Quote from emrrn915
I worked in their field case management division but for a subcontractor. When they initially began their disease management program they subcontracted out the field portion but I worked in their system and within their guidelines. I had heard that they cut out the subcontractors and now do the whole thing themselves. If this is the same disease management program that I worked for you will be responsible for assessing and teaching diabetes, heart failure and asthma to medicaid patients? While the theory is a good one.. it was a horrible job (in my experience). I had 180 people on my "list" to find, contact and try to help. The problems that I experiences were that MANY of these people do not have phones, they move around a lot and I could not find them and the MAJORITY have no interest in what you have to say. I would say out of the 180, I possibly made a difference with 10 and that may be a little rose colored. The other issue was that you put info as to what they are on etc etc in the system and that generates form letters to their physicians which essentially tell the MDs how they are not treating their patients based on current ADA, AHA or ALA standards. I dealt with many many many irrate MDs over these letters. NOW... the system was in the new stages so it may be that things have changed. But I found it to be a frustrating and unrewarding job. We had numbers that we HAD to meet ie: 40 contacts per week documented. Good luck... I drove around and looked and looked for people. I would find the address and I was expected to go up and knock on their door...I was in some pretty bad neighborhoods. I lasted a year as did the first 4 of us that started here in Washington and we all left for the same reason... the patients did not want help.... think of the demographic that you are dealing with. Again, the majority do not want anything to do with you and then you have the company telling you that you have to meet the quota and MOST doctors highly annoyed with a company telling them that they are not prescribing and following up the way they should. I hate to sound negative but this was my experience.
I now do workers comp case management from home... love that!! I am still part of the health care team and I accomplish something every day.
As far as the home office.. locked file cabinet and a shredder....
As I said, they may have changed what they do or maybe this is working with private insurance patients? That may be different. Working with the medicaid population was a nightmare... again not all but definately most. Even those that I was able to educate did not follow through with the receommendations for the most part. I really felt as if I did not do anything for anyone and I do not like that.
Management can't agree, takes months to get officially hired due to HireRight. Waste of useless education, many people can't understand their Rules & Regulations. This company lies, sets unrealistic goals for both its employees and patients (who are lower income and need to be concerned about where they can live or get away from an abusive situation) rather than being focused on vaccines. Since when do you ask a patient over the phone (who has never met you) "Have you had lack of interest in doing this lately?" This company actually teaches nurses how to "script" word for word, according to what the health plan wants the nurse to say (don't use your logic to talk to the patient.....read the script). There are actually health plans that pay them for saying, "assessing, coaching, and coercing the health plans "goals." Don't the insurance companies realize that their populations are in need of food instead of lectures on how to tell the physicians what the patient should be receiving...No joke, parts of the assessments involve suggesting that the patient should "Suggest this medication or other treatment." Some physicians are very aggravated by patients telling them what McKesson nurses suggest.