NurseMegP

NurseMegP BSN, RN

Utilization Review

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About NurseMegP

NurseMegP has 4 years experience as a BSN, RN and specializes in Utilization Review.


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  1. Agree with RNperdiem above, this does seem pretty specific. I'd say that pain control is going to be your biggest concern but also watching out for any post op complications (blood clots, etc). If it's run like a med-surg floor then your typical day ...
  2. UR for insurance company?

    Hey been there, thank you for your response. I ended up having an interview with a bigger company and I would have had the ability to work from home in 1-2 years but the catch was I would still have to go downtown (10 minutes from my house without tr...
  3. Would you do this

    Agree with Golden. 9 months is nothing and the experience that you will get from it will look good on future resumes. Best of luck.
  4. I think I'm tapping out...I hate nursing :(

    I hated bedside nursing. I lucked out an got into a position doing Utilization Review after a little over a year of bedside medical/surgical nursing and I really enjoy it. As the PP said, you could always view nursing as "just a job" but if you hate ...
  5. Failed for Clinical-but no proof

    Whatever you decide to do, I do agree that the phone thing, at least while you are a student, needs to be nixed. As a student, unless you are on lunch, do not touch it. Hopefully, you'll continue this practice through as a nurse because as someone el...
  6. Case Management Nursing (CM)

    Worker's comp is it's own beast and a LOT of providers don't understand how it works (that goes double for the office staff under them). At least that's how it is in Ohio . Just try to learn as much as you can. Read the policy. Don't be afraid to be ...
  7. Humana Montage Phone Interview

    Something that is really important is time management. Also the ability to work as a team is good, but in this role it's also good to mention your ability to work independently. Organization is important. Attention to detail is a plus. There is a cha...
  8. UR for insurance company?

    Hello all, This is really a utilization review question more so than case management. I currently work as a UR nurse for a MCO in Ohio. This is only worker's compensation so I don't know how different doing UR for an insurance company would be. This...
  9. Long hours/no life

    You could always look at doing CM/UR for a different company? I work as a UR nurse for a smaller MCO and while the CMs and claims analyst people here are busy, we're fairly steady in what we do in UR. Probably what I do now is a lot like what you did...
  10. It could be that they're looking for a magical number of 3-5 years experience but maybe because you have 3 as an LPN and 2 as an RN your automatically getting rejected because it may look like only 2 years RN? Also agree with the above advice on word...
  11. How do you like case management nursing?

    I know this post was pulled from the grave here but I had to say in regards to the comments about at least 3-5 years of hospital experience that it is NOT necessary. I had about a year and a few months of med-surg and then went into utilization revie...
  12. Help me feel better...

    I actually just accepted another position as well! I'm sad to be leaving my co-workers but I am confident there are other good people out there and excited to make new friends :) it's bittersweet, but I am sure I'll be happier on a normal schedule. B...
  13. I want to be a Case Manager

    Tele as in telemetry or telehealth? What is your current job duties? If you're not bedside with the patient, it's going to be hard to sell (probably not impossible though!) Use your strengths and if there is a weakness like "lack of bedside care" tur...
  14. Use of cellphones while at work

    Really? Just because they're a student you're assuming their a certain age and then calling them entitled? Yikes. I have my phone on me while I'm at work, I check it when I'm at lunch. I'm 26. I check my phone far less than my 45, my 50, and my 38 ye...
  15. My thoughts are to get in touch with a school advisor of sorts who might know more about the school's programs and perhaps certain courses that will help boost your GPA without looking too much like fluff. Ratemyprofessors website is an awesome resou...