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Online Nursing Courses - RNSG 428 - RN to BSN Online Completion Degree

Online Nursing Course - Nursing and Managed Care - RNSG 428

4 Units

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Course Description:

This course focuses on the impact of managed care on health care delivery, and specifically on the nursing field. It's goal is to help students better understand what managed care is, how managed care works, and to guide the student in acquiring knowledge of reimbursement, quality, legal and ethical issues involved with managed care programs. A diversity of managed care models are presented, including HMO's, PPO's, IPA's and many others.

Course Objectives:
  • Understand and describe the modern health care environment as related to managed care.
  • Discuss principles of health care reimbursement.
  • Understand the key concepts of performance and cost under managed care.
  • Discuss the role of case management in a managed care environment.
  • Define and discuss clinical pathways, explaining their significance in managed care programs.
  • Discuss consumer interactions in managed care.
  • Describe the role of managed care in Medicare and Medicaid.
  • Describe the role of nursing in a managed care environment.
  • Discuss managed care impacts on patient care.
  • Discuss the future of managed care in nursing.

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