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.