Case Management Nursing
There are three main responsibilities that individuals in the case management nursing field are charged with. They review the way hospital services are utilized, they plan patient discharges and they even ensure high-quality service throughout the facility. They also work to come up with long-term care plans for individuals with chronic or terminal illnesses.
Utilization of Hospital Services
An individual in this specialized nursing field will stay in close contact with patients, physicians, hospital administration and insurance companies to review the ways in which services are delivered.
These individuals may spend countless hours poring over patient charts and comparing information to ensure that these patients are getting the best care available to them.
They may also work with insurance companies to provide information about treatments that are deemed ‘medically necessary’ for the patient; this is sometimes necessary before health insurance companies to pay for certain treatments, surgeries or medications.