Thank you for breaking it down the way you did. I've watched a lot of videos on this but no one was as specific or detailed on what a UR nurse actually does. I can actually picture it now. THANKS!!!
Can I also ask what degree are you pursuing in school? I've been a med surg nurse for 2 years now but floor nursing has never been what I wanted. I just want to get my experience and get out. I've been thinking about case management, UR nurse, and even research. I would love to get my graduate degree though but not sure what degree case managers go for.
Most Case Managers at my hospital have an MSN, but you can get away with just having your BSN. BSN is the minimum degree requirement to become a RN Case Manager. Hope this helps
Oh Okay, Is that MSN in nursing administration? There are so many MSN routes I would think nursing administration would make the most sense but I'm unsure
Thank you for this video. After watching your videos on Utilization Review/Case Management, I started to pursue a different career path as a nurse. I had been a LPN 10yrs. Now I’m a new RN that’s been blessed with a new career as a RN Utilization Manager. Thank You!
I need this. In a couple years I will need to be a work from home nurse because my son has autism and he will need someone home with him 24/7 once he graduates high school.
I’m a visual learner and your explanation of a Utilization review nurse is very interesting and thank you for making this video. 👍 I’ve always been interested in becoming a Utilization review nurse. I’m an LVN (2years) & I’m so tired of working on the floor, popping pills & charting on patients d/t paper cuts 😂 j/p. Anyways I’m planning to transition my nursing career to something more patient-focused care, do the paperwork part of nursing (if I can call it that) I noticed you mention Interqual too & remembered I heard it from a fellow nurse and looked into it more. Do we need a certain degree along with the certification to become a Utilization nurse? From what I noticed some LVNs worked so many years & just happened to promote themselves to become one. Some are also doing MDS, audits, coordinators etc
Good morning Sam, the man. I am not a nurse, yet I am working in the CM department. (Long story) Your video put together all the pieces of information I hear day in day out at work. With your marvelous explanation, I finally got the big picture of the Case Management procedures. I love my job as a CM department Administrative Assistant. I have a better understanding now. I will be able to help better to the case managers and social workers in benefit of the patients and ultimately the Hospital. Thank you! God bless you! You have no idea how important your information is. You are a great human being!
I have past experience in UR doing Concurrent reviews years ago, but have never used MCG or Interqual which is widely used now and most positions require experience. This video helped me understand the system a little better!
In the hospital we’re not just clicking buttons - we are constantly contacting the pts dr and dc planners and payer contact for denied cases - and that is with working remotely
Last year I watched your video for case management and I got it. Now I’m watching this video for tomorrow internal UM interview . Great video thank you 🙏🏾 hopefully I’ll be successful again in getting the position
Thank you for sharing your experience in all these videos. I appreciate it. If you’re open to making more, will you do one about different pathways to case management or utilization review vs just getting med surg experience? For instance, I’m an OR nurse and don’t want to work the floor so I’m hoping there is a way to still get these jobs. Maybe it means seeking online training or working for a clinic that would eventually provide this type of training, etc. Also, I’m interviewing for an RN Transplant Coordinator position and it seems very similar to case management. I’m wondering if a job like that would then qualify me, or if I would still be denied for not having med surg experience. Also, I want to get an MSN, so would just the degree get me the position? Which MSN type is best? -Thanks!
Loving your channel and learning a lot in your videos. I’m working on building some software for case managers and your videos are helping me learn more about the job role.
Thanks for the info. What advice do you have for just starting and managing workload for fulltime. BTW my most recent field was Telehealth/phone triage /advice. Further back was ICU, Homecare, Medsurg
Wow thank you. I don't have bedside experience but I've done homecare for 3 yrs. I am interested in this type of job because I am very good with small details. I wonder if I have a shot at this
Yes, you do. There are home health jobs for case management I keep seeing that ask for 2-3 years in home health. Many of them are remote jobs. I see these listed on indeed all the time.
You will enjoy it if you want a stress free, monotonous job, in front of a keyboard and computer monitor. This job is simple, easy, but it can be tedious. Good luck 🍀
TrinityRose it varies by employers. Some employers require 60 reviews per shift, some require less. For example my load is usually from 30-50 reviews in an 8 hour shift
Thank you for breaking it down the way you did. I've watched a lot of videos on this but no one was as specific or detailed on what a UR nurse actually does. I can actually picture it now. THANKS!!!
Can I also ask what degree are you pursuing in school? I've been a med surg nurse for 2 years now but floor nursing has never been what I wanted. I just want to get my experience and get out. I've been thinking about case management, UR nurse, and even research. I would love to get my graduate degree though but not sure what degree case managers go for.
Most Case Managers at my hospital have an MSN, but you can get away with just having your BSN. BSN is the minimum degree requirement to become a RN Case Manager. Hope this helps
Oh Okay, Is that MSN in nursing administration? There are so many MSN routes I would think nursing administration would make the most sense but I'm unsure
@@shannieelala reach out to me on IG @sassrizo5793
Thank you for this video. After watching your videos on Utilization Review/Case Management, I started to pursue a different career path as a nurse. I had been a LPN 10yrs. Now I’m a new RN that’s been blessed with a new career as a RN Utilization Manager. Thank You!
do you still like it?
How do you like your new position? I have an interview for a UR RN position tomorrow!
I need this. In a couple years I will need to be a work from home nurse because my son has autism and he will need someone home with him 24/7 once he graduates high school.
I’m a visual learner and your explanation of a Utilization review nurse is very interesting and thank you for making this video. 👍 I’ve always been interested in becoming a Utilization review nurse. I’m an LVN (2years) & I’m so tired of working on the floor, popping pills & charting on patients d/t paper cuts 😂 j/p.
Anyways I’m planning to transition my nursing career to something more patient-focused care, do the paperwork part of nursing (if I can call it that) I noticed you mention Interqual too & remembered I heard it from a fellow nurse and looked into it more. Do we need a certain degree along with the certification to become a Utilization nurse? From what I noticed some LVNs worked so many years & just happened to promote themselves to become one. Some are also doing MDS, audits, coordinators etc
Good morning Sam, the man.
I am not a nurse, yet I am working in the CM department. (Long story)
Your video put together all the pieces of information I hear day in day out at work. With your marvelous explanation, I finally got the big picture of the Case Management procedures. I love my job as a CM department Administrative Assistant. I have a better understanding now. I will be able to help better to the case managers and social workers in benefit of the patients and ultimately the Hospital. Thank you! God bless you! You have no idea how important your information is. You are a great human being!
I have past experience in UR doing Concurrent reviews years ago, but have never used MCG or Interqual which is widely used now and most positions require experience. This video helped me understand the system a little better!
I’m interested in UR nurse and really appreciate your videos!
In the hospital we’re not just clicking buttons - we are constantly contacting the pts dr and dc planners and payer contact for denied cases - and that is with working remotely
@@astralartist4 yes you guys work very hard!
Thank you for taking the time to make these videos. It's very helpful.
I’m not a nurse and I understood perfectly. I have been office manager in healthcare though! Thank you
I do UR for an insurance company and love my job. I enjoy analyzing details and seeing if it meets criteria.
Do you have to be a nurse to do this job?
@@ninas.2724yes everyone on my team is a nurse. Mostly Rns but some LVNs also.
can u do a video about what the process is if a DR does not agree with the UR nurse's recommendation?
Thank you so much for this break down. It gave me more of a motivation to do it.
Fantastic video, very informative and helpful. Great job, brother
Last year I watched your video for case management and I got it. Now I’m watching this video for tomorrow internal UM interview .
Great video thank you 🙏🏾 hopefully I’ll be successful again in getting the position
Good Luck on your Journey! 👊🏼
@@SamQuintani Thank you 🙏🏾 👩🏽⚕️
Thanks again Sam. Nice
Thank you for sharing your experience in all these videos. I appreciate it. If you’re open to making more, will you do one about different pathways to case management or utilization review vs just getting med surg experience? For instance, I’m an OR nurse and don’t want to work the floor so I’m hoping there is a way to still get these jobs. Maybe it means seeking online training or working for a clinic that would eventually provide this type of training, etc. Also, I’m interviewing for an RN Transplant Coordinator position and it seems very similar to case management. I’m wondering if a job like that would then qualify me, or if I would still be denied for not having med surg experience. Also, I want to get an MSN, so would just the degree get me the position? Which MSN type is best? -Thanks!
Loving your channel and learning a lot in your videos. I’m working on building some software for case managers and your videos are helping me learn more about the job role.
Utilization Review can actually be automated if you know how to build the software
Thanks for the info. What advice do you have for just starting and managing workload for fulltime. BTW my most recent field was Telehealth/phone triage /advice. Further back was ICU, Homecare, Medsurg
Thank you so much ! You gave a great class I understand and have a good idea of it.
I’m glad this helped you, thanks for supporting the channel!
Very informative. Is there a special requirement to get a job in UR? I would love that.
I would like to now if there is training certification for UN
Great job explaining. 👏🏽
may i ask what your prior experience was before becoming a case manager?
Wow thank you. I don't have bedside experience but I've done homecare for 3 yrs. I am interested in this type of job because I am very good with small details. I wonder if I have a shot at this
You never know until you try!
Yes, you do. There are home health jobs for case management I keep seeing that ask for 2-3 years in home health. Many of them are remote jobs. I see these listed on indeed all the time.
Hi there ! I really appreciate your videos !!! Just curious, what are you studying in school?
I am wondering if I will enjoy utilization review? I am so tired of the bedside!
You will enjoy it if you want a stress free, monotonous job, in front of a keyboard and computer monitor. This job is simple, easy, but it can be tedious. Good luck 🍀
can you do a video on nursing jobs we can do from home longterm?can you spotlight on more specialities?
Excellent, thank you!
Are there certifications to get first in utilization review and discharge planning?
No, don't bother with any certifications before hire. I've done UR for 4.5 years for an MCO and don't have any special certs for my job.
Very helpful! Thank you!
AmandaG thanks for the positive feedback!
What if the only SaO2 documented is on oxygen, like 92% on 2L. Is this done in real time so you can say they are 88% on RA?
You can take either reading to validate the patient’s hospital stay as long as it is documented on the patient’s chart
Very helpful.
Thanks for the support! :)
Do they use utilization nurses in nursing homes.
Unfortunately they don’t. Hospitals 🏥 are the biggest employers of UR nurses. Some hospitals allow UR nurses to work from home 🏡 which is nice!
How many charts are you required to do in 8 hrs?
TrinityRose it varies by employers. Some employers require 60 reviews per shift, some require less. For example my load is usually from 30-50 reviews in an 8 hour shift
Thank you
How many reviews per hour is reasonable?
SerendipiDee the average time spent on a review is 5-10 minutes
@@SamQuintani thank you 👍
I need your email bro