Managed Care Nursing

Category - Patient Issues

If a CMCN becomes aware of a fraudulent organizational decision/plan for a patient’s care, what are the first steps the CMCN should take (after investigating facts and reviewing of resources for clarification and understanding)?
  1. Report to public officials and/or appropriate outside agency
  2. Refuse to accept the plan or consent to participate
  3. Discuss with peers
  4. Submit your resignation
  5. Report and discuss with highest level of authority within the organization
Explanation
Answer: B-A CMCN should refuse to accept the plan or consent to participate if faced with an ethical and legal form of misconduct that impacts patient care.

This puts you in a position to help influence the decision and remain within the code of ethics.
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