Questions and Tips to Improve Your Documentation!

The importance of documentation cannot be overemphasized. In this post, I wanted to share some questions and tips to improve your documentation. As nurse case managers, we learned about documentation during our training, but with technology taking over healthcare, our documentation is more important than ever. 

Take some time to think about how you document. Is it clear? Does it help the healthcare team coordinate care and ensure streamlined communication? Could a colleague pick up your cases if you had to take time off?  Here are some points to review and see how you can improve your documentation. 

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.