Writing a paper on Case Managers, Help

Hi- I am an acute case manager, who manages a Level 1 Trauma service line in a large midwestern city. I run an average census of 24-30 patients who come in Level 1 and Level 2 trauma patients, who are sent from a variety of outlying facilities for specialized tertiary and intensive care/critical care management. I am responsible for assessing and developing an ongoing dc plan of care, and follow the patient from the admission to dismissal. I am also responsible for insurance reviews ( concurrent only) with the payor ( Insurance company). I also do all referrals for Home Health care, OP post-acute services (OT/PT), and facilitate transfers for rehab, ltach, nursing home etc. Right now I have 13 patients in assorted ICU's throughout my hospital, and 10 pts. on the various floors. I find my job very interesting, and challenging. The biggest challenge in my position, are unfunded pts (those w/o insurance) who come in with devastating catastrophic injuries. Most of these stay until we can get them on with Ks. Medicaid. I have one fellow with self-inflicted stab wound to abdomen, with open abdomen wound vac, been here 30+ days, another with 9 gunshot wounds to the abdomen, also with open abdomen, wound VAC 40+ days. Multiple pts with severe CHI's, on vents, etc. There is no typical day... every day is different. In this job you have to be able to turn on a dime, and change your game plan, with whatever happens next... I guess that is why I like the job so much, it is always changing and evolving. I do try to start my day with whomever is going home that day first, so I can get them off my slate, so to speak. Then move on the the ICUers and other new ones. We do all charting in the computer, a personal laptop, which is issued to each CM. Hope that helps.

I just saw this - don't know if you still need info - I'm a hospital CM in a Cardiac Unit - will be glad to share if you need it. Let me know at: enspharr@gmail.com - thanks.