Care Coordination Between the Nephrology Nurse and the Payor: Working Together to Bridge the Gaps in Care for Patients with Kidney Disease

Identification: nnj_so_18A4
Issue: September-October 2018
Volume: Vol. 45, No. 5
Credits (Post Test and/or Evaluation Required)
Available until 10/31/2020
  • 1.30 - CH


Contact hours available until 10/31/2020.

Requirements for Successful Completion:

Complete the learning activity in its entirety and complete the online CNE evaluation.

Nephrology Nursing Journal Editorial Board Statements of Disclosure:

In accordance with ANCC governing rules Nephrology Nursing Journal Editorial Board statements of disclosure are published with each CNE offering. The statements of disclosure for this offering are published below.

Paula Dutka, MSN, RN, CNN, disclosed that she is a coordinator of Clinical Trials for the following sponsors: Amgen, Rockwell Medical, Keryx Biopharmaceuticals, Akebia Therapeutics, and Dynavax Technologies.

Norma J. Gomez, MBA, MSN, CNNe, disclosed that she is a member of the ZS Pharma Advisory Council.

Tamara M. Kear, PhD, RN, CNS, CNN, disclosed that she is a member of the ANNA Board of Directors, serves on the Scientific Advisory Board for Kibow Biotech, Inc., and is employed by Fresenius Kidney Care as an acute hemodialysis RN.

All other members of the Editorial Board had no actual or potential conflict of interest in relation to this continuing nursing education activity.

This article was reviewed and formatted for contact hour credit by Beth Ulrich, EdD, RN, FACHE, FAAN, Nephrology Nursing Journal Editor, and Sally Russell, MN, CMSRN, CPP, ANNA Education Director.

Commercial Support and Sponsorship:

No commercial support or sponsorship declared.

Accreditation Statement:

American Nephrology Nurses Association – Provider is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910.

This CNE article meets the Nephrology Nursing Certification Commission’s (NNCC’s) continuing nursing education requirements for certification and recertification.

Learning Outcome:
After completing this learning activity, the learner will be able to discuss options for the local nephrology staff and the case manager from the patient’s payor to work together to bridge the gaps in care for the patient, work with the nephrologist to improve outcomes, and maximize valuebased purchasing opportunities.

Learning Engagement Activity:

For more information on care coordination, visit the session entitled, “Hospital Readmissions in ESRD Patients: Challenges and Opportunities in Care,” by Amber Paulus, BSN, RN, CPHQ, in ANNA’s Online Library: Click Here! (Additional costs may be associated)


Credits Available

Expired On: Oct 31, 2020

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Sharleen Holmes
10/23/18 11:39 pm

This area of care for patients with kidney disease is something that needed to be investigated by myself and my teammates.