EllbellRN

EllbellRN has 8 years experience and specializes in Tele.

Latest Activity

1. telephonic case management

   EllbellRN replied to nursepv11's topic in Case Management

   I would still continue to apply for any job you are interested in, even if you don't have all the requirements. A strong healthcare background is very appealing to organizations looking to hire telephonic nurses. It shows you have "corporate" or ad...

2. Two Midnight Rule

   EllbellRN replied to KHowesLPN's topic in Case Management

   I am an acute care CM and I work for 2 different hospitals per diem. Each hospital is interpreting the 2 MN rule differently. One hospital is extremely strict and requiring a Medicare Attestation order upon admission, as well as documentation in th...

3. Families refusing certain SNF

   EllbellRN posted a topic in Case Management

   Hi, I'm interested in similar experiences where a family refuses the bed offer for a particular SNF. We always ask for 3 choices from families and place referrals. Often times a bed is offered at one of the choices, but the family refuses to be dis...

4. Flipping from Obs to Inpt

   EllbellRN posted a topic in Case Management

   Hi I had a question regarding switching from Obs to Inpt. In my previous experience, the physician was the only one who could make this change. In my new position, the CM notifies Admitting to make the change from Obs to Inpt if it's been more than...

5. Interqual or similar resource for Hospital Case Managers

   EllbellRN replied to EllbellRN's topic in Case Management

   Thanks for the suggestion. I just started this month and was told they are planning to get Interqual sometime this year. The CMs do both UR and discharge planning. So far I find the most challenging thing the Inpatient vs Observation status review ...

6. Interqual or similar resource for Hospital Case Managers

   EllbellRN posted a topic in Case Management

   I'm a new Hospital Case Manager and my facility does not use Interqual or Millman as a guide when determining Inpatient Vs Outpatient status. It's all "clinical judgement" at this point, and being new to this position, I'm struggling in this area. ...

7. New Hospital Case Manager/UM & I am overwhelmed..............

   EllbellRN replied to MoriahRoseRN's topic in Case Management

   I know exactly what you mean about feeling dumb with the docs. I never had a problem calling docs when I was a nurse on the acute care floor, and I have a lot of personal experience dealing with docs 1:1. But for some reason last week, I felt toung...

8. New Hospital Case Manager/UM & I am overwhelmed..............

   EllbellRN replied to MoriahRoseRN's topic in Case Management

   I just started a new job as a Hospital Case Manager this week. I have both Acute Care experience and Case Management experience for an insurance company. Both are helpful, but I don't have any direct inpatient case management experience. I was a bi...

9. Telephonic case manager

   EllbellRN replied to msleely's topic in Case Management

   I also worked for UHC for 5 years as a work at home CM/DM Case Manager. I loved it and the only reason I left was to have a baby and become a full time mom instead. I worked with an amazing group of nurses, always felt supported and I walked away fro...

10. What is it like to work from home? Telephonic CM

    EllbellRN replied to ivyleaf's topic in Case Management

    I worked at home as a Telephonic Case Manager for UHC for 5 years and absolutely loved it. It was challenging, rewarding, and a little boring at times, but I loved it. I only left because I had a baby and wasn't planning on going back full time. If...

11. question on Vent patient

    EllbellRN replied to EllbellRN's topic in Private Duty

    Great point! Thanks so much. I need to get used to charting in homecare, as opposed to charting by exception in the hospital. I'll take all the pointers I can get!

12. question on Vent patient

    EllbellRN replied to EllbellRN's topic in Private Duty

    Thank you both so much. I did reach out to the RT who did a Vent inservice for me and he said some patients can find manual bagging a relief to anxiety. He said he would only do it for 2-3 minutes and then put the patient back on the Vent. I do t...

13. question on Vent patient

    EllbellRN posted a topic in Private Duty

    I recently oriented on a case for an adult who is on a vent. I was told that he periodically gets anxious and asks the nurse to manually bag him for long periods of time. The nurse orienting me said all the nurses on the case will bag him for short...

14. Nurses aren't maids!

    EllbellRN replied to AnaCatRN's topic in Private Duty

    I completely applaud ventmommy and would take a case in her home any day. I am an RN and the mother of a child with complex medical needs receiving 70 hrs/week of private duty nursing. I have exceptional nurses who not only respect their profession, ...