SummerGarden

SummerGarden BSN, MSN, RN

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

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All Content by SummerGarden

  1. Ordering DME in the ED

    No, ED providers are too busy to do anything but sign orders for what they want. We (the CMs) complete the paper work and the ED providers look them over and sign. We then fax a packet to the DME...
  2. Ordering DME in the ED

    We are not talking about crutches or equipment to cover sprangs. Those are paid out of a different pot/billing system associated with the visit to the ED. DME is entirely different and so I doubt...
  3. Ordering DME in the ED

    I work in EDs and I order DME all the time. The process is not that bad and does not require a patient to be admitted to the hospital for any reason to include placing him/her on OBS. Basically, if...
  4. new to cm

    https://allnurses.com/case-management-nursing/how-get-into-918012.html
  5. How to get into Case Management

    Most employers want experienced nurse case managers. Thus, the best way to break into the field is to talk to the hiring manager of your current or past employer's Case Management department. Ask...
  6. Any information on being a case manager for Molina?

    I know a former co-worker that is an experienced case manager that just signed on with them... She landed the job despite not having her CCM. Other than that... I know nothing else about the company...
  7. RN Two Year Contract?

    Two year contracts are red-flags for New Grads! Basically, employers that need a two year commitment are saying that they have a high turnover rate. In any case, usually to break the contract you...
  8. Interviews!

    I'll be surprised if anyone has worked for both and responds to this thread with the exact pros and cons specifically answering your questions. On the other hand, many people on here have worked in...
  9. Labor and Delivery/Maternal

    I agree with GrnTea... Maternity CMs are in-house. Complicated discharges are taken care of by them along with an IDT that is also in-house... UR is not complicated for this population with a few...
  10. Inpatients in "Observation" status vs. admitted

    Basically, people who have NO REASON to be in a hospital setting for anything other than a very short stay (a few diagnostic to run to medically clear him/her for an outpatient setting) are an OBS...
  11. Nurse Case Management

    Sadly, I worked in one hospital that follows the same model and had big caseloads too (20-40 patients per Nurse CM inpatient). Nurse case managers and social workers were completely dissatisfied with...
  12. How many attempts

    OP: I worked as a Social Worker Case Manager for SMIs on Medicaid back-in-the-day. I used certified mail for all of my correspondents!!! I get that there is an extra cost associated with certifying...
  13. New NM need advice

    You sound like you have landed a management position, where it is your first official one and there is a lot at stake due to the politics that might be going on in your facility. I have no advice,...
  14. Mental Health Case Management

    I am confused too... Do you have a captive audience? If so, you can set up classes and force your population to show up with mandatory points etc.... If this is completely outpatient and not attached...
  15. Very interested in CM but lots of questions!

    You do not need an MSN in Case Management to be a Nurse Case Manager. On the other hand, if that is your career ambition, go for it. As the others have already written, you can work as a RN (you...
  16. Where do I find CM jobs?

    I cannot post the websites on here due to TOS, but you can find career sites that link you with others using big search engines.... Recruiters use those sites
  17. Patient Navigator RN

    Is this connected with the ACA? I know of positions with this title or similar, but since it is new, I do not know very many nurses that perform this job. What I am told, my understanding from a...
  18. RN - $14.75/hr?!?

    I love what you did too! Thanks! Anyway, they want more than a warm body; they want a young age New Grad. Their ideal candidate is one who will not ask any questions because he/she will not know to...
  19. Increase in RN jobs with ACA

    True… Many people need education while others need some form of wrap-around case management. Some studies (I cannot find my favorite or I would post it), show that wrap-around programs deter and...
  20. Increase in RN jobs with ACA

    I currently work for two large hospitals/systems... Prior to my current employers, I worked for very small rural hospitals and was just fortunate to still have a job after performance reviews. I...
  21. Where do I find CM jobs?

    Clinics, govenment positions, and community outreach programs have case managers too. In fact, due to the ACA I have been bombarded by recruiters from such organizatons. My guess is that they found...
  22. Help with choosing school for CCMC

    Did you ever work as a Nurse Case Manager for 2 years while working under the supervision of a Nurse with his/her CCM? If not, you cannot sit for the exam yet. Also, if you are not a CM yet.......
  23. Everyone wants experience.

    I know what you mean, I worked in Social Work prior to nursing and was told during interviews for Nurse CM jobs that my experience was not the right kind either. Oddly, I have used my past experience...
  24. Two Midnight Rule

    I too work for two hospitals. Neither hospital has had trouble with compliance because they take every new rule by CMS seriously. Doctors are either on board where I work or he/she is talked to by...
  25. Increase in RN jobs with ACA

    OP: I agree that there are more jobs. In fact, I am having absolutely no trouble getting raises every year now and getting performance bonuses (it is the first time since working any job since...