UM, how many reviews per day?

Specialties Case Management

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I recently completed a phone interview with Aetna for a Utilization Management Nurse Consultant position. The recruiter said I would be expected to complete 20 reviews each day. I'm coming from a bedside position so I have nothing to compare this number to. Is 20 reviews a lot or an average number to be expected?

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Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.
I recently completed a phone interview with Aetna for a Utilization Management Nurse Consultant position. The recruiter said I would be expected to complete 20 reviews each day. I'm coming from a bedside position so I have nothing to compare this number to. Is 20 reviews a lot or an average number to be expected?

20 can be average or ambitious depending on how many hours you have in a day to work on them, what your company expects to be included in each review, what your managers count as a review completion (i.e. is it per case or per day of a case?), how difficult or easy is it for you to access information (Do you have to go onsite and dig through paper files or do you have access to EHR?), etc... So....your best bet will be to talk to the nurses who are currently doing your job with that company in your area.

What are the challenges he/she has to contend with to complete 20 reviews in the set time period? Does he/she think that 20 reviews is normal/fair or completely ridiculous given the challenges with which a UR/UM nurse must contend? Good luck and welcome to this side of the nursing world. :)

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Thanks MBARNBSN. That's good advice...I plan on getting a hold of a few nurses who do that job.

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Specializes in Appeals Nurse Consultant.

I have been in case management for 10 yrs and it happened to me. Just remember that employers always lean toward the lower figure of the production expectation when recruiting new hires. Often times 20 reviews mean 35. And if you can do 35 they will keep giving you more to see how much you can keep doing. Its always subject to change as staffing needs, and the number of facilities the company manages grow. Good luck!

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08/13/17

Pmkn10RN,

May I ask if you were hired for a Utilization Management Nurse Consultant position with Aetna? If so, do you like it? Any feedback you have will be appreciated.

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I wasn't hired for the position. Sorry I don't have any additional information to share or even about the interview since it was two years ago. Good luck.

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Pmkn10RN,

Thank you for your feedback.

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