Hello! I was hoping for some help. What do you do or what do you say in cases where: -the patient does not want to be transferred to LTAC? I've heard many patient say "why can't I stay here? Why do I have to go to an LTAC? and -the patient does not ...
Thanks so much for the advice MBARNBSN! I've been struggling since I'm new to CM. The UM, discharge planning, obs vs inpt, MD and staff coordination, etc. has just been overwhelming. I feel there is not enough time in a day to finish everything. I'm ...
Hi everyone. I'm a new case manager. Any advice on how to fit all this in a working day? I've been working 12 hour days 5 days a week instead of 8 hour days. Any advice on how I can prioritize? Do you assess all the patients? If not, how do you deter...
Hi everyone! I'm a new hospital CM. I recently had a case where the insurance company denied the INPT status and approved Obs. They provided the peer to peer info. So I called the MD and informed him. Needles to say, he wasn't pleased that I was aski...
[COLOR=#666666]Thanks MBARNBSN! I appreciate your advice and feedback. I am not a new grad, but still have trouble speaking confidently because of my personality. It is a skill that I am trying to cultivate, and hopefully I will achieve it soon.
Hi everyone! I'm new in Case Management, and I was hoping for some advice on how you approach and speak to MDs in regards to the patients not meeting criteria. I have heard that many MDs don't like to hear the word "criteria" so I was curious on how...
Hi Been there,done that, Thank you for your reply. My background is mainly QA. I tried to also apply for insurance jobs, but didn't receive any calls (presumably due to my lack of Case Management experience). I'm just not sure what to do, since I've ...