gonzoRN

gonzoRN MSN, RN

Utilization Review, Critical Care, OR, SNF

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About gonzoRN

gonzoRN has 32 years experience as a MSN, RN and specializes in Utilization Review, Critical Care, OR, SNF.


Utilization Review RN in a mid-sized medical center somewhere in the Southwest. My background is in both provider-side and managed care inpatient utilization management, critical care (CVICU/Trauma), OR, and SNF-LTC. I've been a manager, and a bedside nurse. 

Latest Activity

  1. Has anyone taken CCMC Exam? Looking for advice.

    Deanna Gillingham's book CCM Made Easy is the gold standard. Her website is also a great resource. Good luck!
  2. I spent almost 6 years as an insurance UM nurse doing inpatient UM, and last year, transitioned to hospital UR. It wasn't difficult, however, it definitely took some adjustment. Specifically, the physician/RN relationship. On the payer side, it w...
  3. Relocate while under monitoring agreement?

    Relocating, for me, was a complete disaster, and extended my time significantly. Before you pack up that moving van, be crystal clear on your contract. After 2 years in a monitoring program, I moved to Florida. Rather than finishing out my origina...
  4. Hospital Utilization Review Question

    From my point of view, not interested in separate labs/imaging. If the results are included in H&P, progress notes, then it's redundant to send the extra. However, we don't generally accept your review--it's actual progress notes/H&P. If ...
  5. Insurance Case Management

    See below...
  6. New to Case Management-Any Advice?

    The insurance company, contrary to belief, is not your enemy. Find out who the health plan case managers are for your facility/unit/what-have-you and say Hi. I have relationships with acute hospital CMs/discharge planners all over the country, and ...
  7. Blue Apron, Hello Fresh, Etc. - Help with Meals

    I work 5-8s. My husband is/was the cook in our house. He loves it, I was always "meh", and never felt very imaginative. He went back to school full time, and I decided that I needed to pick up more of the cooking duties. I heard about these servi...
  8. I moved twice while on contract. Once to get away from a toxic marriage, and the other time to get home to care for a parent undergoing treatment for cancer. Both times, I had to physically go before the Board and petition for my license, and the r...
  9. CCMC Exam - no result!

    I took the exam in December and passed. I had read in multiple places that the new blueprint for the exam was going live in August and that results wouldn't be given right away. Sorry you guys had to wait! For those taking upcoming CCM exams, I u...
  10. Can a nurse be Disciplined in every state

    Not the whole process--just monitoring, mandatory group, and ... time.
  11. Advice on applying through insurance company.

    This is a great point. Have you looked into any of your regional health systems--many have their own insurance companies these days. The particular one I work for is actually more popular in my state than any of the National companies. The applica...
  12. Can a nurse be Disciplined in every state

    My last move was FL and into IPN. The move was necessary, to take care of a parent with cancer. The hardest part, believe it or not, was physically appearing before the BON. It was the most demeaning thing....standing there asking/begging to keep ...
  13. This. And you're not alone. I always say, I'm an introvert who plays an extrovert in real life. I was in CVICU for a longgg time, and the nightshift was a godsend. Our unit was designed in such a way as to make congregating together rather diffic...
  14. Can a nurse be Disciplined in every state

    My two cents. I moved twice during monitoring. Complete pain in the rear, but it can be done. However, both states made me start over. I completed over EIGHT years of monitoring. Since finishing, I've moved twice. Neither of those states required m...
  15. LPN job prospects in Abq/SF?

    The Albuquerque SNF market is pretty desperate for nurses, I personally know of more than a few buildings that have been using agency for a while now. PM me, Ill give you more info.