Latest Comments by caprisonne

caprisonne 638 Views

Joined: May 1, '08; Posts: 6 (50% Liked) ; Likes: 3

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  • 1
    jenn-jenn likes this.

    I am an LPN. I got my training directly from the Army so for me it was easy because I got paid while I learned to be an LPN. But, I always try to encourage people to go for the gold ... so many more doors open when you are a RN, specifically when you are a BSN (4-yr.) prepared RN as opposed to an ADN (2-yr). If someday you decide to try something not involving direct patient care, more opportunities will be open to you if you are a RN-BSN than an LPN or RN-ADN. Also, RN's typically get higher pay with benefits at any job they have while LPN's pay is not as high and benefits are not always offered (the work is the same ... I carrry the same pt. load as a RN with minimal "supervision" -- I may need them to push a med or check my charts at the end of the night ... simple stuff I am actually capable of doing, but I am not allowed to do outside of the Army setting). As an LPN I find high paying jobs are sans benes and low paying jobs come with benes. My final thought is on pursuing an advanced degree (master's in nursing ... can lead to being a nurse practitioner or nurse anesthesist, etc.) ... which would have been much easier for me if i was already a BSN prepared nurse. I applyed, accepted and started a BSN program, but I was sidetracked by health issues ... it was a blessing in disguise because I realized that my end goal was obtain my master's and be a practitioner. I really didn't specifically want to be nurse. I already have a bachelor's degree (sociology) ... so I dropped out of the program and will be pursing a master's degree to be a physcian's assistant which will save me TWO years!

    Having said all that, deciding how and when to go about becoming a nurse is a very personal decision. I wouldn't dream of trying to work ft and go to school ft unless I absolutely had to ... too much stress, and I'd rather be putting all of my energy in school so that I can get the most out of it (and because grades are important if I choose to move further up the school ladder). You could always get your LPN or ADN and pursue your BSN at a later date if that works for you ... but, if I had it to do all over again knowing what I know now, I'd just knock out the BSN all at once!

    that my 2 !

  • 1
    amjowens likes this.

    Quote from Ms. Nurse Assistant
    What are some tips to passing nursing school?
    I think they are equal when it comes to stress and difficulty with the main difference being the depth at which you cover any subject. I really found that in LPN school I was simply taught to do a thing, and anything past that (e.g., "Why am I doing this?") was only minimally covered if at all. In RN school though, you really dig into what you are doing and more specifically WHY! A lot more disease process teaching going on in RN school too. I have been an LPN for almost 7 years. I started BSN school here in Seattle, but I found that I didn't want to pursue a second bachelor's and then my master's in nursing because it would take 4 years to do that when I am eligible to pursue a master's as a physcian's assistant and it will only take 2 years. I always encourage someone thinking about pursuing nursing as a career to really go for it and aim for their BSN. I realize there are many reasons a person may not be able to devote themselves to the four year committment ... but, really, so many more doors are open to you if you go that far ... even more if you go for an advanced degreee. I think the most important part of being successful in any degree program is FOCUS & TIME MANAGEMENT! If i failed at either something always suffered (grades, lack of sleep, etc.). It is really important to be able to say, "NO!" ... when it comes to family and friend or what have you because you have something to get done for school. If you can stay focused and manage your time well then you'll have half the battle won!

    Best of Luck,

  • 1
    HaydenK808 likes this.

    Quote from Drifternurse
    What exactly is meant by utilization management?What tasks are involved in such a job?

    Utilization management is a forward looking effort to manage health care cases efficiently and cost effectively before and during health care administration ... which is not to be confused with utilization review which is a more backward looking effort considering whether health care was appropriately applied after it was administered. To be a little more specific, utilization managment was explained to me to be a program which is the first step in monitoring and controlling the way a benefit plan is used ... enabling the benefit provider to ascertain the medical necessity of the services a patient may receive, ensure that the treatment is the most appropriate and cost effective, and most importantly, be able to identify high risk and high cost patients early on.

    This is the job description they have:

    Job Summary:

    Conducts Medical / Surgical medical necessity reviews. Compiles information needed to process prior authorization requests and documents in the medical management system. Prepares and presents cases for Medical Director review. Refer cases to Case Management and Disease Management as appropriate. Identifies needs for process improvement and recommends changes. Advises non-clinical staff on clinical and coding questions.

    Key Responsibility Areas:

    o Conducts prior authorization activities and referral management activities.
    o Assesses medical necessity by screening available information against established criteria, using InterQual Clinical Guidelines, Clinical Decision Support Tool, and Behavioral Health criteria. Ensures timely reviews for requesting facilities and notification to parties.
    o Conducts care coordination activities and post-service nursing calls.
    o Refers cases to Case Management or Disease Management for review as appropriate. Prepares cases for Medical Director and Peer Review.
    o Coordinates discharge planning and completes necessary authorizations.
    o Researches and collaborates with appropriate community resources to support discharged beneficiaries.

    Hope that helps!

  • 0


    I've recently applied for a Utilization Management LPN position in the state of Washington. So far, the job application process is going well. I have been an LPN for over almost 7 years ... I have a military background (med-surg) as well as civilian med-surg background. I know what the job entails and have had the opportunity to work with people in the field, but salary never came up as I wasn't interested in the work at the time. I was really wondering if someone could give me insight as to a general starting hourly wage as I have no idea what would be a reasonable salary requirement request. I would appreciate any help here, and I realize the figures would be estimates and vary based on employer, location, etc. Thanks in advance for your time!