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Search Results Type: Posts; User: d'cm

From Date
  1. Ordering DME in the ED
    My experience is similar to MBARNBSN which makes me think the issue for the OP was the DME provider market. Here in NJ it is highly competitive. I have provider reps in my face daily trying to get...
    Apr 16
    Forum: Case Management Nursing
  2. new to cm
    This question has been batted around many times. Search the site for ideas. I do think that your ER experience would be an excellent background for an appeals / denials position. There are firms...
    Apr 9
    Forum: Case Management Nursing
  3. UM guide to medical terminology
    I thought I would start something fun: add your own: Chest Pain: any sensation below the ears and above the groin. See exception . r/o TIA/CVA: Anything sensation not considered chest pain ...
    Apr 1
    Forum: Case Management Nursing
  4. Appeal RN
    My experience with MCO appeals is that it is nothing like CM except that you are looking at medical records from a UR pov. Basically you just summarize the case for the medical director's review and...
    Mar 27
    Forum: Case Management Nursing
  5. Starting a Case Management Position Soon.
    Trust your social workers, in NYC SW do most of the d/c planning and they are great.
    Mar 12
    Forum: Case Management Nursing
  6. Can FNPs work in case management?
    BSN MSW combination should be a slam dunk for a CM position. Just make sure they pay you on the RN scale not the SW.
    Mar 12
    Forum: Case Management Nursing
  7. What's the nicest thing anyone has ever said or done for you?
    Nicest words I've heard: "You're hired".
    Feb 19
    Forum: About A Nurse - Nursing Cartoon Series
  8. UR by CM a conflict of interest?
    Grntea, posted in another tread: "In our state it is illegal for case management to do UR. Third party administrator (TPA) companies sometimes have two separate divisions for UR and CM, but it's a...
    Feb 7
    Forum: Case Management Nursing
  9. Can anyone give me info about their experiences as a Case Management Nurse?
    That is very interesting and worthy of new topic.
    Feb 7
    Forum: Case Management Nursing
  10. Can anyone give me info about their experiences as a Case Management Nurse?
    Case managers that work from home usually work for an insurance company. Obviously, hospital case managers can't but the core of what they do is same: Assess needs, make a plan, discuss that plan...
    Feb 5
    Forum: Case Management Nursing
  11. Tell me honestly how you like your career as a case manager
    I would have to say that case management has been as close to a perfect job for me as I could conceive. Yes sometimes there is too much work and it is stressful, but not that "OMG I going to kill...
    Jan 25
    Forum: Case Management Nursing
  12. So, you think you want to be a cm..
    Are you asking what a Physician Advisor is ?
    Jan 10
    Forum: Case Management Nursing
  13. So, you think you want to be a cm..
    I opened up an email this morning from a recruiter looking to fill a hospital case manager spot. It reminded me why I would never consider working in a hospital again because, believe it or not,...
    Jan 10
    Forum: Case Management Nursing
  14. UnitedHealth Group CM salary
    75k in NJ and almost everybody works from home.
    Jan 10
    Forum: Case Management Nursing
  15. Cannabis and Healthcare 2014
    Acknowledging that this is probably a rhetorical question, I would point out 2 important differences. One, marijuana is still considered an illegal substance by the Federal Govt. Two, alcohol...
    Jan 8
    Forum: General Nursing Discussion
  16. Is nursing really that bad of a career choice?
    Really. We have here a site that provides nurses from every conceivable specialty describing their experiences, feelings, opinions and expertise without restrictions. What would you suggest ?
    Oct 2, '13
    Forum: Nursing Career Advice
  17. Community case you ever miss the hospital?
    I think you will be surprised how intense home care nursing can get.
    Aug 21, '13
    Forum: Case Management Nursing
  18. Case Management Model
    Here in NJ things are pretty much the same, nurses do UR and d/c planning to home and SW d/c to SNF. I'm curious as to what changes you are seeing that would require - and not actually dictate -...
    Aug 7, '13
    Forum: Case Management Nursing
  19. What type of Nurse Case Manger are you?
    "The p.o.'d, frustrated, can't believe the how dysfunctional our health care system still is" kind.
    Jul 23, '13
    Forum: Case Management Nursing
  20. Interview Advice
    If it is an insurance company: they want people who are computer savvy and productive. So an emphasis on being goal and detail oriented should serve you well.
    May 10, '13
    Forum: Case Management Nursing
  21. CM Challenges
    The utilization part because the we still very much have a health care system that continues to reward excessive care rather than that which is proven effective and necessary.
    May 1, '13
    Forum: Case Management Nursing
  22. case management certification for case management?
    All the previous posters have valid points, but just to confuse you I have been a case manager for 16 years and do not have certiifcation and have never had a problem getting a job. IMHO if employer...
    Apr 17, '13
    Forum: Case Management Nursing
  23. Interqual vs. Millman
    thanks for the info, that is a huge change for Interqual.
    Mar 14, '13
    Forum: Case Management Nursing
  24. Interqual vs. Millman
    I have to disagree with greentea, the two have completely different approaches. Interqual determines acuity based on severity of illness (SI) and intensity of service ( IS) for the generalized body...
    Mar 13, '13
    Forum: Case Management Nursing
  25. CM VS UR
    The vagueness of your question has stunned us to silence.
    Dec 5, '12
    Forum: Case Management Nursing