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How do LVN'S train to become Case Managers??

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nursekimmi has 15 years experience and specializes in ICU, M/S, Psych, Tele..

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To: ashultz posted June 14, 2010 I just got a job a job as a UR CM and am in training at our local hospital. If you still have the cheat sheets that you created I sure would love a copy of them. I can use all of the help I can get!

Thanks!

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I'm a new grad and Im been train to be a case manager! Tomorrow is gonna be my first day by myself. !!!

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94 Posts; 3,671 Profile Views

Aschultz- I sent you a PM (private message). Thanks!

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Interesting. I will definitely keep this in mind as I move through my LVN program. Part of me is TERRIFIED that I won't actually like the down-and-dirty part of nursing, as much as I would like patient education, research, ect. My ultimate goal is still to become a diabetic nurse educator. Here's hoping....:)

Ummm, just so you know, a diabetic nurse educator is usually an RN (I believe you have to be an RN to get the CDE credential) sees a lot of, well, diabetics. They have wounds, amputations, urinary tract infections, blindness, heart disease, and lots of other down-and-dirty stuff. Just sayin'.

There are two case management credentials for nurses, one from the CCMC and one from the ANCC.

CCMC requirements for CCM:

http://ccmcertification.org/sites/default/files/downloads/2013/Cert%20Guide%20-%20Posted%20to%20website%208.16.13.pdf

SECTION 3: Are You Eligible to Apply? To be eligible for the CCM Exam, you must:

1. Meet the specified qualifications (Section 4)

2. Qualify within one of CCMC’s employment experience categories (Section 5)

3. Be of good moral character, consistent with The CCMC Code of Professional Conduct (Section

6)

SECTION 4: Qualifications

To be eligible for the CCM Exam, you must hold a:

1. Current, active, and unrestricted licensure or certification in a health or human services

discipline that within its scope of practice allows the professional to conduct an assessment

independently. (This would exclude LPNs in most US states)

OR

2. Baccalaureate or graduate degree in social work, nursing, or another health or human services

field that promotes the physical, psychosocial, and/or vocational well-being of the persons being

served.

The degree must be from an institution that is fully accredited by a nationally recognized

educational accreditation organization, and the individual must have completed a supervised field

experience in case management, health, or behavioral health as part of the degree

requirements.1

DEFINITIONS

Licensure:

CCMC considers licensure to be a process by which a government agency within the United

States grants permission to an individual to engage in a given occupation, provided that person

possesses the minimum degree of competency required to reasonably protect public health, safety, and welfare. To meet CCMC’s requirements, an applicant’s license must be current and

active in the state in which he or she practices, and the holder classified as being in good

standing by the state. If an applicant has successfully obtained licensure through the state,

CCMC recognizes each state’s criteria for licensure as fulfilling the licensure requirement.

1Case Management Society of America (CMSA) Standards of Practice for Case Management

ANCC requirements for RN-BC

Nursing Case Management Certification Eligibility Criteria

http://www.nursecredentialing.org/CaseMgmt-Eligibility.aspx

Credential Awarded: RN-BC

Eligibility Criteria

Hold a current, active RN license within a state or territory of the United States or the professional, legally recognized equivalent in another country. International Applicants: Learn about additional requirements for candidates outside the US.

Have practiced the equivalent of 2 years full-time as a registered nurse.

Have a minimum of 2,000 hours of clinical practice in nursing case management within the last 3 years.

Have completed 30 hours of continuing education in nursing case management within the last 3 years.

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I've been an LVN Case Manager for going on 3 Year's in California, I work in a SNF and see a lot of LVN CM's in LOng term care, HMO companies, and home health offices. My company requires all CM's to have a social services designee certification which takes a few days to obtain, and at least 2 years clinical experience.

As as far as what my job expectations are, I have to balance the financial and clinical side of a patient's stay, only with HMO patients. i make sure we provide all the contractual minutes for rehab, find alternatives to costly medications and treatments, generate a cost sheet for each patient to see if profit/loss is made, do weekly progress reviews with HMO's and doctors, coordinate DME/Home Health and follow up appointments for discharge planning, and acquire authorizations for inpatient stay, DME, home health, and specialty appts.

Occasionally, I'll attend careplan meetings if the family or patients have questions that pertain to insurance,

its very difficult to find 1 on 1 time with the patient, I try to get at least 10-15 mins with

my patients weekly to make sure they're still participating in therapy, the IV lines are discontinued when they need to be, and that all the PCP, family training and pharmacy information is coordinated and correct.

Lastly, I also, on a monthly basis meet with business office to make sure all patients Had authorizations to stay so we can bill appropriately for the correct level. I have to familiarize myself with each insurance and how much they pay for each level of care. Sometimes they'll only want to pay for a level of rehab, when the patients have IV's and that can pay up to $150/per day more.

It requires a lot of time management skills, organizational skills, and it can be very exhausting. It's a lot of trouble shooting, coordination, and some days I rejected a lot for auths and exclusions. Some places don't require as much from LVN CM's, but I love what I do. When I want to relax, I ask to go on the floor and pass meds. That's soO much easier

hope this helps

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Hi i just wanted to know if anyone knows in LA the starting rate for case manager...im an LVN subacute and im planning to take healthcare manager which falls under different titles. I been checking the pay and it varies. Pls give me some insight thanks.

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Katie82 has 25 years experience and specializes in Med Surg, Tele, PH, CM.

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On 4/10/2012 at 7:08 PM, BeanTrees said:

I do have a question though - I've heard that case managers that work for insurance companies are sometimes able to work from home. What do you know about this? I have baby fever on the brain..I do apologize. 😉

Most employers will not allow you to work from home if you have a child at home. They expect you to devote the entire day to your work, so you wouldn't have time to take care of a baby or toddler.

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Section8UpX68WM6 has 27 years experience as a CNA, LVN, EMT-B.

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I got placed in that type of position a long with visiting patients in their homes (under NPs and MDs) with the HMO/Company I worked for(I did blood draws, vitals, assessments, and etc in pt homes). Had to learn about Medicare, Medicaid, private pay, discharge planning in our hospitals, what made pts meet skilled care criterias, DME, medication costs, and all that jazz. It was cool for 10 years.Worked with cool case managers(one of them hired me as a CNA before transitioning to case manager decades ago with the same HMO), NPs, managers, LVNs, RNs, lab techs, and other crazy folks 😎 in our office / hospitals.

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