Hi can someone explain the difference between Utilization nurse and a concurrent review nurse?

like
Posting as :
works at
You are currently posting as works at

They’re synonymous in my opinion. Utilization review is clinical review. Concurrent review are the follow up reviews.

I work in a hospital doing Utilization Review/Utilization Management. We prioritize initial reviews for new patients, but the next day of a couple days later we do follow up or concurrent reviews.

I think different companies title the same role differently.

like

Thanks for clarifying. Do you have to do a lot of calls like case managers do?

RN1 got it right. And I think another factor to consider is the hospital/facility you work in. They might have the same or different job descriptions.

like

Related Posts

Just checking YTD peer utilization rate and it's less than 50%. Deal market is really slowing down..

like

I wish admin utilized Tier 1 supports with teachers. Smiles, appreciations and acknowledging ones efforts would do a great deal to boost morale and climate. I just don’t understand what that is so hard to do.

like

Hi all, need some advice here, like a lot of others here, Google is definitely a dream company for me to work at. I come from a non-technical background, currently working as a project manager + associate product manager (20% project situation) at a SaaS company. I would really appreciate the input on my chances for a Program manager/ associate product manager role. Also, what are some of the key skills that are utilized extensively in these roles, which google considers a great asset?

like

Hadn’t noticed this sub before, and most of the threads are old so thought I’d ask a follow up - how has everyone been handling parenting with public accounting? I’ve got a toddler and my wife is an accountant (industry), and we only have a few immediate family in the country- but they have health concerns. Busy season was rough, things are looking better now as things return to normal. Still working crazy hours if you count the daycare duties on top of utilization targets.

like

I was curious what other firms have set as their utilization goals for their different positions?

Currently, everyone from staff to senior manager has a set goal of 90%.

like

Anyone leave Deloitte for Booz Allen? Thoughts or experiences? Utilization and compliance are absolutely doing my head in.

like
like

What were some challenges y’all faced this week?

I’ll start. Trying to get non local resources utilized. National Leadership thinks this is the answer to our problems but local leadership is hesitant.

Ever since Risk Assurance busy season ended, I feel like I’ve been kind of coasting. I’m still getting all my work done but my utilization is slipping. With CRTs coming up, how worried should I be?

like

I don’t understand how people keep posting about the bench and being unassigned. I’m in advisory(not audit) and my entire LoS is trending 90%+ utilization

like

Received offer from BCG for ECT AD role. Read numerous comments about ECT being not attractive compared to Generalists track. Also heard challenges about billability/utilization. Any views/guidance is appreciated.

Background - I am not super keen to become an equity partner and comfortable to stay on ECT track. Main reason to join will be opportunity to work with different clients, smart talented people and good brand. I may consider going back to industry after 3-5 years in ECT.

like

In the last PDM town hall, they said they were going to lower utilization targets for those that work on projects with capped hours. For those people, have you seen your utilization target lowered? I haven’t seen shit change for me.

like

What is the target utilization for a Senior 2? Or number of chargeable hours goal? Is this ever hard to meet?

like

Has anyone gone from Utilization Review to being an RN Coder? Are there any advantages to changing? Salary comparison?

like

How does it feel to earn less than US Consultants while also struggling for utilization

like

I have a Deloitte PDM offer. I’ve read about the positives/negatives and I’m so torn. When my recruiter says I’ll have “144 hours” of PTO (18 days), will I definitely still run into the utilization trap of not being able to take it? Are all projects 40-42 hr weekly caps? Third question: I’m new in the DC area, are PDMs invited to firm socials? Trying to make friends! Thanks in advance

like

What other performance factors are considered for PDM besides utilization?

like

I’m quitting my job tomorrow morning. I don’t have a new job lined up. I’m scared, but also excited? I’ve felt under utilized for months, and haven’t had a promotion after two years. I never take risks like this, but life is too short. Is this a bad choice?

likeupliftingsmarthelpful

Hi! I’m doing some research on employee benefits (medical insurance, 401k, HSA/FSA, commuter benefits) and was hoping to connect with People specialists or HR professionals in the comp & benefits space. I’m trying to better understand any pain points or challenges you might face with utilization/enrollment. Anyone interested in connecting? Thank you!

SM asked us to shifted client billing hours to non-chargeable code... Will significantly impact utilization... Sucks

like

More Posts

30th birthday coming up in December and would love to do it big, I haven’t celebrated a lot of birthdays in the past. Would love to skydive over the palm in Dubai, with that in mind, anyone have recs on where to stay and things to do in Dubai for 4-6 days? TIA

like

Anyone relocating to Denver or looking to move soon? Renting out my townhome 3 bed, 2.5 bath, 10min north of downtown. DM me if you're interested or can refer, will throw in a gift card for you.

like

Fishes profile ma kya likhu
Jo phle se likha hai vho bekar hai

Thanks in advance

Post Photo
like

What is the best channel to reach out to marketers and offer partnership as web development company? And does it makes sense at all to do it?

like

Hi All, How long does the final offer take to come along after the last discussion. It has been 3 weeks since my last and final round for adidas. The wait is killing me. The application stills shows in process on the careers site.

Anyone been successful negotiating the price of an apartment recently? Astoria apartment listed for $2k with a broker fee trying to get ~$1950.

like

Ladies qq - how do you feel about tattoos on a guy?? (Either a guy you’re dating seriously or just casually - doesn’t matter)

like

All the local gas stations have shut off the pumps 😕

like

My autocorrect changed Supreme Court to Sippe Cup. The Sippe Cup holding in...

Post Photo
funnylikeupliftingsmart

Any recommendations on where to invest 10k? I have about 15k in stocks but I don’t think I’ve done a great job picking stocks. Also for people making 150k+ how do you budget your money monthly?

like

Does anyone actually get jobs through using LinkedIn easy apply? If there’s a cover letter submission component- how important is that part? In general are cover letters super important?

like

I’m a single black woman. What are the best locations to find other single men?

I may just take myself to a bar, but what if no one approaches me

like

Curious what the salary level is for a Sr. Manager at Digital Finance team. Not sure what L4 or L5 is but I see job posted at Sr. Mgr level.

like

How should I pivot to Wealth Management as a Credit Analyst for a commercial bank? I’ve worked as a credit analyst for about a year after graduating in finance last year. I also interned at a wealth management firm while in college. Any advice is appreciated!

like

Which languages do you use at your job as a software engineer?

like

Hello everybody,

Could you please recommend companies with Internships in Front or Back End Development?

Hey beautiful people,
I’m 27Y and work in tech. Unfortunately my carpal tunnel is getting worst slowly. I’m worry that I still have like 45 years more to be retired and can’t stop working because I have a f* mortgage to pay 😭 I have a super ergonomic workstation, but I know my hand needs a long rest, and I can’t do it… Does anyone relate? What do you recommend?

like

Anyone got or knows someone who got laid off during a leave of absence?

like

My work product is becoming worse and partners are noticing/commenting. I just hate the practice area so much that every time I am asked to do something I just get it done as quickly as possible and can’t be bothered to put in effort. I think I need to quit so I’m not fired for bad performance with a horrible reputation. Am I nuts and should I just wait til they let me go?

likehelpful

Is it normal to negotiate for a bigger severance package if it happens within the first year? Because Meta may have something for me but TBH I'm nervous about their hiring freeze news.

like

Additional Posts in Nurses

Does anyone have tips for getting a RN job in NYC?

like

Hello all, I work full time as an RN at the VA. I’ve been looking for a side hustle to do on my own time. I would love to review cases such as prior authorization, records for 2nd opinions, etc. The positions that I come across generally require a commitment of at least 24 hrs which is not feasible. Anyone know of any opportunities?

like

Nursing is the only job I've had where I've wanted to quit every week. I always come back to it.

like

Someone made disposable Hijabs as part of PPE. Super cool idea!

like

What are Jacksonville, FL area hospitals currently paying new RN's?

like

I still get really nervous before doing telehealth video calls! I'm never this way face to face.

like

If you were to transition from bedside which path would you choose?? Education, Quality management/coordinator, Administration?

like

Is become an Adult Geriatric Critical Care NP worth it?

like

Looking for remote work or something around a school schedule any reccomendations ?

like

BROWARD COUNTY, FL NURSES…can anyone refer me to a good PCP. mine is lacking.

like

I work in a women's health clinic- "Dense" brease tissue has become a hot topic for our patients! I
feel like it comes up multiple times weekly!

like

What are your thoughts on those who refuse to wear cloth masks as a healthcare professional?

like

How it's like to work in Johns Hopkins Hospital ED as RN?

like

Has anyone gone from Utilization Review to being an RN Coder? Are there any advantages to changing? Salary comparison?

like

Making $37 hr full time with benefits. Chattanooga Tennessee

like

Good afternoon!
Calling all LPNs!
Could anyone share their pay rate, current position, experience level and basic location?
Trying to get a feel for how much we are generally getting.

Thanks in Advance.

likehelpful

Hey!

My name’s Josh, and I’m a nurse based in Columbus Ohio. Im creating a space (a podcast) for nurses to come and talk about nurse things- the good, the bad, the ugly, and what can change to make nursing better.

I also want to help nursing reconnect - the nursing workforce just feels so disconnected from education and even further from administration at times.

I’m looking for nurses of all kinds (administrative, bedside, education, Advanced practice, all specialties etc.,) to have a conv

like

Hey all thinking of relocating from Canada to Indiana. What is the average pay for an RN at parkview?

like

Any nurses here not have hospital experience? I work as a community nurse and have previous experience in an assisted living and clinic. I don’t have much interest in going to the hospital. Been a nurse for about 9 years. Started out as LPN and now I have small children and enjoy my flexibility. Any regrets for those that never did the hospital ?

like

Just completed my last shift in the ICU. I'm glad to be shifting back to the Maternatity ward. It was exhausting, and emotionally draining working with such sick patients. I know the work we did made a big difference, but I'm glad to go back to my favorite role!

like

New to Fishbowl?

Download the Fishbowl app to
unlock all discussions on Fishbowl.
That was just a preview…
Sign Up to see all discussions
  • Discover what it’s like to work at companies from real professionals
  • Get candid advice from people in your field in a safe space
  • Chat and network with other professionals in your field
Sign up in seconds to unlock all discussions on Fishbowl.

Already a user?
Login here

Share

Embed this post

Copy and paste embed code on your site

Preview

Download the
Fishbowl app

See what’s happening in your industry
from the palm of your hand.

A phone with Fishbowl app

Scan your QR code to download
Fishbowl app on your mobile

Download app

Sign up for free to view this conversation on Fishbowl

By continuing you agree to Terms of Use and Privacy Policy

Already have an account? Log in

Sign up for free to continue using Fishbowl

By continuing you agree to Terms of Use(New) and Privacy Policy(New)
Messaging rates may apply

Already have an account? Log in

For account settings, visit Fishbowl on Desktop Browser or

General

Legal