How To Begin Your Career in Utilization Review

Jan 16

Utilization Review or Utilization Management (UM) remains an emerging field in healthcare. Not only do improved practices provide better care and new and improved stewardship or resources, but UM has been proven to reduce hospital readmission rates by 80%.

No one understands this better than Amy Benefield. Amy has been a utilization review manager for over five years, and her leadership spans industry wide.

Today Amy Benefield joins us to discuss her journey from bedside care to utilization review, and some shocking things you might not know about the field.

Understand the industry

Utilization Review covers many different healthcare industries. Acute care utilization review nurses have different experiences than skilled nursing or home health focused practices. If you are interested in utilization, think about how you can merge your existing experiences with the type of review you are most interested in, and research companies that provide that type of managed care.

Find mentors

There is not one clear path towards a career in utilization review. Every single clinician has a different story of how they made their transition from bedside care to utilization management. Find clinicians who are currently in the role you would like to find yourself in, and ask them how they transitioned.

Always be learning

The top three qualities a utilization review employer is looking for is someone who is detail oriented, understands managed care regulations, and has the ability to apply those regulations to the care of each patient. Take time to hone your managed care knowledge, and stay up to date with changing regulations.

Looking for jobs in utilization? Browse our job board here!

Relode Team