I do admission interquals and reviews, weekly medicare for the difficult placements and those awaiting nursing home grants for LTC or those without insurance that can not have a safe discharge , since so many of our pts. come from poor backgrounds, homelessness, drug, alcohol, no family support. I do concurrent review and interqual usually every 2-3 days and determinations from insurers. I call every insurer with review. I do discharge planning for equiptment, IV home infusion, home nursing, PT, many for pts that live more than 50 miles away. I have 20 patients every day, I have discharge planning rounds an hour and weekly meetings. Work 60, get paid for 40, never a day goes by where I am completely caught up in my work, although I do try. If someone does not have insurance I have more forms to fill out, I am resposible for seeing every pt. within 3 days of admission to assess possible discharge needs. This is a physical impropability. Eat lunch about 2 days a week, feel guilty for taking a potty break and answer phone calls from discharged patients without primary care doctors that have a problem and need to talk to a doctor.
:typing This looks like me on a Monday, happily typing away on my laptop, but by Friday, my smile is turned upside down. Oh, How I love my job!!!!!