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What are the benefits of joining a Utilization Management association or network?

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Utilization management (UM) is the process of evaluating and coordinating the appropriate use of health care services and resources. As a nurse, you may be involved in UM activities such as prior authorization, concurrent review, discharge planning, and quality improvement. If you want to advance your career and skills in UM, you may benefit from joining a UM association or network. Here are some of the advantages of being part of a professional UM community.

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Sandana Thevar (Sandy) DMS

Product Manager @ Enate | 20x LinkedIn Top Voice | Lean Six Sigma Master Black Belt??| CAPM??| Scrum Certified? | Agile…
Amanda Helminiak

1 Networking opportunities

One of the main benefits of joining a UM association or network is the chance to connect with other UM professionals and experts. You can learn from their experiences, share best practices, and seek advice on challenging cases. You can also expand your network and discover new career opportunities in UM. Some UM associations and networks also offer mentoring programs, online forums, and local chapters to facilitate networking and collaboration.

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Sandana Thevar (Sandy) DMS

Product Manager @ Enate | 20x LinkedIn Top Voice | Lean Six Sigma Master Black Belt??| CAPM??| Scrum Certified? | Agile | Risk Management | ISO 9001:2015 | Data Science | Design Thinking | Product Design & Development
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Joining a Utilization Management (UM) association or network provides valuable benefits, like access to a community of professionals where you can exchange best practices and stay updated on industry trends. In my experience, the networking opportunities are a game-changer, helping build relationships that offer support, share insights, and open doors to career growth. It also enhances your ability to stay informed about regulatory changes and new technologies that can improve your UM strategies.

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2 Education and training

Another benefit of joining a UM association or network is the access to education and training resources. You can stay updated on the latest trends, standards, and regulations in UM. You can also enhance your knowledge and skills in UM through webinars, workshops, conferences, and publications. Some UM associations and networks also provide continuing education credits, certification programs, and scholarships for UM professionals.

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Amanda Helminiak
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An example I have seen is obtaining the Health Care Quality and Management (HCQM) certificate through ABQAURP. While studying and preparing for the exam, you learn the foundations, vernacular, and healthcare policy history pertaining to UM. My practical skills in UM as a behavioral medical director are now enhanced with the fundamental knowledge backbone from my HCQM.

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3 Advocacy and recognition

A third benefit of joining a UM association or network is the opportunity to advocate and be recognized for your role and contribution in UM. You can join or support initiatives that promote the value and quality of UM in health care. You can also participate in or nominate your peers for awards and recognition programs that celebrate excellence and innovation in UM. By being part of a UM association or network, you can demonstrate your commitment and professionalism in UM.

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4 Resources and support

A fourth benefit of joining a UM association or network is the availability of resources and support for your UM practice. You can access tools, templates, guidelines, and policies that can help you perform your UM tasks more efficiently and effectively. You can also find information and referrals for legal, ethical, and regulatory issues that may arise in UM. Additionally, you can benefit from discounts, benefits, and services that can save you time and money.

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5 Personal and professional growth

A fifth benefit of joining a UM association or network is the potential for personal and professional growth. You can develop your leadership, communication, and problem-solving skills by getting involved in UM projects, committees, and events. You can also explore new areas of interest and specialization in UM by learning from diverse perspectives and experiences. Furthermore, you can enhance your resume, credibility, and reputation by being affiliated with a reputable UM association or network.

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6 How to join a UM association or network

If you are interested in joining a UM association or network, you can start by researching the different options available. Some of the well-known UM associations and networks include the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP), the American Case Management Association (ACMA), the American Health Quality Association (AHQA), the American Medical Association (AMA), the American Nurses Association (ANA), the American Society for Health Care Risk Management (ASHRM), the Case Management Society of America (CMSA), the National Association of Healthcare Access Management (NAHAM), and the Utilization Review Accreditation Commission (URAC). You can compare their mission, vision, values, membership criteria, fees, benefits, and activities to find the one that suits your needs and goals.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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What are the benefits of joining a Utilization Management association or network?

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1 Networking opportunities

2 Education and training

3 Advocacy and recognition

4 Resources and support

5 Personal and professional growth

6 How to join a UM association or network

7 Here’s what else to consider

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