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…
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 multi-disciplinary nature of mental health care delivery and discussion of the care planning of the service user.
The Nursing and Midwifery Council (NMC Code, 2008) states that it is the role of the nurse to maintain confidentiality of…
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…
cycle. As it was previously mentioned in module 1 the principles of equality are intrinsic to current thinking about how learning takes place; by using a learner centered approach it supports equality, diversity and inclusion. It is also the teacher legal responsibility to ensure that equality diversity and inclusion are maintained, and as such it is fundamental that Anti Discriminatory Practice (Thompson 2006) is promoted at all times. The teacher should be seen to value all participants’ and their…
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…
measures a mix of quantitative and qualitative factors to evaluate organizational performance
Organizational Outcomes and Performance
Attainment of strategic goals
Satisfaction of key stakeholders
Examples: patient satisfaction, cost per patient day, ROI, legal compliance, growth, profitability
Know the greatest expense in an organization
Labor is the #1 expense.
Define workforce planning- is an assessment of needs for…
an alternative education for their child from mainstream education up to the of 4. The service users (parents/guardians) do have to pay for the childcare.
In the nursery the nursery nurses ensure the children are safe in everything they do. For example, they have a secure access system and all the nursery nurses are trained in first aid and are continually updating their knowledge of all aspects of childcare. They offer a range of opportunities for the children every day such as sand, water, painting…
• Closure of food premises by local authority.
• Loss of business due to negative publicity or from guests due to poor standards, food poisoning outbreaks and even deaths. The reputation of the establishment is tarnished.
• Fines and costs of legal action taken because of not following hygiene legislations or because of sale of food that is unsafe for consumption. Court cases and law suits taken by food poisoning sufferers or those aggrieved by injury from foreign bodies in food.
• Low employee…
from primarily being responsible for hiring, firing,
payroll, and benefits administration to a more strategic role in employee selection, training, and
promotion, as well as playing an advisory role to the organization in areas of labor relations and
legal compliance. Employers now rely on their employees’ motivation and performance to provide
them with a competitive advantage.
HR management has evolved over the years and is now much more involved in strategic planning.
HR managers must be focused on…