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Name: Managed Care Nurse
Description: Control financial expenditures by modifying the behaviors of both providers and consumers and improve the quality of outcomes. Emphasis is on basic prevention and self-care; and appropriate care for patients, often within set guidelines
Diagnoses: All health problems including psychiatric
Practice roles: Staff nurse, clinical nurse specialist, nurse practitioner, nurse manager, coordinator, supervisor, patient educator, counselor, medical underwriter, utilization reviewer
Characteristics: Regular hours, focus on efficiency and improved outcomes
Client age group: All ages
Drawbacks: Fast pace, extensive paperwork
Desirable skills: Effective communication abilities, diplomacy, ability to document activities and to problem solve; knowledge of hospital and community resources
Education: RN with AD, diploma, or BSN
Employers: HMOs, health insurance companies, telephone triage centers
Associations:
American Association of Managed Care Nurses (offers certification)
4435 Waterfront Dr., #101
P. O. Box 4975
Glen Allen, VA 23060-4975
804-747-5316
Publications:
Journal of Integrated Health Care
 
Nurses Notes
804-747-5316
 
The Lippincott Health Promotion Letter
800-777-2295