Utilization Management in Healthcare: What’s Old is New Again

Deborah Keller, RN, BSN, CMCN, CPHQ Chief Operating Officer My first recollection of hearing the term “utilization management” was in the 1980s.  I was a Licensed Practical Nurse working the…


Effective Use of Data Analytics Tools by Managed Care Nurses

Deborah Keller, RN, BSN, CMCN COO Due to shifting payment models and an increasing reliance on electronic health records, data analytics tools have become an important part of the medical…