2Bretired

Latest Activity

1. CCM EXam, Questions and Tips

   2Bretired replied to CseMgr1's topic in Case Management

   I've worked both clinic and insurance case management. Clinic case management is more hands on and collaboration with providers. Must easier to get the real story on the patients/ members. Insurance is more working on gaps in care that drive up cost ...

2. Need to network with Care Coordinators who deal with Medicare patients in private practice

   2Bretired replied to asabau87's topic in Case Management

   asabau87, you have taken on a tough job to handle alone! Identifying and stratifying the patients is important. Right now our program ranks them by acuity and the 5 chronic diseases, takes into account hospital and ER visits as well as $$ for care. 5...

3. Need advice Please- Call Center RN job?

   2Bretired replied to ORRN0808's topic in Triage

   I work for large clinic in Midwest and our insurance plan has a call center or "Nurse Line" as we call it here. They have nurses working both in clinic at the center and some from home. Many of the nurses have been there for 15 yrs. I think most of t...

4. Need to network with Care Coordinators who deal with Medicare patients in private practice

   2Bretired replied to asabau87's topic in Case Management

   Hi- I would be happy to network! This is a tough job but can be very rewarding.

5. Need to network with Care Coordinators who deal with Medicare patients in private practice

   2Bretired replied to asabau87's topic in Case Management

   Piggles10- that is a tall order to organize all of these! We have 2 Patient Navigators in our Health Plan and 3 TC Coordinators and 8 Case Managers (care managers). Reducing re-admissions is huge but requires some cooperation from the ER! We find ER ...

6. Need to network with Care Coordinators who deal with Medicare patients in private practice

   2Bretired replied to asabau87's topic in Case Management

   I started work as a CC in 2012 in Lg clinic in WI. We had Medicaid,Medicare and HMO patients. We did 60% Telephonic, 40% F2F in clinic, we did not do home visits but we did do Transition care in the our hospital. Our clinic has a phenomenal EMR syste...

7. Need to network with Care Coordinators who deal with Medicare patients in private practice

   2Bretired replied to asabau87's topic in Case Management

   I am working in a large health plan that does Care Coordination/Management within a large clinic. We work with PCP to help manage their patients, follow patients being discharged and using motivational interviewing to help educate and make changes. O...

8. Travel Case Manager

   2Bretired replied to intothemoon's topic in Case Management

   Don't most states have reciprocity? I am licensed in WI and I was told I didn't need to get licensed in AZ, CA or TX?

9. Anyone else getting SLAMMED with patients?

   2Bretired replied to mclennan's topic in Case Management

   I work in a health plan and we also have noticed increase since the new year. We are hiring "engagement coordinators" to make the initial calls and cull out the members that are going to want to work with a CM. Our patient demographic is largely geri...