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Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
Utilization/Financial Management – managing resource utilization and reimbursement for services. Performance & Outcomes Management – monitoring, and if needed, intervening to achieve desired goals and outcomes for both the patient and the hospital.
Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
In the modern world, there are a number of nursing specialities. Professional organizations or certifying boards issue voluntary certification in many of these specialties. Advanced practice nursing
In fact, the Bureau of Labor Statistics, or BLS, predicts registered nursing jobs will grow by 6% between 2023 and 2033, resulting in about 194,500 job openings for RNs each year over the decade.
The chief nurse is a registered nurse who supervises the care of all the patients at a health care facility. The chief nurse is the senior nursing management position in an organization and often holds executive titles like chief nursing officer (CNO), chief nurse executive, or vice-president of nursing. They typically report to the CEO or COO.
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