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Managed Care is a structured system which manages healthcare delivery to control costs and provide effective monitored health care. Through a managed program (such as an HMO or a PPO), physicians accept constraints on the amount charged for medical care and patients are given a choice of physicians from preauthorized lists of health care providers.
A managed care nurse is responsible for the coordination and administration of managed health care programs. Nursing skills and knowledge are applied to ensure common health problems and needs are addressed by the structure of managed care programming. A managed care nurse typically functions in an administrative or clinic setting. Managed Care nursing is practiced by nurses who have formal, post-secondary education and may have additional training in public health.
