A Registered Nurse Case Manager

Case managers also provide support and information to patients and their families. Next, is utilization review. `Its main objective is to review each case and determine the most appropriate level of services, the most appropriate settings in which the services be delivered, the most cost efficient methods for care delivery and the need for planning of subsequent care. Other methods used for utilization and control are choice restriction and practice profiling' (Douglas, 2003, p.328).

For this assignment I was able to interview Regina Bowman RN, BSN. Her current position is that of the Director of Medical Surgical Nursing. Her position places her over top of seven nursing units between two facilities. Regina graduated from the Mercer Medical School of Nursing in 1979 with her diploma in nursing. The Mercer medical school of nursing is still in operation although it has been renamed the Capital Health School of Nursing. Her return to school started after graduation. She enrolled at Mercer County Community College to obtain her Associates. Secondly she attended La Salle University and received her Bachelor’s in Nursing in 2003. Lastly she is currently enrolled at the Thomas Edison State University, and has a

Careful attention must be focused on the safety and welfare of each client. Interventions for service delivery are to be spiritually and culturally sensitive respecting each client’s individual needs and preferences. The role of the case manager and the various duties they perform requires education, skills and training to address client needs appropriately. Positive strategies for solving problems and conflict resolution must be obtained to be equipped for any challenges that may

A good protocol is created from evidence-based medical practices agreed on by medical staff involved in anticoagulation therapy (i.e., all stakeholders) and addresses key decision points and respective courses of action integrated with the clinical judgment and experience of the practitioner.

I had the pleasure of interviewing Javita Fizer MSN, RN, FNP-BC. She 's currently employed at a federally qualified health center (FQHC). According to J.F. she practiced as a registered nurse (RN) for ten years before becoming an advance practice registered nurse (APRN). She has been a APRN since 2014 and has worked in inpatient and acute care settings. Recently she began working in a primary care setting and made it clear that this is her comfort zone. J.F. has been practicing as a APRN for two years and she places herself as a novice in her role. When asked about the single-most important factor in successfully transitioning from expert staff nurse to beginning level APRN, J.F. mentioned clinical experience and knowing limitations. She

Case management has case managers who effectively assess my healthcare needs. They also provide support systems to help me. Then, they coordinate, monitor, and evaluate my progress and the services that I receive. It promotes quality and cost-effective interventions and outcomes.

Part of a case manager (CM) duty is to have broad knowledge of care delivery and reimbursement methods to adequately perform case management duties for clients. The CM must recognize the clinical and financial funds available for the client and what the eligibility criteria for getting those resources. By getting a better understanding will allow the CM to ensure the client gets the proper care in the most cost-effective way. Reviewing the 2014 revise knowledge domain the one domain I reviewed was reimbursement. (Care Delivery & Reimbursement Methods, 2016) The Healthcare Reimbursement domain involves knowledge related to different types of reimbursement and funding systems to include sources and methods related to utilization review and management

Growing up my family had little to no money. My parents, immigrants from El Salvador, worked two jobs each. Home was a small space with a conjoined kitchen and living room. When Mom and Dad first arrived to America, they never imagined a child of theirs would become a university student. Coming to America itself was in their wildest dreams. To them, an education of that level was unattainable. Now, I represent my family wherever I go. I am at TWU for my family and for my dreams. One day, I will be the Nurse Practitioner I always envisioned. But more importantly, I will give my parents and my grandmother everything they never had. Now that I am older I comprehend the magnitude of their sacrifices. When I hear the name Texas Woman’s University,

The case manager regulates use of resources to provide the most efficient care for their clients, which can possibly lead to the client being able to care for himself/herself. They focus on good transitions of care, reducing the fragmentations of care within the system. Further, the case manager’s main goals are to improve the safety, satisfaction, and outcomes of their clients, moving their client into the best levels of health possible (Marion et al., 2010).

Before becoming middle managers, acute care nurse practitioners first need to establish a solid and reliable education background, which allows them to be experts in the field before managing a group of individuals to perform tasks to efficiently manage and run a demanding healthcare facility. The education needed to pursue certification as an acute care nurse practitioner is very competitive and requires individuals to go into graduate level in nursing. Since acute care practitioners are required to provide care to patients who are critically and chronically ill under life-threatening circumstances they must be competent, well trained and knowledgeable in the field and they also need to be nationally certified in order to continue practice. They must graduate from a master’s or post-master’s certified program and obtain their national certification which also includes completing 500 hours of clinical practice from an accredited master’s program in which they will go through formal training. The professional affiliations associated with this profession (Kleinpell, Perez, & McLaughlin, 2005). Through experience, educational background, and qualifications an acute care nurse practitioner can be promoted to a supervisor and move their way up to upper management if they meet the requirements necessary to best perform what is expected from them.

Upon completion of the Family Nurse Practitioner (FNP) program at Indiana State University I hope to continue to work in or near my hometown, which is in a rural area. I truly enjoy serving my community as a nurse and believe it will be even more rewarding to do so as a FNP. I currently work in a physician’s family practice clinic at this time and would like to work in a similar setting upon graduation. While working in primary care, FNPs gain the opportunity to care for numerous diseases and conditions. Furthermore, I enjoy the privilege of caring for patients across the lifespan on a daily basis. I do not plan to initially become a Doctor of Nursing Practice (DNP); however, I may pursue the degree in the future. I would like to start by taking

Case Management Services: Augustine, Case Management is a service that helps to improve client’s wellbeing and overall health. Supporting them professionally, providing them with resources that are available in your community. Case managers also help clients develop cost-effective interventions and to help with better outcomes.

My personal goal is turning into a director of nursing (DON), after securing the necessary supervisory competencies required. A Bachelor of Science in Nursing (BSN) degree or above is required for most DON positions, where many of DONs are having a master's degree. This position requires an expert level in leadership and communication skills to manage registered nurses and practical nurses, and they collaborate with patients and specialists, so past supervisory experience is essential (Study.com, 2016). As I am very close to completing my BSN, and having worked as a registered nurse and a nurse supervisor for the last fourteen years, I could realize this goal. I will spend more time to expand my management and leadership skills as well as

According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates, monitors and evaluates options required to meet the client’s health and human service needs. It is characterized by advocacy, communication, resource management and promotes quality cost-effective intervention outcomes. The Case Management Process centers on the client and the client’s support system. It is holistic in its approach to the management of the client’s individual and specific situation and that of the client’s support system. It is adaptive both to the case manager’s practice setting and to the healthcare setting in which the client receives services. Case management is not a profession unto itself however; it is a cross-disciplinary and interdependent specialty practice within the health and human services profession. Everyone directly or indirectly involved in healthcare benefits when healthcare professionals and

Great discussion post! The emergency room nurse manager has a critical role during catastrophic events. Emergency department nurse manager is vital in creating ahealthy work environment during and after disaster situation. He/she must evaluate the teams’ performance and make necessary changes for improvement in the future. According to Harkness and DeMarco (2016), “following a thorough review of the responses, a final report is prepared with recommendations for improving emergency response in the future.” I definitely agree with you, the ED nurse manager must provide an ongoing education and training to better prepare for future disaster managemet. I enjoyed reading your discussion post. Have a great