From Bedside to Desk side: Clinical Skills in Utilization Management

Course Description This course introduces nurses to the role of the utilization management (UM) nurse and explores the transition from direct patient care to a non-bedside clinical role. Participants will learn the fundamental functions of utilization management, compare bedside and UM nursing responsibilities, identify transferable clinical skills, and apply utilization review principles to a patient case scenario. Learning Objectives Upon completion of this course, the participant will be able to demonstrate the following outcomes: 1. Describe the role of a utilization management nurse and key utilization management functions in healthcare delivery. 2. Differentiate bedside nursing and utilization management nursing responsibilities. 3. Identify four transferable clinical skills applicable to utilization management nursing. 4. Apply utilization review principles to determine the appropriate level of care in a case scenarioInstructor Information Course Title: From Bedside to Desk Side: Clinical Skills in Utilization Management Instructor Name: Teruko Williams, DNP, MHA, BSN, RN Professional Experience: Dr. Williams is a Registered Nurse with over 16 years of nursing experience across multiple healthcare settings including utilization management, case management, home health, skilled nursing, managed care, quality improvement, and healthcare administration. She currently serves as a Nurse Consultant II and has experience in clinical review, medical necessity determination, care coordination, discharge planning, healthcare quality, and process improvement.