Our locality already has Utilization Management (UM) staff, so do I have to terminate this staff person and have the Intensive Care Coordinator perform the utilization management duties?
No, as long as the UM function is completed in some way for these cases, it does not matter who performs it. The position description provided with the Intensive Care Coordination Guidelines is one example that localities may use. QUESTION : Our locality has someone that works out of our CSA office that performs the duties described in the Intensive Care Coordination Guidelines. Can she continue as the Intensive Care Coordinator or will this person need to work at the CSB? We still plan to provide supervision for the ICC at the CSB. ANSWER : Yes, the person at the CSA office can still provide the service but a contract will have to be worked out with the CSB as they will be responsible for oversight of the position. In order for the service to be considered ICC, the caseload must not exceed 12 at any time.
Related Questions
- Our locality already has Utilization Management (UM) staff, so do I have to terminate this staff person and have the Intensive Care Coordinator perform the utilization management duties?
- What is the difference between clinical criteria, practice guidelines, treatment protocols, clinical practice guidelines, and utilization management (UM) review criteria?
- Does it matter whether the Coordinator is a Professional or Academic staff person?
