Primary categories of utilization management

Assignment Help HR Management

Reference no: EM13740667

Question 1: What are the primary categories of utilization management (UM)? How does UM determine medical necessity through the use of evidence-based guidelines?

Question 2: What are the key differences between conventional case management and disease management? Provide some examples of diseases that seem to benefit from a disease management model of care.

Question 3: To develop a schedule for a project, we will use the concept of a project network, which shows work activities taken from the work breakdown structure and organized according to the logical flow in time and relationships governing when the work will be performed. By combining this network of work activities with estimates of the time duration for performing each of the activities, we can create a schedule for the project work. What types of information can we learn about the project by reviewing the project schedule and all the information used to generate it?

Question 4: Assume you have just been assigned to a project risk team of five members. Because this is the first time your organization has formally set up a risk team for a project, it is hoped that your team will develop a process that can be used on all future projects. Your first team meeting is next Monday morning. Each team member has been asked to prepare for the meeting by developing, in as much detail as possible, an outline that describes how you believe the team should proceed in handling project risks. Each team member will hand out their proposed outline at the beginning of the meeting. Your outline should include but not be limited to the following information:

Team objectives
Process for handling risk events
Team activities
Team outputs

Reference no: EM13740667

Questions Cloud

Ways that managers can overcome obstacles : A diverse workforce is more productive and innovative. Unfortunately, it is challenging to manage. show a few ways that managers can overcome obstacles such as mistrust and tension, stereotyping, and communication problems

Selection and hiring of employees : The student researched the legal statues affecting the selection and hiring of employees. The student identified the number and type of positions that need to be filled at the new office. Moreover, the student discussed qualifications, e.g., educat..

Monopolistic competitive firm will engage : To differentiate its product,a monopolistic competitive firm will engage in all of the following advertising practices EXCEPT

Generally true about information products : Which of the following statements is generally True about information products?

Primary categories of utilization management : What are the primary categories of utilization management (UM)? How does UM determine medical necessity through the use of evidence-based guidelines?

Monopolistically competitive and prefectly competitive firms : In the long run, both monopolistically competitive and prefectly competitive firms attain

Human development report : The 2012 Human development Report reported that the HDI of South Africa was 0.629 (and its rank was 121) and that of the peru was 0.741( and its rank was77) in 2012 South Africa's GNI per capital ? In US dollars) was 7610 and that of Peru was 6060. C..

Consider a homogeneous duopoly market : Consider a homogeneous duopoly market where two Örms compete in prices (Bertrand). Demand is given by D(p) = 16 2p. There are no production costs.

Analysis of past experience : Selecting the right person is a balance of considering all aspects of an applicant from an analysis of past experience, application, and interview responses.

User Account

All Pages