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Discussion

HELP! Value Based RN?

Hi,

I am a nurse who has worked bedside for many years. I have an opportunity to explore a Value-Based RN career. I was wondering if anyone has heard of this/works in a position of this type? It sounds very interesting -- you get a case load of patients, make electronic or physical contacts with them, make sure they get their wellness/preventative checkups done, PT/INR for coumadin patients, new diabetics, HTN, lots of education, etc. It sounds more like a desk job, which I have never done before (not like we don't do enough computer charting work in the hospital ;) ) But, I am just wondering if anyone can give me some advice about the potential of a "mostly" desk job for a nurse, or specifically the Value-Based RN position? Pros/Cons, do you hate it, love it, etc. I need a change because I am getting so emotionally, physically, mentally drained from inpatient nursing. Can I get an amen? ;) So if you have any advice to share, it would be much appreciated! Thanks!

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    • Featured Replies

    So, they've renamed "Nurse Case Manager"?

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    I think you need to ask them how exactly "Value Based" comes into play - - my guess would be that it is in more ways than just helping them meet their MACRA/MIPS goals. IOW, is part of your pay rate based upon achieving compliance with their patients that are fall-outs. And what does their current situation look like.

    I'm not saying any of this would necessarily be a deal-breaker (because amen to your statement about acute care), it's just that you need to know what you're getting into.

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    3 hours ago, JKL33 said:

    I think you need to ask them how exactly "Value Based" comes into play - - my guess would be that it is in more ways than just helping them meet their MACRA/MIPS goals. IOW, is part of your pay rate based upon achieving compliance with their patients that are fall-outs. And what does their current situation look like.

    I'm not saying any of this would necessarily be a deal-breaker (because amen to your statement about acute care), it's just that you need to know what you're getting into.

    I was thinking the same thing - that term implies that your pay is based off of your value. Maybe it’s just a poorly named position though.

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    9 hours ago, Jedrnurse said:

    So, they've renamed "Nurse Case Manager"?

    That's what it sounds like to me.

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    A Value-based RN not what you described. Your job description is that of a case-manager, discharge planner, care coordinator.

    A Value-based RN looks more at value analysis, cost-saving measures, how to effectively use products.

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    • Experts

    For starters - who will be your employer? A hospital? LTC facility? Insurance company? Will you be paid hourly? Salaried? Per patient? Per visit? According to outcome?

    Those are the first things I want to know.

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    • Author
    11 hours ago, TriciaJ said:

    For starters - who will be your employer? A hospital? LTC facility? Insurance company? Will you be paid hourly? Salaried? Per patient? Per visit? According to outcome?

    Those are the first things I want to know.

    It would be a hospital and salaried position

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