Articles

Mentorship: Sharing the Knowledge, Supporting Each Other

Mentorship: Sharing the Knowledge, Supporting Each Other

Almost every case manager can point to at least one person who helped them along their professional development journey, and many have, in turn, developed others through mentorship.

Successful mentoring relationships are marked by mutual respect, clear expectations, personal connection, and shared values. In most cases, both mentor and mentee gain from the relationship, and many mentorships translate into lifelong friendships.

Our mentors support us and motivate us, even and especially when the going gets tough. But what if we could find a way to bottle up some of that important advice and those encouraging words and share it to help others? We can!

Case Management Mentor: Be One, Have One

Case Management Mentor: Be One, Have One

Mentoring is more than orientation and preceptorship. These focus on processes and procedures and have their place within an organization, ensuring employees are trained to fulfill their job duties. But mentorship goes beyond policies, procedures, and the “job”. It focuses on the whole person, their “career” as well as work-life balance. 

Mentorship is built on the relationship between the mentor and mentee and has the potential to create leaders. The best mentors see untapped potential in a colleague and help to develop that potential. They will challenge them to go outside of their comfort zone while providing encouragement, support, and direction that guides the mentee to grow into their full potential. 

Commitment, Communication, & Support

Commitment, Communication, & Support

Everyone wants to hire a case manager with experience. Experience is very valuable, but with a large number of case managers reaching retirement age and the demand for case managers increasing, organizations will be forced to hire people who lack previous case management experience. And that’s not necessarily a bad thing. Bringing a fresh set of eyes into a department can have an incredible impact. 

We are going to look at one new case manager who had a major impact on her patients, department, and organization. We will look at the keys to her success and discover how this can be replicated in other organizations. 

Nursing Beyond the Bedside – Utilization Management and Utilization Review

Nursing Beyond the Bedside – Utilization Management and Utilization Review

Utilization Management (UM) is one of the many nontraditional bedside jobs a nurse can pursue. In this article, we will look at what utilization management is and how to move into this position. 

Defining Utilization Management and Utilization Review

URAC (formerly the Utilization Review Accreditation Commission), a nonprofit organization promoting healthcare quality by accrediting healthcare organizations, defines utilization management as “the evaluation of the medical necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities under the provisions of the applicable health benefits plan.” Utilization management describes proactive actions such as discharge planning, concurrent review, and precertification. 

Foundations of Case Management

Foundations of Case Management

This course provides nurses with a general working knowledge of case management practices and the case management process preparing them to provide effective case management services in an appropriate, cost-effective manner which are consistent with CMSA Standards of Practice. This training will give case managers the firm foundation to build on with institutional policies and […]