| 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: |
|
| Publications: |
| Journal
of Integrated Health Care |
| |
| Nurses Notes |
| 804-747-5316 |
| |
| The Lippincott
Health Promotion Letter |
| 800-777-2295 |
|