In the case management role, nurses are responsible for full coordination of patient care
In the case management role, nurses are responsible for full coordination of patient care, ensuring that patients are aware of and properly use available healthcare resources and services.
Instructions: Apply the following scenario to this assignment: A nurse is asked to manage a case for an unemployed single mother who is HIV positive.
Utilizing the MCO table from Unit 2, select an insurance plan that would meet the patient’s needs.
Select one alternative plan to present to the patient as an additional option.
Prepare a handout (in Microsoft Word) to provide to the patient. The handout should contain:
An explanation of the case management process. Include the primary components of a healthcare case management process that will best serve the patient needs based upon the selected insurance plan (for the first plan option only).
A summary of the way(s) that case management impacts healthcare delivery.
Rationale as to why the selected plan would be best for this patient.
Rationale as to why the alternative plan could also serve the patient’s needs.
An explanation as to how the patient would benefit from an alternate payment plan, such as an HSA (or other of your choosing).
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