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2. Utilization management - Wikipedia

   en.wikipedia.org/wiki/Utilization_management

   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 ...

3. Case management (US healthcare system) - Wikipedia

   en.wikipedia.org/wiki/Case_management_(US...

   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.

4. Managed care - Wikipedia

   en.wikipedia.org/wiki/Managed_care

   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.

5. Nursing management - Wikipedia

   en.wikipedia.org/wiki/Nursing_management

   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.

6. Clinical peer review - Wikipedia

   en.wikipedia.org/wiki/Clinical_peer_review

   Likewise, each nurse must participate with other nurses in the decision-making process for evaluating nursing care…Peer review implies that the nursing care delivered by a group of nurses or an individual nurse is evaluated by individuals of the same rank or standing according to established standards of practice….

7. Nursing - Wikipedia

   en.wikipedia.org/wiki/Nursing

   Nursing A nurse checks a patient's blood pressure. Occupation Activity sectors Nursing Description Competencies Caring for general and specialized well-being of patients Education required Qualifications in terms of statutory regulations according to national, state, or provincial legislation in each country Fields of employment Hospital Clinic Laboratory Research Education Home care Related ...