Good historical information in this presentation regarding the development of the Interqual concept. Created in 2012 for a BSN Nursing class. A lot has changed!
Thank you, and go for it! UM is a different type of advocacy for patients. Another word: Navigator. Patients, especially now, need Navigators to be successful in today's healthcare arena.
I am an LVN interested in applying for UM/case management in California your video is exactly what I was looking for in getting familiarized with UM, thank you for this presentation
I have only seen RN's work in Utilization Management and Case Management in the acute care hospital setting. There may be other settings where you can work UM/CM/ or coding/billing as an LPN. Coders--both inpatient and outpatient--can get various certifications without a medical background (although it helps).
Most of the people I know were simply given an opportunity. They applied to a position like Case Management or Utilization Review in an acute care hospital or outpatient setting, or with an insurance company. Many are nurses but there are plenty of skilled professionals working in this field who are not. There are a lot of remote position possibilities, too. Various certifications can put you in a better position to be hired and are available online. I have my certified clinical documentation certification from: acdis.org/certification. This particular certification required me to work in the field for 2 years before I could test. I do not represent this organization, nor they me. It can be difficult to suss out legitimate certifications. The best way would be to ask potential employers, or people working in the business what certifications they have, or how they got started, and explore what makes sense for you. Good luck!
Thank you for your comment! Systems like Interqual are an attempt to apply an objective standard of care. It is difficult to apply one standard to every human experience. A challenge is to develop better next steps for a safe, appropriate discharge from the acute care setting. The patient can continue to receive the care they need within the bounds of the resources available.
Thanks for this brief intro as I am contemplating applying for a post in UM.
Thank you, and go for it! UM is a different type of advocacy for patients. Another word: Navigator. Patients, especially now, need Navigators to be successful in today's healthcare arena.
I am an LVN interested in applying for UM/case management in California your video is exactly what I was looking for in getting familiarized with UM, thank you for this presentation
How nice to hear! Good luck!
@@Klikesamity do you have anymore UM teaching videos?
@@Millie1nunez not at this time!
Hello. Thanks for this video. Can the LPN get certified as a UM/UR ?
I have only seen RN's work in Utilization Management and Case Management in the acute care hospital setting. There may be other settings where you can work UM/CM/ or coding/billing as an LPN. Coders--both inpatient and outpatient--can get various certifications without a medical background (although it helps).
I am an LVN in California working in the acute care hospital setting; case management. I do interquals, manage LOS, enter orders, etc.
Thank you for this video. So how do you "learn" interqual? My wife is an OT looking to go into UM
Most of the people I know were simply given an opportunity. They applied to a position like Case Management or Utilization Review in an acute care hospital or outpatient setting, or with an insurance company. Many are nurses but there are plenty of skilled professionals working in this field who are not. There are a lot of remote position possibilities, too.
Various certifications can put you in a better position to be hired and are available online. I have my certified clinical documentation certification from: acdis.org/certification. This particular certification required me to work in the field for 2 years before I could test. I do not represent this organization, nor they me.
It can be difficult to suss out legitimate certifications. The best way would be to ask potential employers, or people working in the business what certifications they have, or how they got started, and explore what makes sense for you. Good luck!
Interqual is what we are doing wrong.. Interqual says- send patient home.. patient on ventilator
Thank you for your comment! Systems like Interqual are an attempt to apply an objective standard of care. It is difficult to apply one standard to every human experience. A challenge is to develop better next steps for a safe, appropriate discharge from the acute care setting. The patient can continue to receive the care they need within the bounds of the resources available.