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What is nursing
case-management?
The American Nurse Credentialing Center, a
subsidiary of the American Nurses Association (ANA), defines nursing
case management as:
... a dynamic and systematic collaborative
approach to provide and coordinate health care services to a defined
population. The framework…includes…five components: assessment,
planning, implementation, evaluation, and interaction. (ANA, 2005)
Nurse case managers actively participate
with their clients to identify and facilitate options and services
for meeting individuals' health needs, with the goal of decreasing
fragmentation and duplication of care, and enhancing quality,
cost-effective clinical outcomes. (White & Hall, 2005) |
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WELCOME! |
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Hello and welcome to my website. My name
is John Wallis. I am a registered nurse and have been a licensed
nurse for over 13 years. I have
a strong background in cardiac/telemetry and critical
care. I am certified in basic life support
as well as advanced cardiac life support. I am
currently on a travel assignment which will end
July 5, 2008. |
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| My goal for the next five years is 1) To
obtain my undergraduate degree in December of this year,
2) Work full time for two years, and 3) Go back to school
full time for a degree as an adult nurse
practitioner. (For details of my work history please
click on the "my resume" link above left.) To
facilitate this goal, I am changing the status of my
current position in acute care to one of nurse case
manager. I am looking for this position in the
Northeastern Ohio area. I have acute care experience, so
the perfect position would involve this setting.
However, I would be willing to consider, long-term care
since I will eventually be working in this setting, or
worker's compensation claims. (References are available
by request.) Please email me with any questions at john@johnwallis.sandtstaffing.com
Thank you for visiting my website and have a good day! |
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Managed care continues to evolve, as health care service and
as a business. More than 110 million Americans are already
enrolled in formal managed care plans. A significant portion
of new enrollees are Medicare and Medicaid recipients.
MCOs, or managed care organizations, is a generic term that
encompasses a variety of managed care plan types., such as
HMOs (health maintenance organizations), PPOs (preferred
provider organizations), IPAs (independent practice
arrangement), IDS (integrated delivery systems), or EPOs
(exclusive provider organizations) Approximately 75 percent of
the nation's physicians now participate in a managed care
system. (Mullahy, 2004)
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Exclusive
Survey—Managed Care: Your dependence grows
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Managed care remains a big part of doctors' lives—and their
incomes—but they're still wary of accepting a fixed monthly
amount for each patient they see. That's one of several
eye-catching findings from the latest Medical Economics Continuing
Survey, which asked office-based MDs and DOs about their
participation in managed care and capitation.
For those respondents who took any managed care last year,
revenue from HMOs and PPOs constituted a median 60 percent of
practice revenue, while capitation revenue for those who
accepted any capitation made up only 20 percent of collections
after all adjustments, discounts, and write-offs. (Guglielmo,
W., 2005) Read
More
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Resources |
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Mapping the literature of case
management nursing: Case
management is a care delivery model designed to coordinate and
manage patient care across the continuum of health care systems.
Case managers are usually involved over an “entire episode of
illness/ disability or need for services”. (White & Hall,
2005) Read
more
How will the Nurse Case Manager help my
patient?
While the role of health professionals is
to diagnose and prescribe treatment, the primary role of the
Nurse Case Manager is to coordinate and facilitate care. (Work
safety and insurance board, 2008) Read
More
Philosophy
of case management:
Case
management is an area of specialty practice within one's health
and human services profession. Its underlying premise is that
everyone benefits when clients reach their optimum level of
wellness, self-management, and functional capability: the
clients being served; their support systems; the health care
delivery systems; and the various payer sources. (CCMC,
2008) Read
More
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