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Search Results Type: Posts; User: d'cm

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  1. Work from Home
    UHC is an excellent company to work for and is growing rapidly. . They just decided to get into the Obamacare market. Almost all the nurses work from home
    Jul 30
    Forum: Case Management Nursing
  2. Please help? Is this the norm?
    What is not normal is paying 30-40% of income on gas. Rough calculation is $45-50 a day. OUCH. You really need to ditch your F250 and get something a little greener. I get .55 a mile starting...
    Jul 30
    Forum: Case Management Nursing
  3. Help, I'm in over my head!
    The resources available to your member are totally benefit/ State/ local specific so it is hard to offer suggestions without more detail. That being said, the facility has, by accepting them in...
    Jul 28
    Forum: Case Management Nursing
  4. AMA Discharges
    If you accept the opinion of some experts that 200,000-400000 people are injured in hospitals yearly, the safest place for anybody able to get themselves up and out is home.
    Jul 23
    Forum: Case Management Nursing
  5. What makes a good nurse case manager?
    This is a good question. I would have to say that what makes a good CM might depend on who is asking. Employers may think what makes a good CM is one who maximizes their revenue, C(their)A, and...
    Jul 14
    Forum: Case Management Nursing
  6. Falsification of medical records
    I am not a manager but my work in an insurance company requires the review of other case managers documentation and I see falsification on a daily basis. In fact most of my career involved chart...
    Jun 23
    Forum: Case Management Nursing
  7. Peer to peer
    It might not make any difference to the doc in the least. They get paid the same.
    Jun 13
    Forum: Case Management Nursing
  8. Peer to peer
    "Needles to say". LOL. but to answer your question: Yes.
    Jun 11
    Forum: Case Management Nursing
  9. Observation Unit
    Most hospitals do not actually designate a separate unit for observation which is a Medicare payment status for patients that do not meet admission criteria. Observation is considered ...
    Jun 11
    Forum: Nursing Interview Help
  10. CM and MD communication
    Grntea, what you say and how it is said truly depends on the culture of the hospital and the individual physician. I have had the exceptional experience of working in 2 of the top 10 worse hospitals...
    May 21
    Forum: Case Management Nursing
  11. CM and MD communication
    RN010101, I also found those conversations the most difficult things a hospital case manager has to do especially if your hospital is still dependent on independent practitioners for admissions. ...
    May 21
    Forum: Case Management Nursing
  12. What game show describes your workplace?
    "What's my Line ?" I work in managed care for a huge company and we are always guessing who is supposed to be taking care of what.
    Apr 30
    Forum: About A Nurse - Cartoon Series
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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 - Cartoon Series
  20. 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
  21. 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
  22. 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
  23. 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
  24. So, you think you want to be a cm..
    Are you asking what a Physician Advisor is ?
    Jan 10
    Forum: Case Management Nursing
  25. 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


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