HELP! Value Based RN?

Published

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!

Up Vote Up Vote ×
Specializes in school nurse.

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

10
Up Vote Up Vote ×

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.

2
Up Vote Up Vote ×
Specializes in Mental Health.
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.

3
Up Vote Up Vote ×
9 hours ago, Jedrnurse said:

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

That's what it sounds like to me.

3
Up Vote Up Vote ×
Specializes in PICU.

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.

1
Up Vote Up Vote ×
Specializes in Psych, Corrections, Med-Surg, Ambulatory.

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.

2
Up Vote Up Vote ×
11 hours ago, TriciaJ said:
4 hours ago, Workitinurfava said:

https://www.ehidc.org/sites/default/files/resources/files/The_Role_of_Case_Management_in_Value-based_Health_Care.pdf

Maybe this will help...

This is EXTREMELY HELPFUL. Thank you so much

1
Up Vote Up Vote ×
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

1
Up Vote Up Vote ×
+ Join the Discussion