Why Case Management Nurses Is Responsible For Medical Evaluation Of Newly Admitted Patients

1691 Words Oct 31st, 2015 7 Pages
In a hospital setting there can be a lot of confusion and ethical issues that arise when it comes to balancing patient care, nurse’s ability, and financial factors. This dilemma is the reason that case management nurses are so important in the health care community. A case management nurse is responsible for medical evaluation of newly admitted patients, being involved in the preparation and implementation of a plan for both in patient and out patient care, as well as other responsibilities like required communications with a payer or insurance company. A nurse manager is also responsible for things in the hospital such as determining the length of stay, based on factors like doctor’s orders, availability of beds, severity of condition, and cost of care associated with ordered procedures and interventions (Ramos, 2015, p. 2). A case manager is a key combination of different fields of learning. They function as a nurse, social worker, and manager. Although a case manager is bound to the patient and families, she is also bound to the hospital and its policies, the same as any business. Case management is a collaborative process which assesses plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual’s health, social care, education and employment needs, using communication and available resources to promote quality cost effective outcomes (“Case Management and Return to Work, 2014, p. 28).
In order to be a case…
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