Written specifically for nurses by nurses, this new resource helps nurses at all levels to understand and efficiently work within today's complex managed care system. Beginning with an overview of managed care, it then discusses how the business of managed care affects the practice of nursing...the impact of managed care on individual nursing specialties...and the myriad of legal and ethical issues that can arise in our complex healthcare system. Finally, it presents a wealth of strategies for providing quality care and analyzing cost information-as well as practical tips on utilization management, outcomes management, disease state management, and worker's compensation and disability.Addresses a full range of healthcare delivery settings, from the hospital to the communityProvides an extensive glossary of key managed care terms in an end-of-chapter appendixPresents actual success stories from nurses working in managed care-providing numerous "take-away" strategies for responding to challenges readers may face in a variety of settingsDiscusses how to educate current and future nurses about responding positively to the challenges presented by managed care
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