Case Management Nursing

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If you are someone who thrives in a management environment, but enjoys patient care, case management nursing may be the specialty for you. A case management nurse (CMN) coordinates care, assuring that patients receive efficient services for various medical conditions.

Educational Requirements for Case Management Nursing

To become a CMN, you must first earn a minimum of a Bachelor of Science in Nursing (BSN) degree from an accredited school. These programs often require a successful score on the TEAS test, as well as good grades in undergraduate courses. After graduation, you will need to sit for the NCLEX-RN test. An adequate passing value will allow you to use the title of registered nurse or “RN.” Many case management nurses are clinical nurse specialists. These are Master of Science in Nursing (MSN) graduates who obtain specific training.

Case Management Nurse Certification

The American Nurses Credentialing Center (ANCC) offers certification for case management nurses. The Nursing Case Management credential earns the nurse the title of Registered Nurse-Board Certified (RN-BC). Eligibility requirements include an active RN license, a minimum of 2,000 clinical practice hours in case management nursing, and two years of professional nursing experience.

Case Management Nursing Career Opportunities and Salaries

Most CMNs work in the hospital settings of acute and critical care nursing. However, case management nurses find employment in long-term care facilities, home health agencies, insurance companies, government organizations, urgent care centers, and physician offices.
Average annual salaries vary, depending on level of education, years of experience, site of practice, and location of worksite. According to many web sources, case management nurses earn anywhere from $55,000 to $84,000 per year.

Job Duties of the Case Management Nurse

CMNs understand the system of care delivery for a particular patient population. These professionals provide a centralized healthcare delivery, offering a liaison between the patient and clinical staff. The focus of this specialty is a balance of cost-effectiveness and meeting patient needs.
Typical job duties include communicating with physicians and specialists concerning the needs of the patient, assuring that appropriate tests and treatments are given, and communicating with nursing staff. Hospital-based CMNs evaluate admissions for medical necessity, assess proper utilization of services, and arrange for discharge. Community-based CMNs perform onsite clinical reviews and organize patient care.

Resources

ANA (2013): http://www.nursingworld.org/

ANCC (2013): http://www.nursecredentialing.org/

BLS (2010): http://www.bls.gov/

Nurse.Org (2013): http://www.nurse.org/orgs.shtml

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