Utilizing US License Outside the US

allnurses Guide · Jul 4, 2009

Do you mean for a US company, or a company in your own country?

If it requires a license in your country, I assume you'd need that license and not a US license.

If it's a US company, that may work, although you would possibly need to file a US tax return and pay US taxes (I don't know). Be careful though - "working" for a US company when you do not have work authorization in the US may have immigration implications (even if you're not physically in the country). I would ask a lawyer if I were you.

Ginger's Mom, MSN, RN · Jul 4, 2009

Also to do telephonic nursing you have to be licensed in that state, many case management companies will pay for license in the states you call. Presently you would only be able to call VT .

For standards

http://www.cmsa.org/

smuggy · Jul 5, 2009

do you mean for a us company, or a company in your own country? the company, which is in the philippines, is a subsidiary of a us company that provides health care outsourcing to insurance companies in the us.
if it requires a license in your country, i assume you'd need that license and not a us license.
if it's a us company, that may work, although you would possibly need to file a us tax return and pay us taxes (i don't know). be careful though - "working" for a us company when you do not have work authorization in the us may have immigration implications (even if you're not physically in the country). i would ask a lawyer if i were you.

i wonder if ncsbn has any regulation about this? maybe it is time to discuss about the future of telephonic nursing. 'cause as far as i know, this type of nursing practice has reached the philippines.

Ginger's Mom, MSN, RN · Jul 5, 2009

http://www.teletriage.com/index.php?Itemid=104&id=55&option=com_content&task=view

Has some rules and regulations. It is a very new field. URaC is an accreditation for insurance companies and usually suggest organizations follow the law.

http://www.urac.org/

smuggy · Jul 5, 2009

http://www.teletriage.com/index.php?Itemid=104&id=55&option=com_content&task=view
Has some rules and regulations. It is a very new field. URaC is an accreditation for insurance companies and usually suggest organizations follow the law.
http://www.urac.org/

Yes it is a new field, and the possibilities (and repercussions) are challenging. The Philippine company is URAC accredited, and it is during the accreditation process that I began to ask questions about the future of this field. I hope someone can enlighten me so that potential issues can be addressed as early as now.

PS: I checked the link that you gave me. I found some interesting topics. Thank you :)

Ginger's Mom, MSN, RN · Jul 6, 2009

My opinion is, if the company is URAC approved it has to meet certain standards ( such as making sure if you need a license to practice in that state).

Case Management is a broad field ( are they taking about disease management or high risk management) that requires one on one with a patient.

UR is more behind the scenes, I would ask what type of tool do they use for example Interqual ??

The pluses would be:

A. You would be employed as a RN.

B. You will learn US levels of care and the insurance system ( which is huge).

C. The company should give you an extensive orientation.

D. If doing case management - there will be scripts to follow.

The negative sides are:

A. Not hands on nursing.

B. Will be working remote may get a negative reception from the other end of the line ( most people like to deal with people locally not a distance away).

C. If calling patients and render wrong information potentially could be open to law suits ( insurance company should provide American malpractice insurance).