Insurance and health system benefits

If the patients you serve are insured by specific insurers, these insurers will often offer services to help their insured patients. This of course includes what is covered under the patient’s insurance benefit, but also other educational services that might be helpful in the patient’s progress with health improvement.

Some example of these services include:
1. Case management of complex patients needing specific benefits and/or providers, i.e. transplants, high-risk newborns, complex cancer, multiple trauma
2. Online educational programs
3. Discounts on health-related services, such as Weight Watchers or a fitness facility

Care managers need an understanding of health insurance and its impact on care. Who qualifies for Medicare, Medicaid, and what are the basic coverage guidelines for these? They should know what commercial payers are prevalent for the population services and what product lines and network they offer.

To start planning your RN career in the New York with Complete Care Management, Apply with Complete Care Management, Inc. today.