Case management and utilization review

short answer

Explain the difference between case management and utilization review. Please include examples to demonstrate your practical understanding of what you have learned and how to apply it.

-please cite if needed. (HCA)

  1. Distinguish between nomenclatures and classification.
  2. Why are taxonomies important?
  3. What is a clinical vocabulary?

Requirements: short answers

 

Answer  preview

Case management entails the collaborative assessment, planning, evaluation, and implementation of specific healthcare services that meet the patients’ needs. For instance, health professionals at HCA take time to engage with the family members and patients to identify how to meets their needs based on a case-to-case analysis (HCA Healthcare, n.d.). Conversely, utilization management entails delivering convenient healthcare services by implementing proper procedures aligning with the health benefits plans. As seen in HCA, the organization invests in resources that health professionals utilize while promoting quality care.

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