Utilization Management Wireframes

Interactive designs for authorization workflows, clinical reviews, and analytics dashboards. Click any wireframe to view the full interactive design.

Clinical Workflows

2 wireframes
Clinical Review Workspace
Three-panel layout for UM nurses - case summary, document viewer, decision support
Peer-to-Peer Review Workspace
Medical Director interface for provider consultations with call tools and documentation

Analytics Dashboards

6 wireframes
Executive Dashboard
High-level KPIs and organizational performance metrics for leadership
Operational Dashboard
Real-time queue health, team productivity, and workload distribution
Compliance Analytics
Regulatory timeframe tracking, CMS metrics, and NCQA audit support
Clinical Decisions
Decision patterns, criteria usage analysis, and clinical quality indicators
Appeals Intelligence
Appeal trends, overturn analysis, and root cause investigation
Provider Patterns
Provider-level analytics, network performance, and utilization patterns
View Design Specification Document