Case Management
Who does a Case Manager Collaborate with?
Effective collaboration among all members of the health-care team is essential to meet the needs of clients in today’s complex health-care system
Name at least two of the client needs addressed by an RN Navigator
The nurse navigator assesses emotional, clinical, financial, psychological, spiritual and other client needs.
An RN coder acts as the middleman between which groups?
An RN Coder will act as middleman between nurses and physicians providing patient services and the insurance companies billing the patients
True or False, are Client Safety Officers responsible for updating staff on new procedures and regularly assessing patient safety measures?
True! Client Safety Officers responsible for updating staff on new procedures and regularly assessing patient safety measures?
Free question: Name a business you would be interested in starting as an RN entrepreneur!
Results may vary :)
Care Coordinator, Care Manager, Transitional Care Coordinator, Client Care Coordinator
What is the estimated salary range for RN Navigators?
Average salaries for nurse navigators depend on the national region but generally range between $57,000 to $74,000 annually.
Estimated annual salary for an RN Coder?
Annual wage: $40,610
Experienced coder salary: >$50,000 per year
Estimated Salary for Client Safety Officers?
Salary: $50,000 to over $80,000 per year
Name at least two examples of RN entrepreneurs.
Nurse entrepreneurs can also include nurse attorneys, nurse case managers, nurse educators, nurse death investigators, nurse midwives, nurse paralegals, psychiatric nurses, legal nurse consultants, and sexual assault nurses.
Name one barrier to case management
Lack of resources and financial incentives in medical practice to integrate case management.
Resistance to change by, and time pressures imposed on physicians.
Lack of evidence of the value of case management.
Name one indication for a RN Navigator
Lack of transportation.
A myriad of confusing insurance forms.
Change in financial status.
Appointments that may trigger anxiety or confusion.
Why are RN Coders certified?
The healthcare facilities were losing large amounts of money from insurance companies due to mistakes in coding. Certification is done to reduce fraud and abuse of the system.
Why was the client safety role formed?
The client safety role was formed in hopes that these reports would be reduced with safe, timely, efficient, client-centered care.
What have nurse-run businesses been historically focused on?
Historically, nurse-run businesses have usually focused on temporary staffing agencies, nursing education, or consultant roles.
Name one facilitator to case management
Recognition, understanding, and use of case management.
Education for physicians who use case management
Validated research on the effectiveness of case management
Recognition of the CMSA Standards of Practice for legitimacy and credibility of the nurse case manager role.
Similar to the case manager role, the Navigator tends to be more focused on only one speciality area, for example, oncology. The nurse navigator assesses emotional, clinical, financial, psychological, spiritual and other client needs.
What does ICD stand for in medical coding?
ICD: International Classification of Diseases
About how many deaths a year are attributed to medical errors?
The Institute of Medicine displayed reports demonstrating 90,000 deaths per year caused by medical errors.
What percentage is the prevalence of RN entrepreneurs globally?
The prevalence of entrepreneurial nurses is only 0.5%–1% of all working nurses globally, which means there is an enormous potential for entrepreneurship in the nursing profession due to people's need for healthcare services and the capability of nurses to address these needs