Nursing Case Management Course

I presented on the topic of Utilization Management that covered the following:

  • Discuss the basic concepts of utilization management in case management.
  • Identify the main types of UM services.
  • Describe the impact of regulatory agencies on utilization of services
  • Discuss the management of the utilization of resources in various stages of healthcare.
  • Describe the importance of utilization management documentation.
  • Case Study involving utilization management concepts

While researching into the role that nurses have in utilization management, I have gained insight into the importance of health insurance (payors) play into healthcare. Utilization management is definitely an area that is vital in keeping healthcare running smoothly.

Utilization Management Presentation

Not an exact science!