I am new to this site and still learning how to navigate through. Here is my question. I am in need of finding a desk job. Does anyone have any ideas of a path that I should purse without having to give up my nursing career?
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Just the kind of question I was looking for. I too am looking for a office job or desk job as you said. I currently live in California and have been seeing many companies hiring for HEDIS chart extractors or chart reviewers. It does say that you must be a LVN or RN, but I'm wondering where would I get the experience needed to land these types of jobs? Also, I know that LVN/LPN are able to do quality assurance and quality management but is there somewhere that offers certification for it? I myself don't have any experience is QA or QM but am very interested in it and would like to become certified asap. I just don't know here! If there's someone who knows how to go about this, please help me out!
Another question, sorry. I've been thinking about branching out into the Billing and Coding world, coding experience along with my experience as a LVN, it would be a no brainer right? Weeellllll, I'm not sure if it would be worth it. The cost of these billing and coding certificates via private trade school is about the same price as it was for my LVN cert, though it was back in 2005, still you get my point right? There's just so much that I've been thinking about. And I'm trying to weigh the pros and cons of each situation.
Many of you may be wondering why I'm trying to find an administrative nursing job vs a hands on nursing job. I've been doing patient care since 2006 and am really wanting to venture into the other side of nursing. Plus, reading about LVN/LPN being replaced by CMA is terrifying! So, what I'm hoping to do is to secure a nursing job in an office environment in hopes of moving on before getting booted out! Lol! Any and all suggestions and comments are welcomed, please help out a fellow nurse
--> Discharge planners--> Wound care nurse--> Risk Management
If one's reason for seeking a desk job due to physical limitations, I advise against becoming a wound nurse! Talk about back breaking! Also LPNs can indeed be unit managers and ADONs in LTC, but expect to be pulled to a med cart once in a while.
Check with your state BoN as in many states, I believe NY and NJ are two, telephone triage is out of the scope of practice for an LPN (or MA/CNA/office assistant for that matter) and can only be done by an RN or higher.
Many hospitals in my area are seeking experienced RN's and LPN's for the HIMS (f/k/a medical records) department for chart review/reimbursement maximization. Experienced nurses are familiar with procedures and patient care can often catch if a potential reimburseable procedure is missed when a chart is coded or if a diagnosis code does not match the history/hospitalization record
When my grandmother was in the hospital last year, it was the HIMS nurse that caught a seemingly benign statement in the physician's assessment that could be flagged by Medicare and potential denial of a 2 week critical care stay! The nurse was able to have the record corrected BEFORE the claim was submitted to Medicare for reimbursement.
Here is one job description from a local hospital that is looking (preferably for a clinically experienced LPN to work as a level 3 coder (most coders start out as a coder1): Coder 3: Codes predominantly Same Day records in accordance with all regulatory guidelines. Requirements: Knowledgeable of ICD-9-CM and CPT coding with 3 years outpatient coding experience in an acute care setting preferred. Completion of the following courses required: CCS, CCS-P, CPC or LPN preferred. Must obtain CCS, CPC or CCS-P within 2 years of employment." (Often they will pay for your certification as a certified professional coder)
some FQHC clinics also are starting to seek nurses for use as referral coordinators, especially ones who have connections and familiarity with local specialty practices) Most patients have some form of state insurance (medicaid) and there are limited practices that will accept the medicaid/medicare HMO's and see the patients in a timely manner. Especially in pediatrics, most specialty practices have limited appointments but will fit in a patient with clinical need at the time of referral. A nurse with the clinical education and background would be able to review the patient record and results and communicate the patient's particular needs to expedite the specialist appointment, and also ensure that the proper test results and office notes are sent to the specialist office to streamline care.
Whereas someone without a strong nursing/clinical background that only knows medical terminology but has clerical skills wouldn't have the critical thinking skills to interpret a medical record to ensure the vital, relevant information is relayed to the specialty office to expedite care.