tell me more... risk mgmt, ohn, utilization review??

[sun_chica]

Hello,

I'm trying to learn more about the other areas of nursing, not at the "bedside". I read through some of the OHN threads, but what do nursing really do in "risk mgmt" or "utilization review" positions. I've decided that I like the paperwork better than patient care. so, any input would be greatly appreciated. I currently have my AAS in nursing, been working for 1.5 yrs, mostly tele/pcu. I want to go back to school to complete a bachelor's, but I'll only go back for my BSN if I can find a "niche" for me. thanks:p

[grannynurse FNP student]

Hello,

I'm trying to learn more about the other areas of nursing, not at the "bedside". I read through some of the OHN threads, but what do nursing really do in "risk mgmt" or "utilization review" positions. I've decided that I like the paperwork better than patient care. so, any input would be greatly appreciated. I currently have my AAS in nursing, been working for 1.5 yrs, mostly tele/pcu. I want to go back to school to complete a bachelor's, but I'll only go back for my BSN if I can find a "niche" for me. thanks:p

Risk Management deals with evqaluating the risks to the individual and/or facility when something happens that could impact financially on the individual and/or facikity.

Utilization Review is the reviewing, concurrently, on a patient's admission and his/her continued stay. The length of stay is influenced and regulayed by insurance companies policies, Medicare and Medicaid regulations and a facility's regulations and UR Committee rulings.

Grannynurse :balloons:

[Straydandelion]

I don't think UR requires a bachelor's degree, at least didn't in the hospital I worked at. There is a lot of chart review, calling insurance companies, talking with doctors and working with patients for D/C planning. Sometimes it's also helping to arrange Home Health. I think each hospital has their own plan for UR, you might want to read the job description in the hospital you plan to be working in.

As far as RM, it does require a bachelor's (that may be hospital related also though). There is also reviewing charts, discussion with medical staff, possibly going to court, and discussion with consulting lawyers.

[sun_chica]

thanks for the clarification, I'll see if I can speak to someone at my current hospital about their job descriptions:rolleyes:

[Straydandelion]

thanks for the clarification, I'll see if I can speak to someone at my current hospital about their job descriptions:rolleyes:

Try Human Resource, they have all the job descriptions.