Utilization Management Nursing: Get to know it, then get Certified!
Transitioning from bedside Nursing to Administrative Nursing
What's included
Utilization Management Nurse Prep: Mastering the Essentials is an all-in-one guide for nurses stepping into or advancing within the dynamic world of utilization management (UM). This book breaks down complex topics like medical necessity, ethical review, healthcare regulations, care coordination, and technology integration in clear, actionable terms.
Whether you're new to the field or preparing for a UM certification, this guide provides practical tools, case studies, and real-world scenarios to help you make informed decisions, improve patient outcomes, and control healthcare costs. Learn how to conduct utilization reviews, collaborate with physicians, communicate across teams, and stay compliant—all while advocating for patients and leading in an ever-changing healthcare system.
Perfect for RNs, LPNs, case managers, and allied health professionals, this book is your roadmap to becoming a confident, certified UM nurse.
I'm Darlene, retired USAF RN
Darlene Gerald is a highly experienced nurse, educator, and healthcare consultant with a deep background in both civilian and military healthcare systems. A passionate advocate for patient-centered care and nursing leadership, she specializes in utilization management, case management, and healthcare compliance. Darlene’s teaching style bridges clinical expertise with practical application, making complex systems understandable for healthcare professionals at every level.