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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.

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.

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...

thanks for the info, that is a huge change for Interqual.

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...

The vagueness of your question has stunned us to silence.

I don't think there is any doubt that there will be a continued and accelerating demand for case managers. This demand will curb the requirement for advanced degrees to some extent, but the...

Amanda, I see a great future for you in nursing administration, an area of nursing where the ability to promulgate nonsense by citing copious reasons without regard to spin or accuracy is often...

So Amanda, to summarize your position: you believe in all the things Obamacare is about, you just don't want to have to pay for it.

is it time to be conservative'? I was going to put this little blog in here but "they" moved it to : Is it time to be conservative? - US Politics check it out.

The agenda drives the policy.

No, I believe the uniformity means taxes will be the same from state to state, not individual to individual. A truely flat tax, where everybody paid the same rate would actually be highly...

[quote=grntea;6724529]is there an employee policy book where this policy is in writing? even if you aren't unionized, published policy is published policy and binding on employee and employer. ...

Your brilliant governor just opted out and it is going to hurt hospitals big time. Time to get out? Yeah, of Texas.

I have reviewed for a RAC and I can assure you that CMS requires an MD order to admit. Your organization is committing fraud.

An ex hospital case manager responds: 1. On arrival to floor: Print census: Note: admissions, planned discharges, HMOs that need review and why the patient who should have left is still here. 2....

Not only are you right that it is redundant, I can assure you that no one on the payor side is going to read the Interqual junk, it has no credibility.

"should I say something about this?" Do what you want but consider this before you leap. This idea was undoubtly advocated by nursing executives and is their 'baby'. You will be heard but not...

our current system is incredibly inefficient. how else could we be spending so much more than any country in the world and have such poor results? the inefficiencies persist because healthcare is...

"Why is there so much conflict in CM? Is this normal for CM." In some institutions conflict defines the job. In hospitals where the attending physician is an independent practioner who is paid...

One of the creepier experiences I had was wound care on a patient s/p eye removal. When the dressing was removed you would look thru the eye socket into the oral cavity.

Make sure you have a good answer to why do you want to be a case manager and examples of how you would or did help with a complicated patient discharge. I'm wondering if the QA is actually CDI...

Dude, 2 months?!. Not a good sign. Yeah, plan B is in order.

before we can answer the question if healthcare is a right we must first attempt to define what a right is. one approach it to acknowledge that a right is matched with an obligation. if one has an...

I have never heard that title. It sounds like an organization is trying to get low cost non licensed people doing case management.