On The Way

On The Way

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About On The Way

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  1. Efficient Utilization Review Documentation

    Thanks Neats. I've seen that approach from some of the hospitals. Documenting inside InterQual for many of the notes.
  2. Efficient Utilization Review Documentation

    Hi Been There, Done That. Re: NCQA, ERISA , and Medicare standards that must be met for accreditation. Are these about the actual documentation? Or about timelines and fraud, etc. Do you know what the minimum documentation allowable is?
  3. Efficient Utilization Review Documentation

    Hi Oscar. They want us to do 20 - 25 cases. I agree with you about the denials. In my post I mentioned (in a not very clear way) that I could see a reason to document more thoroughly for the denials. Anyone: Does calling for clinicals count as doing...
  4. Hi. I'm working as a utilization review nurse for an insurance company. I'm looking for guidelines on documentation. I don't want to over-document if it's not necessary, especially as we have a quota that few of us ever meet. I don't want to under-do...
  5. Scenes from the Psych Unit

    I will be hearing back on interview results soon and want to hit the ground running if I get hired. I have two psych text books on the way from amazon, but suspect they will be filled with the usual nursing generalities. Can you describe one or more ...
  6. Got No Job? Come be an RN !

    In my short career (in LTC with up to 37 patients) I can only think of a couple of nurses who didn't care about or make an effort for their patients. The problem I've seen all comes from the profit side of the equation, from deliberate understaffing....
  7. No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    I agree with all the people who say to keep it calm. Getting emotional/angry will only cause problems between the two of you. I like Mamamerlee's suggested approach. Or you could simply say the next time you see her: "Hey, don't forget to check the b...
  8. What's your "to-go-to" book?

    This may be for further in your career, but when I got one of my ER days, the top ER nurse, the one everyone went to for answers, swore by this book and carried it around with him in his pocket: Field Guide to Bedside Diagnosis (Paperback) http://ww...
  9. Help me, I'm a new nurse with anxiety/depression.

    It sounds to me like your anxiety and depression are coming from your feelings of inadequacy related to your job skills. Would you still have this anxiety and depression if you really knew your job well? I'm guessing no. So you need to get those skil...
  10. Thanks Elkpark, Music in My Heart, Army Wife, Meriwhen, Rhone, Jules, Gooey, and TraumaRUS. Everyone continues to agree about not revealing either the mental health stay, nor the going to school. I’m wondering how I will set myself apart in the in...
  11. terminated, am I blacklisted from mental health?

    You can dispute the termination-for-cause issue with the unemployment department. File, and when they call you, just tell your side of the story. If what you said in your post is true, there is a reasonable chance you'll still get unemployment. In ad...
  12. Thanks Rhone and Music in My Heart. Everyone seems to agree on the personal info part. Glad I asked here first! I guess I'll also avoid the school issue as well. I'm really disappointed that I have to keep these things to myself since I believe both...
  13. Thanks Hearts. Very smooth! :)
  14. Thanks Elkpark. It's going to take a long time to become clinical psychologist, so I thought being in psychiatric nursing during those many years would be a win-win situation! Plus, out of all nursing specialties, psych really is the one I'm most nat...
  15. Thank you, Hearts. I added a 2nd question about mentioning continuing to go to school to become clinical psychologist. What do you think about bringing that up?