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The amount of involvement an insurer can have in managing high cost cases depends on the structure of the benefit plan. In a tightly managed plan case management may be integral to the benefits program. In less tightly managed plan, participation in a case management program is often voluntary for patients. [5]
The case management restrictions must not "substantially impair access" to primary care services of "adequate quality where medically necessary"; and; The case management restrictions must be "cost effective". [2] In their earliest forms, PCCM programs closely resembled traditional fee-for-service Medicaid than managed care.
The American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA), is a certification body for nursing board certification and the largest certification body for advanced practice registered nurses in the United States, [1] as of 2011 certifying over 75,000 APRNs, including nurse practitioners and clinical nurse specialists.
Such a nurse, while still fully an accredited nurse, will likely become the risk manager for a hospital, working in health administration rather than direct care and perhaps even becoming the director or manager of the risk-management department. In this role, he or she may never see another patient except while doing hospital inspections, or ...
must hold a current, unrestricted practical/vocational nurse license in the United States or its territories and must have hospice and palliative licensed practical/vocational nursing practice of 500 hours in the most recent 12 months or 1000 hours in the most recent 24 months prior to applying for the examination.
Image source: The Motley Fool. HCA Healthcare (NYSE: HCA) Q4 2024 Earnings Call Jan 24, 2025, 10:00 a.m. ET. Contents: Prepared Remarks. Questions and Answers. Call ...
Students graduate with a diploma in nursing, and passing of the NCLEX-RN allows for certification and state licensure, which permits the graduate to practice as a full registered nurse within his or her state's statutes. Coursework taken in a diploma nursing program can frequently be used for credits toward nursing degrees such as a BSN or ADN ...
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