SummerGarden

SummerGarden BSN, MSN, RN

ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr

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All Content by SummerGarden

  1. Managers talk! Recently I found out that managers I know of that are the same level and in some cases higher also hangout together even if they do not work for the same facility or for the same...
  2. Billable Hours

    No, you are not ridiculous. Maybe insane? :) On the other hand, so am I. In fact I would probably do the same if I was trying very hard to break into this field without work experience. I tend to...
  3. I think your organization has an obligation to get you up to speed. It is admirable that you want to learn as much as you can prior to starting work, but it is not only unnecessary, it will be...
  4. You need business, nursing/clinical, and communication/leadership skills to be effective as a Nurse CM in the ED. To be a good one, you need to know your resources and think fast on your feet to...
  5. Billable Hours

    Billable hours, imo, is a bad way to make a living unless you are good at sales and/or commission type of work! You will not get paid for any time that is not considered "billable" and they will...
  6. shocked @ email received

    OP it is OK, you are not the only one who is getting the email. I learned I could jump ship and get paid better because recruiters were cold calling my ED a few years back to speak to me and/or my...
  7. Nurses selling at work?

    To those that are fund-raising at work, please stop. It is annoying, against the rules, and most of the time you put your co-workers in a bad situation. For example, most of your co-workers have...
  8. Licensed Practical Nurse

    I would think that if there are agencies willing to hire LVNs/LPNs then they are also the ones who are willing to train them. Therefore, look at the agencies for such opportunities. My guess,...
  9. Rejection is for winners too

    If it was not for the really good retirement package, the better opportuntities to train in various positons (if and when I break into management), the better overall health benefits, and the smaller...
  10. Rejection is for winners too

    This is not a very busy board. :) My post should have been on the bottom. :) In any case, I did not get the last job I applied too. I figured so weeks ago given that it should not take long for a...
  11. Interview for UR position

    My second interviews for case management positons were usually similar to your first, since the first was a screening interview over the phone with a recruiter. My third interview (I guess similar to...
  12. Wellpoint/Anthem BCBS phone interview

    Congrats! Thanks for keeping us posted. Hoepfully this time around someone will be able to answer your question.
  13. Interview for UR position

    Yes. Also, if insurance cannot cover the cost, the patient will need to do so... In some settings MSWs deal with cases where the patient is 100% responsible for care in the next setting, but that...
  14. Interview for UR position

    A similar question would be "How would you present a case that no longer qualifies for acute care stay to an MD advisor for review?" Basically, they would want to know if you can acutally talk to a...
  15. From floor RN to Nurse Manager .. help.

    I will be a little off topic, but I want to respond: I lost out on a promotion because I was not "from within" the department of which I applied. The irony is that in a year or two there will be a...
  16. CM and MD communication

    To answer your question, you can ask him/her questions: "Why is this patient still here?" "What are we doing for this patient?" If he/she does not meet criteria the answers are nothing or something...
  17. Job Interview

    Did you find the answers to your question during/after your interview? I suspect, having worked for an organization that exclusively served Medicaid the answers to your questions are as follows:...
  18. Interqual and/or Milliman training for individuals

    Ooops...for some reason the website link is not working... Try going to the main site: Health Care Information Technology Medical-Surgical Supplies and Pharmaceutical Distributor | McKesson then go...
  19. LPN to RN

    You can attend a state school (Community College or University) and work full-time at night with the flexibility not to work if your school schedule demands your full attention. If one full-time job...
  20. CCM 2014

    Welcome. There are a lot of threads on this topic to include the most recent : https://allnurses.com/case-management-nursing/ccm-if-no-915105.html Although some have had success using other vendor...
  21. Interqual and/or Milliman training for individuals

    Excuse my font if it turns out bad.... You can go directly to McKessons's website and check out the certification criteria and courses that are offered. You can take the training even if you choose...
  22. MSN-CM or MBA?

    I know I will be flamed by those that are wasting his/her money on a specific MSN degree in Case Management in order to have an edge in this field, but I have to speak up.... Your schools are lying to...
  23. Nurse with disabilities and case management

    I did read your post. I saw the "exception" but it still did not make sense until you wrote this post. So thank you for the clarification. In the future, be
  24. Nurse with disabilities and case management

    Is this a joke? I think the poster was serious in asking his/her question. OP: A typical day inpatient is not "sitting all day" waiting for someone to ask for help. An efficient case management...
  25. Utilization Review

    It will depend on where you live or the companies in the area. Many require a BSN and/or years of case management work experience. I doubt becoming a case manager is the quickest way to become...