One of the benefits of working for United Healthcare Clinical Services is that my company has many departments dedicated to the legalities of healthcare and insurance. I was fortunate enough to be able to sit down with one of the legal nurse consultants on staff at UHC. I shadowed Shannon Mulvey October 11, 2011 in the St. Louis, Missouri office for eight hours. I learned many things during this assignment. The first thing I learned was that legal nurse consulting is not all trials and jet-setting across the globe to “save the day”. I realized that there is a lot of paperwork and even more research involved in doing this job. Shannon sat down with me in the morning and started by asking if I had any questions about the job. I had plenty, but she was terrific and patient when describing her duties and what the job entails. We went over her qualifications to start. She has her MSN, a forensic nursing certificate from Kaplan University (2008), and has 15 years of clinical experience in an intensive care setting. Seven of those years were spent in the NICU. I learned that she started at UHC in 2004 and began as an ICM (Inpatient Care Manager). She then moved up to a position as supervisor in 2008. After 1 year in this position she decided that she wanted to utilize her certification and move into a position that focused on forensics. She moved into the legal department in June of 2009 and has been there ever since. She now works with attorneys and administration when evaluating healthcare claims within our company or in preparing for medical malpractice suits. Shannon could not disclose sensitive documents to me but she was able to verify that her position keeps her very busy. In a large insurance company, there are new claims and suits for her to address all the time. Her clinical background combined with her knowledge of the law is integral to her job and assisting the attorneys with these cases. She showed me that it may be incredibly time-consuming and tedious to collect and verify all of the data available. She will scour charts and assist with preparing
likely to cause cardiovascular damage or other adverse consequences.
In order to assess Mrs Patel’s healthcare needs appropriately, the nurse will use the four stages of the nursing process. The nursing framework by Roper, Logan and Tierney's (1996), is widely used to recognise the patient’s problems. The twelve activities of daily living provide guidance to the nurse, when assessing the patient
needs and in delivering a holistic care. Therefore, the used of evidence-based framework when assessing…
the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the…
either the Commission for Case Manager Certification or the American Nurses Association. Yearly you must show 20 hours in CEs.
How many years in health care has it taken to get where you are?
She began working at the Williamsport Hospital directly out of nursing school.
What types of certifications are available in your specialty?
There is certification in case management as mentioned above and also a utilization review nurse certification from the American Board of Quality Assurance and Utilization…
Spanish nurses' preparedness to care
for hospitalised terminally ill patients
and their daily approach to caring
Maria Arantzamendi, Julia Addington-Hall, Maribel Saracibar, Alison Richardson
urses have an essential part to play in
the care of terminally ill patients, and
education and training are important if
this care is to be of high quality. Shortcomings
are reported in the care that hospitalised terminally ill patients receive (Costello, 2001;
Ogasawara et al, 2003; Pincombe et…
4. Write a critical evaluation of what it means to be a teacher/ trainer in your context within the Lifelong Learning Sector
LO,1. Demonstrate a systematic and critical understanding of the concept of professionalism; the range of roles and responsibilities, both across the sector and in relation to own subject teaching and the impact of each.
LO .2. Demonstrate a critical awareness and understanding of theories and principles of reflective practice and models of continuing professional practice…
Human Resources Management in Healthcare Midterm Study Guide
(Chapters 1-5, 7,8,13,14, Diversity Lecture)
7 major functions of HR
1. Recruitment and Selection
2. Appraisal and recognition
4. Employee Relations
5. Compensation and Benefits
7. Training and Development
1994 Study examining HR practices
a) Examined HRM practices and productivity levels of 968 organizations across 35 industries
b) Outcome: organizations with high HRM effectiveness out performed those…
with your organisation
Within this definition:
Now, suppliers face a quite different customer – one that
is armed with the ability to conduct wide-ranging online
research, as well having as an expert procurement function
and specialist buying consultants.
As a result, customers can be a long way through the
purchasing process – as much as 60-90%, according to
leading research firms – before they even contact a
supplier. This is materially later than in the past. With
customers having a clear understanding…
E1 & E2 -
The statutory setting I have chosen is Church Drive Primary School; I have gathered the following information; this service can be used by all parents and guardians of children aged 3 years of age to 12 years of age. Service users (parents/guardians) do not have to pay for the education of their child in this school as it is funded by the government to give children the right to an education.
Within this school there is a high quality of teaching and learning and support for all children…
Part 1 '' Food Safety and the Law.
Food safety management procedures
Guests choose a restaurant because they trust and believe that the establishment shall always fulfill their demands and expectations both the expressed and unexpressed expectations. They trust that the food cooked in the restaurant is safe to eat and will not make them sick after eating. Providing customers with safe food is not only important for the success of a business but also mandatory by law.
A Food safety Management…
Human Resource Management
A Framework for Human Resource Management
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Seventh Edition, 2013
BAM 411 Human Resource Management
elcome to California Coast University. I hope you will find this course
interesting and useful throughout your career.