edgwow

edgwow

Case Managemnt, Utilization Review

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About edgwow

edgwow specializes in Case Managemnt, Utilization Review.


Member of Sigma Theta Tau

Latest Activity

  1. Interqual?

    I an an Interqual Certified Instructor, you would need to ask your management team if you are able to call Change Health Care( formerly McKesson) in reference to your question or if there is a chain of command to follow before actually making the cal...
  2. Bacterial Pneumonia

    First I thought of, What level of care are they in Med surge or ICU, are they getting IV antibiotics, if not , I think they should be to address the the crackles usually indicative of pneumonia. What does the chest x ray show, was infectious diseases...
  3. CM for AmeriChoice or Hosp? DIfferences?

    I cracked up at the adlockwood post, how true is that - in hospital you do it all, utilization review and discharge planning , insurance medication authorization, for insurance company, you take calls all day from the hospital folks doing case mangem...
  4. Can any one help with salary range?

    I would expect around $55,000-60,000 no weekends or holidays, generous vacations and eventual ability to work at home
  5. Question 1) ROle, I am a discharge planner, case manager and utizilation review coordinator at a large hospital My role is to coordinate or buzz word, Transition to the next level of care for patients going home- do they require home care, have dura...
  6. It depends where you live. Apartments in the city Philadelphia can be 900-1000 a month. Parking is also another concern.At the VA in Philadelphia, you are a short drive , less than 20 minutes from New Jersey and can find single family homes for 900-1...
  7. RN TO BSN, Online or not? Please HELP!

    YOu must be disciplined. All the programs vary as to the requirements, many 2-3 posts a week, daily logins and a paper at the end. It is definitely manageable to do online classes. I had not been in school for 18 yrs and found it very beneficial to t...
  8. High School Senior+ADN or BSN?

    I would suggest BSN first. I understand the lure of making money sooner, but if you have a BSN, you have more career options. The magnet facilities and the hospitals that are trying to get magnet status, only hire BSN's for inpatient care. I worked w...
  9. interqual

    I have used interqual over 2 years, it is not possible to meet interqual unless they are having significant pain and on a narcotic, morphine/dilauded drip, or if they require >40% oxygen. Comfort care for comfort. They won't meet, but if they are ...
  10. Discharge planning question ! Please help!

    I work for a large metropoliton hospital. The best way to anticipate needs, is to talk to the patient and the family, caregiver and ask, a hone call is very apropriate for a demented family member . What do you already have, give suggestions based on...
  11. Need to Interview a Nurse

    I also sent you something to your mailbox.
  12. Bayada nursing interview

    I have worked for Bayada nurses for almost 16 years, I found thier test to be just as a previous writer said, what would you do in a certain situation. I have had to take that test multiple times throughout my employment as I worked for various offic...
  13. Who, generally, has the most job satisfaction?

    Well, I think home health or hospice visits have more freedom, than a hospital based job and are a little flexible wheather you work part or full time. There is nothing easy about any part of nursing, either LPN or RN. If you reallly want to be a nur...
  14. Case Management Jobs from Home

    Pediatric cardiology seems too specific for home CM. You could possibly get a CM position that works from home eventually in pediatrics though. To become CM certified you need to work 1 year under a certified case manager or 2 yrs doing it not under ...
  15. Why doesn't medicare pay for IV antibiotics? I hate the idea of sending someone with medicare as only insurance to a skilled nursing facilty (SNF) for the duration of the IV antibiotics. Doesn't Medicare see that this is a huge waste of resources by ...