the charts in the My Care Requests dashboard based on a specific duration, request type, case owner, and member state. The dashboard consists of Overview and Plan Discharge pages.

          • Use the charts on the Overview page to view:
            • The total number of care requests and the review status
            • Care requests that need attention based on the due date and priority
            • Care requests pending medical director review based on the due date, priority, and sub status
          • Use the charts on the Plan Discharge page to view:
            • The count of inpatient admissions based on each discharge schedule
            • Care requests based on the corresponding request provider or servicing facility

          Use the Care Request Details section to view the summary of all your care requests based on the applied filters and quickly identify the requests that are due. You can click the case number or member name to view more details. Click View All to view the list of all the cases assigned to the user.

           
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