lisa41rn

lisa41rn

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About lisa41rn

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  1. Case manager in a hospital setting

    I work per diem in two hospitals. One hospital has a great reputation and you have 20-22 patients to cover. It's a lot but the MDs are onboard getting patients out. It runs really smooth. With the other hospital the most you have is 12 and the ...
  2. Acute Rehab CM Frustrations

    I just started a job as an RN Case Mgr at an Acute Rehab. Previously all my experience was in acute care at hospitals. I pretty much like it, but I find the rehab patients so much more difficult to deal with. I tell them things and they agree and ...
  3. New to MDS - ? salary

    Thanks for that info. I'm hoping to get a year or two as an MDS Coordinator and then move up into some mgmt position. I did work in a LTC/Rehab facility for a year part-time in the past, but never worked on the floor in LTC. Frankly I wouldn't fee...
  4. New to MDS - ? salary

    I have my Masters, my BSN and am a certified Case Mgr. I currently work in a hospital and deal with SNFs everyday. I have worked on Medicaid reimbursements in the past, but not Medicare. I have tried desperately to get an MDS position but everyone...
  5. Cm is a thankless job!

    I don't know what it is, but for the last few weeks I have busted my butt for a very financial needy patient or two and have had that very patient be completely unappreciative for what I've done. I guess I should be happy it tends to be only a pati...
  6. MDS courses through AANAC

    Hey Christy: So how are things going? Did you take some online courses? I totally get your frustration in a previous response. You ask one question and for some reason this site has a tendency to have responders answering about things you didn't e...
  7. Medicare Observation vs Inpatient

    I'm not sure where you live, but in the Northeast the RACs are here and auditing records. Yeah, it's not pretty! My hospital uses the McKesson Interqual software which I believe helps to meet critieria for inpatient and observation, but I've seen s...
  8. Can anyone tell me if a patient is admitted Observation in a hospital, is it paid 100% or does the patient pay a portion? I believe much of it, if not all, is paid under Medicare part B if they are observation and part A if they are inpatient. I as...
  9. I was a case mgr about a year ago in a hospital and it was similar to a factory for the lack of a better term - patients would be admitted and discharged quicker than any other hospital I've ever worked at. They also had the highest readmssion rate ...
  10. I can't take it anymore!

    I hear what you're saying. Nursing is a tough field. I wouldn't leave without a notice though. You've work hard and should be able to use this job as a reference. I worked for one of the worst hospital managers in the my area. Well I found that ...
  11. Can you really change a bad LTC?

    You're right that I have been in LTC for only six months but I came from many years of acute experience. However, it doesn't take an experienced nurse to know good from bad nursing care; a new grad can see that. Even the janitor can see it! I sta...
  12. Can you really change a bad LTC?

    Thanks for the great responses. I did find one that said "It's commendable to have a Master's degree but it is NO substitute for experience. " I think you might be one of those I'm currently working with! I've worked hard for my degrees and have m...
  13. Can you really change a bad LTC?

    I worked in acute care and truly wanted to change to LTC, but for the last six months it has been crazy! I shed many tears shortly after taking my LTC job as I was not trained as promised and my corporate boss did not get along with the person train...
  14. Rn's are better than lpn's???

    While I think there are LPNs who can be better nurses than RNs, the fact that anyone would make rude comments about a degree someone has earned is ridiculous. While working in a hospital, there was an LPN who constantly made rude comments about the...
  15. Rn's are better than lpn's???

    I went back for education with the hope of being able to take better care of my patients. I really never thought I would have other nurses making comments like I've experienced. Anyone can go back to school; some are too lazy I guess, but those are...