Managed Care Nurse

Managed Care Nurses help elderly and underserved patients, who may rely on government-funded healthcare like Medicare or Medicaid, to stay as healthy as possible.

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Required education

ADN or BSN

Attributes

Fast-paced

React and make decisions quickly in demanding conditions.

Managerial

Lead, guide and support other nurses so they can provide the best care.

Patient-facing

Work hands-on, directly with patients.

Structured

Follow a routine that allows you to anticipate and prepare for every situation.

Varied

Take on different tasks, patients, and situations every day.

You’ll be the liaison between your patient, government agencies, their insurance company and doctors to make sure they get quality care.

Nursing bag, medication, and signs cartoon graphic

What you’ll do

Assessment

You’ll keep a close eye on your patient’s physical, emotional and psychological state to make sure they receive the right care.

Education

You’ll teach patients and caregivers about preventive care, encouraging them to go for regular checkups and vaccinations to stay healthy and thereby reduce medical costs.

Evaluation

You’ll assess patients’ care plans and make recommendations to ensure they’re beneficial and cost effective.

Treatment

You’ll take care of patients at different hospitals and medical facilities, administering medication and creating treatment plans.

Where you’ll work

Health insurance companies
Hospitals
Telephone triage centers

How to become a Managed Care Nurse

01

Get an Associate’s Degree in Nursing (ADN) Bachelor of Science in Nursing (BSN), taking elective courses in social work.

02

Pass the NCLEX-RN and work as a Registered Nurse.

03

While there is no specific certification, it’ll be helpful to get your Managed Care Nursing Certification from the American Board of Managed Care Nursing.

04

You’re ready to work as a Managed Care Nurse.

Join an Organization

Become a member of a Managed Care Nurse organization to find career opportunities, learn from your colleagues, and support the profession.

Related Organizations

American Association of Managed Care Nurses

A Military Nurse’s role is also fast-paced.

Learn more

A Legal Nurse Consultant is another type of management nurse.

Learn more

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