mrenn

When I was working as a Case Manager in FL in 1995; I split between the ED & Behavioral Health. I think it depends on the "role" you establish for the Case Manager. We were the first in my community to utilize RNs and it was a conflicting job to have as I would work as a discharge planner as well as utilization management. So from an ED point of view; a patient is admitted and has some type of VA insurance and we would have to determine if the VA would pay for the first day and then transfer or just tranfer asap as the hosipital will not get paid. It was also hard as I worked in the ED and when you are waiting for the CM to make arangements which can be time consuming you have a bed that you need to fill. I am not sure if you ever felt this but just a little communication would be helpful so you know what is going w/ your pt in the ED. If in doubt as to what they are doing....just ask. Prior to RNs it was the social workers doing d/c planning and a team of nurses doing utilization role. Monnie RNC,BSN