Wednesday, April 29, 2015

Spring Managed Care Forum 2015





Thursday, April 23rd, was a beautiful morning at Disney’s Yacht and Beach Club Resort and a short walk to the convention center from the resort guest rooms. At the convention center, it was fairly easy to learn where everything was stationed and there was always a helpful Disney or conference employee to point you in the right direction, if needed. As I first stepped into the exhibit hall, I was met with a colorfully lit booth that towered above me with eye-catching graphics, touch screen monitors and friendly faces. Walking past many of the exhibitors’ booths, I was impressed with the high quality set-ups, lighting, graphics and sense of professionalism that came from speaking with the vendors. At the end of the exhibit hall was a wonderful breakfast buffet of fresh cut fruit, muffins, juice, hot eggs, coffee and other goodies. It was definitely a great way to start off a day full of activities!

The rest of the morning seemed to fly by, as I stopped in at different tracks and listened to speakers talk about subjects they were passionate about. Before I knew it, lunch had rolled around and the exhibit hall was filled again with hungry attendees feasting on the lunch buffet spread provided by the hospitable Disney staff. Every meal on Thursday and Friday was cooked just right, hot and cold as it should have been, and just plain delicious in my opinion. Not to mention, it just kept coming and didn’t run out until it was pulled and meal time was officially over.

The overall all feeling throughout the conference and its attendees was that of enjoyment. From meeting colleagues they knew and unfamiliar faces from around the country, as well as from sharing their learning experiences with others. I, myself, had the opportunity to meet and speak with many people whom I have communicated with through email, but had never met in person. It was a nice feeling to meet so many kindhearted people who enjoyed the conference as much as I did. 

The end of Friday came too soon! I was left wanting more, but I’m sure everybody was either ready to relax by the pool, explore Disney’s attractions, or head home to missed loved ones. I’m already excited for the change of atmosphere at the Fall forum at the Bellagio in Las Vegas and for another chance to meet new people who feel the same! It’s wonderful that the associations host not one, but two annual conferences on opposite sides of the country. This gives people the opportunity to attend at least one or both per year, if circumstances permit.

Here are some of the attendee’s thoughts:

“Really enjoyed this conference, fast paced, highly informative, efficient flow of sessions & activities. Food was good, offered choices/variety, networking was ample. 2 day conference is wonderful- again efficient. I'll be back next year.”

“This conference was excellent. Food good. Rooms clean. Environmental friendly & helpful. Presentations excellent.”

“Love the location of conference! Not only offers excellent learning during the day but allows for fun in the evening. Love the easy access to the convention center.”

We would love to hear what your experiences were! All forms of feedback help us make the next conference more enjoyable for you. And don’t forget to save the date: Fall Managed Care Forum, Bellagio Hotel, Las Vegas, November 12-13, 2015.

Friday, April 10, 2015


Managed Care: A Growing Demand in Nursing

Managed Care Defined

Managed care, or managed healthcare, refers to the approaches taken to optimize the delivery of healthcare benefits and increase the quality of care. Managed care principles are utilized by a wide variety of organizations such as Preferred Provider Organizations, Hospitals, Medicare and Medicaid programs, Nursing Homes, and Health Maintenance Organizations (HMOs).  HMOs are organizations that provide health insurance or healthcare benefit plans. The catalyst for the managed care reform was the Health Maintenance Organization Act of 1973, which provided grants and loans for HMOs, overthrew state laws that restricted the development of HMOs, and required employers with 25 or more employees to offer two choices of federally qualified HMOs. 

Duties of a Managed Care Nurse

Managed Care Nurses serve as the liaison between patients, doctors, healthcare providers and insurance companies. In contrast to direct patient care at the bedside, their role is to advocate for all patients enrolled in the healthcare delivery system. They often work with a diverse group of patients which may include the elderly and those who participate in government programs, such as Medicare and Medicaid. Managed care focus on the principles of patient education, wellness, prevention programs, early intervention, and continuity of care including transitional care and post-discharge education aimed at reducing readmissions. Other principles fall under several categories. Utilization and Quality Management keeps aspects like examination levels, technology and medication use efficient, while simultaneously improving patient outcomes. Disease Management, also known as Chronic Condition Management, is geared toward managing expenses and improving the quality of life for persons with long-term conditions. Care Management can involve developing and following through with comprehensive plans for individual care needs. The overall goal of a Managed Care Nurse is patient advocacy.

A model of Managed Care Nursing can include:
                    I.            Collecting relevant  information
                  II.            Researching  Educational Resources
                III.            Developing  a Plan of Care
                IV.            Establish Patient Centered Goals
                  V.            Implement Patient Centered Goals
                VI.            Evaluate Patient centered Goals
              VII.            Measuring  Outcomes

How to become a Certified Managed Care Nurse

To become a Certified Managed Care Nurse (CMCN), you must hold a current registered nursing license or a license in practical nursing in any American State, territory, or protectorate. You must have proof of at least one year of full time employment as a Registered Nurse, Nurse Practitioner, Licensed Practical Nurse, or Licensed Vocational Nurse and pass an exam based on the components of Managed Care Overview, Healthcare Economics, Healthcare Management and Patient Issues.
The exam is administered by the American Board of Managed Care Nursing (ABMCN.org).  ABMCN has reading materials for reference posted, or candidates can visit the American Association of Managed Care Nurse’s website (AAMCN.org) where they offer a preparatory Home Study Course that encompasses the required knowledge that must be obtained to pass the exam. Once the certification is acquired, nurses may use the initials “CMCN” (Certified Managed Care Nurse) as a part of their professional signature. This certification requires 25 continuing education credits every three years.

Career Outlooks

Nurses who specialize in specific areas of healthcare, such as managed care, are highly sought-after. The overall employment of registered nurses is expected to grow 19% from 2012 to 2022, faster than the average for other occupations. This growth is projected to occur for many reasons, such as the growing rate of chronic conditions and the aging Baby Boomer populations requiring more healthcare services. According to the Bureau of Labor Statistics, the average registered nurse makes a median of $65,000 per year. Indeed.com further defines a Managed Care Nurse’s yearly salary on the average at $70,000. However, Managed Care Nurses in management roles usually command larger salaries. A Managed Care Nurse Manager or Director in a metropolitan area like New York City can expect a salary upwards of $100,000 annually. Nurses who further their education with certification can undoubtedly gain career advancement through their enhanced knowledge.

References:
Turner RN, MN, MBA, PhD, Susan Odegaard. The Nurse’s Guide to Managed Care. Gaithersburg: Aspen Publishers, Inc. 1999.
Kongstvedt, Peter. The Managed Care Handbook, 3rd ed. Gaithersburg: Aspen Publishers, Inc. 1996.
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2014-15 Edition, Registered Nurses, on the Internet at http://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited April 06, 2015).
Wikipedia, Managed Care. 18 March 2015. http://en.wikipedia.org/wiki/Managed_care (visited April 06, 2015).
American Board of Managed Care Nursing. Candidates Guide for Certification in Managed Care Nursing. http://www.abmcn.org (visited April 06, 2015).
American Association of Managed Care Nurses. A Comprehensive Intro to Managed Care Nursing. Glen Allen: AAMCN. 2011. http://www.aamcn.org (visited April 06, 2015).
Indeed.com. National Salary Trend. “Managed Care Nurse”. http://www.indeed.com/salary?q1=managed+care+nurse&l1=&tm=1 (visited April 06, 2015).
Written by April L. Snyder, Director of Member Services for the American Association of Managed Care Nurses (AAMCN), and Edited by Jacquelyn Smith, RN, BSN, MA, CMCN, President of AAMCN.

Thursday, April 2, 2015

The Spring Managed Care Forum is Just Around the Corner!

 
Our 2015 Spring Forum will be held at the Disney’s Yacht & Beach Club Resort, April 23-24, in Orlando, Florida. Registration is open until the conference begins on April 23, walk-ins are welcome!

Over thirty highly educated and respected professionals in the healthcare industry will be speaking to attendees and sixty exhibitors will be present at the forum. Speakers will cover different topics within three tracks: Health Management, Oncology, and Business Tracks.

The Spring forum is worth fourteen continuing education credits for Nurses and Physicians. Nurses who wish to take the CMCN exam may do so at the conference.

If you are a nurse attending the conference, we invite you to attend the Nurse Only Reception where you can network with colleagues, meet the Board of Directors and other members of AAMCN. The reception will be held Wednesday, April 22 from 5:30pm-7:30pm.

You can find more detailed information and registration info HERE
Or call us at (804) 747-9698 and email us at asnyder@aamcn.org