Boog'sCRRN246 RN

Utilization Management

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About Boog'sCRRN246

Boog'sCRRN246 has 13 years experience as a RN and specializes in Utilization Management.


I am a Certified Rehabilitation RN and recently obtained my Accredited Case Manager certification. I am currently working in Utilization Management. I am a Regional Supervisor over three facilities for my hospital system's Utilization and Denials Management department. 

Latest Activity

  1. Boog'sCRRN246

    Don’t want to take care of people anymore...

    It's certainly enough to at least apply. It all depends on the culture of the company you are applying to whether they feel you have enough relevant experience. My department (hospital-based your) used to have LPNs doing Utilization Review; now the r...
  2. Boog'sCRRN246

    Don’t want to take care of people anymore...

    Since you don't seem to be a new nurse, I would recommend looking into a Utilization Review position. I haven't physically taken care of a patient in over three years, but we do ensure that they are taken care of financially, which is a huge thing. T...
  3. Boog'sCRRN246

    Utilization Review Nurse

    Currently, there is no specific nursing certification for Utilization Review/Management. My department recognizes the ACM-RN and CCM certifications once you've worked in the specialty for 1-2 years.
  4. I think you missed the part where the OP stated they had three years of ED experience and at least some Outpatient experience. For my department, Utilization Management, that would be enough to at least get an interview. I also wouldn't have reinforc...
  5. I second the Utilization Management suggestion. I'm regional supervisor over three hospitals in my health system and have not had to deal with a patient/patient's family in almost three years. We do make decisions that affect patients, but we are par...
  6. Boog'sCRRN246

    What is it like in your hospital right now?

    I don't understand this either. In the last two weeks, my hospital removed the mask requirement for those who had not gotten the flu shot and told everyone else if they were not involved in direct pt care and seen wearing a mask that they should "be ...
  7. Boog'sCRRN246

    Rehab nursing - Yes or No?

    Look for positions on acute inpatient rehab units if you're interested in Rehab nursing. Most are hospital-based, but some are free-standing also. It's the best of both worlds - you deal with acute issues [trachs, TPN, tube feedings, etc], but your p...
  8. Boog'sCRRN246

    I Desperately Want Out

    I wouldn't include Utilization Review, case management, or home health in the list of jobs where one would have no on-call, no weekends, and no holidays, especially if those jobs are hospital-based. I'm currently at work, on a Saturday, doing Utiliza...
  9. Boog'sCRRN246

    New Grad-Insulin

    What happens when you have a brain injury patient that requires a 1:1 sitter? Does the tech get pulled to sit with the patient leaving you to fend for yourself with the rest of the patients? Brain injury patients can be extremely unpredictable; throw...
  10. Boog'sCRRN246

    91% in NUR1 but failed CPE

    Do they not offer repeat CPEs anymore? I graduated from this school and when I attended the policy was if you failed a skill during CPEs, you got a chance to repeat whatever skill you failed, plus perform two new additional skills, different from wha...
  11. Boog'sCRRN246

    New Unit Clerk feeling discouraged

    It's weird to me that there are still hospitals that allow hand-written doctors' orders. At my hospital, orders are all electronic and the doctors are strongly encouraged to enter their own orders. This left such a small amount of work for our HUCs t...
  12. Boog'sCRRN246

    Floating

    When I was a Rehab floor nurse, my co-worker was floated to...wait for it...the CATH LAB and expected to fully take over the duties of the off-going nurse.
  13. Boog'sCRRN246

    New Grad as a Clinical Liaison

    This job is about so much more than just clinical skills. It also encompasses the "boring" and "political" side of nursing - paperwork, insurance auths, Medicare/Medicaid regulations, etc. Would you feel comfortable denying a patient for admission to...
  14. Boog'sCRRN246

    Sabotage? Failed by 0.1%

    And who paid you to come on here and attack everyone who offered opinions you didn't like? Also, you are sorely mistaken if you think people go into nursing because they are "money hungry." That is just laughable. Education is one of the ONLY busine...
  15. I thought of that after I posted