RNs Changing Focus

COMFORCE RNs who choose to use their professional expertise to move away from the clinical environment welcome case management and utilization review assignments as perfect cross-over careers. Choice assignments are readily available for them at major hospitals, clinics, HMOs, PPOs and large physician’s practices.

Facilities are inundated with regulatory burdens and insurance documentation which require detailed tracking of patient care and utilization reviews. These responsibilities require a skilled RN with clinical knowledge to ensure responsible care, treatment, tracking, cost control and maintaining legal compliances. These responsibilities are compounded by the demands of The Joint Commission accreditation reviews and the Health Insurance Portability and Accountability Act (HIPAA) compliance. The complexity of the paperwork to track treatment for the patient care cycle makes fast and accurate case reviewers, COMFORCE RNs, a critical component in quality care and therefore in great demand.