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RN Case Managers Ensure Quality Patient Care


A RN case manager works to guarantee prompt and efficient healthcare services to patients during their stay in a medical facility.

Job Duties and Responsibilities

  • Acting as a liaison between physicians, patients, and other providers
  • Evaluating test results and other procedures to determine if they are effective
  • Supervising the licensed practical nurses in their unit
  • Developing healthcare treatment plans based on each patient’s circumstances
  • Referring patients to specialists or other treatment facilities when necessary
  • Following up on treatment plans
  • Meeting with patients to discuss their care
  • Modifying treatment plans to achieve more effective results
  • Administering therapies and other treatments
  • Administering medication
  • Advocating for patients with treating physicians or insurance companies
  • Obtaining continuing education credits as mandated by state law

RN Case Manager

Work Environment

RN case managers usually work daytime, evening, or weekend hours in hospitals, case management companies, rehab centers, community health organizations, and long-term care facilities. They spend a lot of time standing and may need to lift as much as fifty pounds and transfer patients in an emergency situation.

Necessary skills

RN case managers should have the following skills:

  • Analytical and problem solving skills that are used to evaluate a patient’s care quality
  • Coordination and organizational skills because a RN case manager’s job also includes scheduling the services of a multidisciplinary team that consists of physicians, nurses, social workers, and therapists
  • Research skills as case managers need to research different treatment methods using healthcare journals and other publications

Education

RN case managers must first become registered nurses by completing an Associate of Applied Science in Nursing degree or a Bachelor of Science in Nursing degree. The curriculum has a wide variety of courses including Medical Terminology, Community Health Nursing, Medical Ethics, Behavioral Science, Psychology, Microbiology, and Anatomy and Physiology. Students who further their education to obtain a Master’s of Science in Nursing degree have a better chance of being selected for a RN case manager position than those with an associate or bachelor’s degree.

State License

Registered nurses in all states must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) before being allowed to practice.

Experience

Most employers require RN case managers to have a few years of clinical experience before they can assume the role of case manager.

Certification

Certification improves one’s chances of employment. The examination is administered by the American Nurses Credentialing Center, and eligibility requirements include a minimum of two years of nursing experience and 2,000 clinical hours of nursing case management. The exam consists of two parts and topics include clinical simulation and case management in the health system. Once passed, nurses are awarded the Registered Nurse Board-Certified (RN-BC) credential.

Test questions will be similar to the following:

  • Polypharmacy is best outlined as?
  • Which type of authorization is generated when services are rendered?
  • Medication errors, orders for unnecessary tests, and omission of standard tests or procedures are classified as which type of variance?
  • When using a utilization tool to perform a concurrent review, the nurse case manager recognizes that?
  • To cover the cost of durable medical equipment, a patient who is enrolled in Medicare is required to?
  • Authorization statements addressing the foundational knowledge and skills of a nurse case manager’s actions are?
  • A nurse case manager’s planning identifies goals that are?

Job Outlook and Salary

The U.S. Bureau of Labor Statistics projects employment of registered nurses will grow approximately nineteen percent between 2012 and 2022, which is a faster rate than the average forecasted for all other occupations.  According to PayScale.com, most RN case managers earned between $50,349 and $81,861 in 2014.

RN case managers have one of the most desired jobs in the field. To lean more about this great career please contact us.