Yes, the course is still available! The website is: nonclinicalcareerguide.thinkific.com/courses/UR If you have any questions, feel free to email me at [email protected]

@@littleJoy24 If you don't know where your local library is, you can do a Google search for "public libraries in (your city)." You will likely need to go in person to get one, but you could call first to see.

I want to know . can i do physiotherapy assistant job without license

@@MehboobYousaf I'm not clear on your question. If you're asking about Utilization Review, you need to have a license to work in UR. Please let me know if that didn't answer your question.

@@nonclinicalcareerguide which license and how can i get this

Most who work in Utilization Review are either: -RN -PT -OT -ST -SW -MD/DO I know a few assistants who work in UR. That is uncommon. You need to have an active clinical license.

@@nonclinicalcareerguide can you help to get this

Appreciate the comment! Let me know if you have other questions I can answer about Utilization Review?

I'm sorry to hear that happened to you. What did you end up doing? How has your recovery gone?

Short answer: yes, normally you can after getting approval from the company. Longer answer: Most UR companies require you to confirm with compliance about conflicts of interest. The UR company may state you cannot see certain patients that use specific health plans since you review those health plans. Another option would be cash pay or wellness based services that don't involve insurance.

Thank you for taking the time to share your thoughts!

That is one type of Utilization Review (UR) role PTs can do. I don't review PT billing. Not all UR roles are with an insurance company but most are. My 1st UR role was reviewing requests for acute inpatient rehab (3 hours of therapy per week). There I would review the clinician notes from the hospital medical records. My current role is teaching new hires how to do their UR roles.

I hope you have much success finding a great remote role!

Hello! First, my condolences to your family member with a brain injury and spinal cord injury. The 1st option is to appeal (ideally the patient or the physician but it can also be an authorized representative). A letter should have been sent explaining why the patient was denied and how to appeal. This document has a good overview of the process: content.naic.org/sites/default/files/consumer-health-insurance-appeal-denied-claims.pdf Regarding advocacy groups: The Patient Advocacy Foundation has resources you can look up by your state to see what is available at this link: www.patientadvocate.org/explore-our-resources/national-financial-resource-directory/ They do provide some Case Management assistance for certain conditions. The information about that is on their website here: www.patientadvocate.org/connect-with-services/faq/ I hope that helps!

@@nonclinicalcareerguide Thank you! It's an enormous help. I'll get on to it in the morning.

The information is on the website: specialization.apta.org/become-a-specialist/geriatrics It requires 2000 hours of direct patient care and sitting for a 200 question exam.

It's disappointing that certifications don't equal increased pay. Learning how to market and sell is more important to increase income. I wish that was taught prior to graduating PT school.

Appreciate you taking the time to comment. Thanks for the kind words!

I appreciate you taking the time to share your experience! I'm most ignorant about the hospital based UR roles. I agree that each role differs because training new hires has taught me that even within a single company UR jobs different dramatically.

It isn't fun to give bad news. If you like, I can give you some recommendations that helped me feel more at ease with that aspect. There are many other nonclinical nursing opportunities. If giving bad news makes you anxious, what else do you want to avoid? What would you enjoy doing?

@@nonclinicalcareerguide yes please any advice or tips you have I would greatly appreciate. I don’t think acute care in the hospital is something I want to go back too. I’d like to avoid psych patient populations and aggressive patients. My past traumas left me struggling with anxiety when working with aggressive men alone in their homes when I was doing hospice. I enjoyed working hospice except for the stress of feeling unsafe.

Thanks for the constructive feedback! Hopefully I've smiled a little more in my videos over the past 1.5 years. 🙂

@@nonclinicalcareerguide yes I think you did!

I was in outpatient as a student in my last rotation. I couldn't handle the orchestra of multiple patients at the same time. I was going to start an outpatient position 5 years into my career but chose travel therapy instead. After that I chose home health the rest of my clinical career.

That is going to depend on company policies. I would say the possibility is small. Most companies want employees to stay within the United States.

@@nonclinicalcareerguide thank you so much for answering and for doing these videos.

When you say certificate, could you clarify what you are wanting? Certification can be helpful but not required for most UR roles. It is more important to show critical thinking, be detail oriented, understand technology, and learn new processes quickly. This course will provide a certificate of completion but will not give you a certification. It will not give you a certification like Commission for Case Manager Certification (CCM), Nurse Case Management Certification (CMGT-BC), Certified Professional in Health Care Risk Management (CPHRM), or Certified Professional in Healthcare Quality (CPHQ). Other UR specific certifications like InterQual or Milliman Care Guidelines (MCG) normally require you to work in a role at a company. My course is focused on learning the information necessary to have a foundation of UR, know how to write a resume that gets interviews, be prepared for an interview, negotiate a job offer, and provide resources to be successful in your new job. There are UR roles in both pediatrics and geriatrics. It depends on who you are working for. Pediatrics are more related to Medicaid reviewers or larger pediatric hospitals. Your knowledge can help you get into UR if you can show your ability to perform discharge planning, understand regulatory guidelines, and review charts. My recommendation is to reach out to the place you work to see if you can shadow someone in that role. Or you can ask the education department if you work at a large facility. There are specific nursing courses in UR if you would like a course more focused on the fundamentals of UR. Most are more expensive but provide approved nursing continuing education units. Please let me know if you want links to those courses. Most RN UR roles will say Utilization Review or Utilization Management. Others will use the words "coordinator" or "reviewer." I hope that helps! Please let me know if you need further clarification!

@wayner2288 The course itself doesn't have approval with for nursing continuing education. For Physical Therapy, I can submit the information to my state board and get individual approvals. If you wanted to go that route, I can provide information needed to submit to the board. If you want CE courses specific to Utilization Review for nurses, some options include: 1. Relias 2. CSU Institute for Palliative Care 3. American Board of Quality Assurance and Utilization Review Physicians

Hi, I’m really interested in your utilization review course. How may I connect with you for questions? Thanks, Shirley

Thank you for taking the time to share your thoughts. I believe the authors of the Systematic Review considered anything outside of demographics as "avoidable." I agree that PT is taxing. The majority of helping professions do have a high risk of burnout.

It was put on by Defining Point Coaching. They will likely have another event in the future. This is their LinkedIn page. www.linkedin.com/company/defining-point-coaching-consulting/

@@nonclinicalcareerguide thanks bro

I appreciate the kind words!

Thanks for sharing your perspective! I think we can all agree that healthcare is broken. $760 billion to $935 billion is wasted annually in healthcare spending (JAMA 2019). There is a lot that needs to be fixed and people have different perspectives on how to fix it. The purpose of the video was to point out that we get ridiculous requests for rehab, but that is not the majority. As far as the "for profit" argument: I believe that applies to the majority of healthcare employers. Even "non profit" health systems do very minimal charity care while maintaining their tax-exempt status. Clinicians are frequently asked to do things that will increase revenue.

Thanks for the compliment! It depends on the company. The company I work for has told me I can work within the US, but I cannot work outside of the US.

Congratulations on the job offer! The answer to how long a review takes honestly depends on the work flow of the company. I know RNs who worked for hospitals that required multiple pages for each case. I know some companies that have short work flows and complete 4 cases in 1 hour. Sorry my answer is broad. To get a more definitive answer, I would either ask the manager or connect with people on LinkedIn who work in UR for that health system. I wish you much success!

Thanks for your question! For me, I complete about 6 cases per day. That includes write ups, phone calls, and final determinations. Work flows vary by company. I know some companies that require >20 cases per day but they also do things differently.

My company is 15-20 per day

Congratulations! That's awesome! I tell people you feel like a new grad for about 6 months. I have been working in UR for 1.5 years and still learn new things weekly.

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There are a few things I would say if you're in PT school: 1) The research was looking at information based on the number of people insured in the US. If you plan to work in a non-insurance based practice, the information doesn't apply. 2) There is more to PT than patient care. The more important thing is to solve problems. 3) The biggest concern I have for the future PT is the amount of debt to pay off as a student whether or not there will be a surplus of PTs in the next 10 years. 4) There are conflicting views about the research. At the beginning of this year, John Childs et al published in PTJ their rebuttal. You can access it: John D Childs, PT, PhD, MBA, FAPTA, Laurence N Benz, PT, DPT, OCS, MBA, MAPP, Andre Arellano, April A Briggs, Michael J Walker, PT, DSc, Challenging Assumptions About the Future Supply and Demand of Physical Therapists in the United States, Physical Therapy, Volume 102, Issue 1, January 2022, pzab239, doi.org/10.1093/ptj/pzab239 Hope that helps!

Actually, I did not understand what you mean, but I expect that you mean that the problem is the sums that the student pays to study right ? I study for free, I'm not American, so is there a problem I might face?

@@LA-xw4sh Correct. The article I discussed was specific to PT in the United States.

I appreciate the kind words! Hope the information helps you!

Thank you for taking the time to comment! I only wish I had heard about Teal sooner! Keep up the great work! 🙂

Thank you for sharing! What nonclinical roles have you been pursuing?

@@nonclinicalcareerguide looking into sales and review right now.

Thanks for taking the time to comment! The issue has to do with medical necessity, especially with Acute Inpatient Rehab where someone is staying at a facility to receive 3 hours of therapy 5 days per week. The person in this fictious situation doesn't require assistance, which shows they don't need that level of care. I think it would be wonderful for someone to have a goal to run a half marathon, but that is what a personal trainer would be for since it isn't medically necessary.

I understand what you mean. Healthcare in America has multiple problems and no one solution will fix them all. America spends much more on healthcare than other countries yet there are poorer outcomes. Prior authorizations exist because of medical waste. According to JAMA 2019, " the estimated cost of waste in the US health care system ranged from $760 billion to $935 billion." jamanetwork.com/journals/jama/article-abstract/2752664

Thank you for the kind words! I definitely considered cash pay before going nonclinical. Glad you are able to help people learn to be successful with cash pay PT! Just subscribed to your channel!