Novartis. 6. See our Privacy Policy and User Agreement for details. [Brochure]. Assessment, Evaluation, Triage and Referral Nurse In this role, the nurse evaluates patients in direct encounters or by telephone in order to triage the patient to the most appropriate level of care, including referrals to credentialed providers, contracted facilities and community resources. These roles includestaff nurses, managers and administrators, practitioners in psychiatric home health and community mental health settings, primary care providers and independent providers of psychotherapy to individuals, groups and families across the life span. Psychiatric nurse practitioners are also known as psychiatric mental-health nurse practitioners (PMHNP), psychiatric NPs, mental health nurse practitioners, and are a crucial part of the health care community. Chief Quality Officer Nurses have assumed primary responsibility for formulating and implementing comprehensive quality management and improvement programs for managed care companies. In public sector programs, this role could include prevention, education and outreach. The American Nurse. National Alliance for the Mentally Ill. (1995) NAMI’s principles for managed care. Support for a meaningful participation of consumers and families in the redesign, implementation, evaluation, and monitoring of the managed care system is encouraged (NAMI, 1995). They engage in identifying risk factors, individual and system-wide problems, corrective actions and the implementation of strategies to reduce risk and prevent loss. 3. PMHNPs may also provide physical and psychosocial assessments, emergency psychiatric care and treatment effectiveness evaluations. While the advanced practice registered nurse, psychiatric-mental health (APRN-PMH) has prescriptive authority in most states, all registered nurses administer and monitor pharmacologic agents and monitor their effects. Risk Manager Nurses who work as risk managers are charged with the task of decreasing the probability of adverse outcomes related to patient care. Washington, DC: American Psychiatric Nurses Association. Introduction Managed care has become a financing reality in healthcare as payers have developed strategies to curtail costs and improve the provision of care. Assumptions about managed care include: 1. These include (Stuart, 1997): Psychiatric-Mental Health Nurse – Nurses with various levels of preparation serve as direct care providers in contracted facilities and practices. In this role they serve as "gatekeepers" to mental health services. Hicks, LL, Stallmeyer, JM, Coleman, JR. (1993) Role of the nurse in managed care. American Psychiatric Nurses Association Brochure (1997) Advanced Practice Registered Nurses in Psychiatric and Mental Health Care. The goal of managed care is not only to lower costs but to ensure that maximum value is received from the resources used in the production and delivery of health care services to the population (Hicks, Stallmeyer, & Coleman, 1993). New England Journal of Medicine, 334:116. Mason, D.J., Cohen, S.S., O’Donnell, J.P., Baxter, K. and Chase, A.B. Washington, DC: American Nurses Association Publishing. 2. Many PMHNPs provide therapy and prescribe medications for patients who have mental health disorders or substance abuse problems. They engage in training other staff on-site and synthesize data related to performance improvement, outcomes management and other health services research activities. [Brochure] American Association for Marriage and Family Therapy, American Counseling Association, American Family Therapy Academy, American Nurses Association, American Psychiatric Nurses Association, American Psychological Association, Clinical Social Work Federation, & National Association of Social Workers. Mental Health Nurses Job Description Example/Sample/Template. Nurses interested in this career path should be aware that m… Behavioral Healthcare Tomorrow, August, pp. Clipping is a handy way to collect important slides you want to go back to later. Managed care is based on a health (rather than illness) paradigm. 41-44, 85. If you continue browsing the site, you agree to the use of cookies on this website. Washington, DC: American Psychiatric Press. Utilization Review Nurse Many managed care companies employ psychiatric nurses to function as utilization reviewers in which they review aspects of the patient’s care and influence decisions about treatment assignment. It assures quality control through a utilization review process. INPATIENT PSYCHIATRIC WARD…• Provide for environment safety including protecting the patient & others from injury.• Perform psychosocial, high risk & physical assessment.• Promotion of self care activities.• Medication management.• Assisting for somatic therapies.• Through a variety of techniques, such as pre-admission certification, concurrent review, financial incentives or penalties, managed care attempts to control access to provider sites where services are received, contain costs, manage utilization of services and resources, and ensure favorable patient outcomes. Mental health nurses form a crucial part of Britain's healthcare system, positively affecting the lives of thousands of patients every day. Mental health nurses work in different settings – patients’ homes, health care centers, hospital outpatients units, and specialist units. 1. (1997) A Thru Z: Managed Care Terms. & Billings, C. (1995) Primary mental health care: A model for psychiatric-mental health nursing. Goodman, M., Brown, J.A., Deitz, P.M. (1996) Managing Managed Care II: A Handbook for Mental Health Professionals (Second Edition).