Managed Care Nurse: Education and Career Information

You have got a choice to make. It’s a bit extra necessary than whether it is best to eat hen or hamburger tonight and even whether you need to attend a personal or public school.

That you must determine your future career. It’s a choice that may have an effect on the remainder of your working life – or no less than until you determine it’s time to choose another profession. In fact, you won’t need to ever need to make a second career determination. You need to get your first profession determination proper.

How do you make it possible for your first career choice is a superb one? Nicely, there are not any ensures, however what you should do is research, research, and research. Research the careers you’re most concerned about so you realize what individuals in that career do on an everyday foundation. Research the steps it is advisable take to start and progress in these careers, together with the required schooling. And, research the salaries of these careers, together with estimates of future salaries that could be based mostly on projected job opportunities.

This report makes your learning simpler. It’s concerning the career, schooling, and salary of managed care nurses. doesn’t want you to pursue a profession for a number of years only to discover that it’s the improper profession for you. We’ve got studied the career inside and out so you’ve gotten enough info to know the professionals and cons of a career in managed care nursing – and we’ve got offered you sources that may furnish you extra info.

You continue to may need to speak to managed care nurses who may give you first-hand accounts of the career, but this report is predicated on interviews with managed care nurses as well as sources with detailed information of the career’s necessities and verifiable statistical knowledge. It answers many questions, including:

What’s a Managed Care Nurse?

Nursing is an incredibly numerous career. Rasmussen School record of 20 totally different kinds of nurses together with the number of openings, instructional necessities, and imply salaries of each type of nursing. Managed care nurses usually are not listed, however nurse case managers and nurse supervisors have comparable duties and obligations as managed care nurses.

A managed care nurse is a sort of registered nurse. How many kinds of registered nurses are there? Too many to listing in one article, says the article “Types of Registered Nurses.” The article doesn’t record managed care nurses both. Actually, the article “20 Types of Nurses Employers Are Looking to Hire” lists 12 kinds of registered nurses, but not managed care nurses.

Because managed care nursing is a specialty of registered nursing, it’s essential develop into a registered nurse first. Here’s what a managed care nurse is, based on the specialists:

•A liaison between “patients, healthcare providers, insurance companies and government organizations,” in line with the report “Managed Care Nurse.” As a liaison, the managed care nurse works with the opposite entities to formulate a plan that may present the sufferers with the most effective and most cost-effective well being care potential.

•A liaison between the aforementioned entities and an educator of patients as properly, based on the report “Becoming a Managed Care Nurse.” This report emphasizes that managed care nurses typically work with low-income individuals who receive help from government packages like Medicaid and Medicare. Thus, protecting prices down is essential.

•A liaison/educator who works with patients to ensure they have constant entry to high quality well being care and helps them study preventative care, together with common checkups, in accordance with the Johnson & Johnson report “Managed Care Nurse.”

What does a Managed Care Nurse do?

You discovered a few of the things a managed care nurse does as you examine what it is, however you must know more about what a managed care nurse does on an on a regular basis foundation. The record of obligations and duties consists of:

•Working with a diverse and typically giant variety of sufferers.
•Helping devise train plans for sufferers.
•Helping devise vitamin plans for patients.
•Helping formulate medical care plans for sufferers.
•Working with insurance coverage corporations and patients to maximise the probabilities that the sufferers’ current insurance policy will cowl their medical needs.
•Helping sufferers find higher insurance policy if wanted.
•Discovering the best docs for each affected person.
•Ensuring that sufferers don’t bear pointless medical procedures.
•Reviewing patients’ medical histories so the perfect plans shifting ahead are formulated.
•Interviewing docs so the most effective plans shifting ahead are formulated.
•Ensuring that patients comply with docs’ directions and medical plans, together with checkups, immunizations, screenings for particular issues, and vaccinations.

What Expertise does a Managed Care Nurse want?

Part of the reply to the above query is technical expertise that managed care nurses will study as they’re educated in nursing. The small print about schooling are addressed in a later section. This section addresses the non-technical expertise managed care nurses need so you’ll be able to assess whether your private characteristics are a match for the career.

The talents wanted embrace:

•Interviewing expertise: Managed care nurses should have the ability to ask docs, hospitals, insurance coverage corporations, and patients the appropriate questions in order that they get the best info – and perceive once they have all the knowledge they need.

•Compassion: Managed care nurses should care enough about their patients to maximise the probabilities they’ll get the absolute best care. Thus, they should have the endurance to pay attention no matter how time-consuming and psychologically aggravating listening is.

•Communication expertise: Talking and writing clearly is crucial. You possibly can’t communicate a detailed train plan or vitamin plan or medical care plan only orally. Organizing the plan on paper and presenting an easy-to-read plan to patients will enhance the probabilities it is followed.

•Pc expertise: Figuring out how one can analysis details about medical care and insurance policy is essential. So is ensuring that complete and updated data are stored on a pc system.

•Managerial expertise: In the event you turn out to be a managed care nurse, you’ll need to do more than comply with instructions. You’ll be managing several sufferers’ medical care as in case you have been managing a number of staff. Managers have to simultaneously have the interpersonal expertise to encourage patients and an authoritative method when it’s required.

•Calm temperament: Managed care nurses typically work in hospitals, specialty clinics, and group well being centers. The setting is usually hectic and hustle-bustle. They should handle their frustrations and hold their composure.

What Education does a Managed Care Nurse need?

As talked about earlier, a managed care nurse is certainly one of many registered nurse specialties. Consequently, you should grow to be a registered nurse first. The primary requirement to turning into a registered nurse is earning a nursing degree. You’ll be able to both earn a Bachelor of Science in Nursing (BSN) or an affiliate’s diploma in Nursing. Usually, it takes two to 3 years to earn an associate’s degree and three to 4 years to earn a bachelor’s diploma.

After incomes your nursing diploma, you could cross the Nationwide Council Licensure Examination for Registered Nurses (NCLEX-RN) to turn into a registered nurse. At this level, a prospective managed care nurse ought to work as a registered nurse. Within the meantime, persevering with schooling courses in subjects like managed care and social work are advisable. You would additionally prepare for a managed care nurse profession by taking these subjects as an elective when you have been an undergraduate.

The subsequent step is getting certified as a managed care nurse. The American Affiliation of Managed Care Nurses requires a registered nurse license, three to five years of medical expertise as a nurse and a home-study program that features programs in healthcare management and patient points. The American Board of Managed Care Nursing additionally gives a certification. This certification isn’t required, however is a competitive advantage for managed care nursing candidates, based on the “Managed Care Nurse” report.

Submit-graduate work is just not required, however a Master’s of Science in Nursing (MSN) might be useful for potential managed care nurses fascinated by management jobs.

How much do Managed Care Nurses earn?

Now that you already know the whole lot about what managed care nurses do, what expertise they want, and what programs they should take, it’s time to inform you what knows about managed care nurses’ salaries.

The U.S. Division of Labor’s Bureau of Labor Statistics (BLS) has numerous info on the salaries of registered nurses. Keep in mind, managed care nurses are one among many specialties of registered nurses. A Might 2016 BLS report entitled “National Occupational Employment and Wage Estimates” says that registered nurses have a mean annual salary of $72,190.

In fact, salaries are partly dependent on location. Registered nurses in California ($101,750), Massachusetts ($89,zero60), Hawaii, Oregon, and Alaska are one of the best paid, based on the report.

The BLS additionally has info on the longer term job prospects of the career. The variety of jobs within the career is projected to develop 16 % until 2024. That may be a “much faster” progress fee than common, says this report. Altogether, there can be virtually three.2 million nursing jobs in 2024, a rise of just about 450,000 from 2014.

The “20 Types of Nurses Employers Are Looking to Hire” article additionally has information on job openings and salaries. It reviews that registered nurses have a mean annual salary of $68,164 while nurse case managers and nurse supervisors have average salaries of $70,716 and $65,744 respectively.


Managed care nursing isn’t the best career for everybody, however it may be the proper career for you relying in your personal traits, whether you’re prepared to spend years in instructional and medical settings to turn out to be a superb managed care nurse, and your aims with regard to wages and high quality of life.

There are lots of other sources that may provide help to study more concerning the career, which incorporates:

•The American Association of Managed Care Nurses
•The American Journal of Managed Care
•The American Board of Managed Care Nursing
•Managed Care Magazine

Nursing Scholarships

Thank you for sharing your preferences.
You will discover other options by way of our sponsored listings under!

Search Sponsored Listings

Fast Reality

In 2017, staff with a bachelor’s degree or greater had virtually twice as much
median earnings per week than staff with only a highschool diploma*.

*Bureau of Labor Statistics

Keiser University Campus

Since 1977, Keiser University has maintained a sensible, hands-on strategy to career-focused schooling to assist our college students achieve their private and professional objectives.


  • Affiliate of Science in Medical Administrative Billing and Coding
  • Bachelor of Arts in Business Administration with a concentration in Management
  • Associate of Arts in Health Providers Administration
  • And extra…
Culinary Institute of Virginia

Turn your passion for food into a career on the Culinary Institute of Virginia.

What Are You Waiting For?


  • Baking and Pastry Arts
  • Utilized Vitamin
  • Meals Service Administration
  • And extra…
Southern Technical College

Southern Technical School supplies schooling and coaching in quite a lot of medical and technical areas that allow graduates to obtain entry-level employment.


  • Diploma – Veterinary Aiding
  • Diploma – Medical Assistant
  • Diploma – Electrical Know-how
  • And extra…
Lincoln Tech

Lincoln Tech is your LINC to a brand new profession!


  • Diesel Know-how
  • Welding Know-how
  • Heating, Air flow, & Air Conditioning (HVAC)
  • And more…
UEI College

At UEI School, we would like you to succeed. We’re like a household and we would like you to be a part of it.


  • HVAC Technician (11-month diploma program)
  • Felony Justice (11-Month Diploma Program)
  • Pharmacy Technician (11-Month Diploma Program)
  • And extra…
Career Quest Learning Centers

We provide packages in enterprise, info know-how, and well being care which might be designed to get you into your new profession fast.


Purdue University Global

Building on Purdue’s mission to offer larger entry to reasonably priced, world-class schooling, Purdue University International delivers a totally personalised online expertise that’s tailor-made to working adults.


  • BS in Enterprise Administration
  • MS in Accounting – Audit Specialization
  • AAS in Felony Justice
  • And more…
Ross Medical Education Centers

Get allied health coaching with Ross Medical Education Middle.


  • Medical Assistant
  • Pharmacy Technician
  • Medical Insurance Billing and Workplace Administration
  • And more…
Health and Style Institute

The Salon & Spa business presents you the private freedom and monetary rewards you deserve!


  • Certificates-Cosmetology
  • Certificates-Skin Care Remedy
  • Certificate-Instructor Coaching
  • And more…
Smith & Solomon Training Solutions

Get your profession on monitor with training from Smith & Solomon.


  • CDL A: Tractor Trailer Training
  • CDL A: With Passenger Endorsement
  • CDL B: With Passenger Endorsement
  • And more…