wincha

wincha

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All Content by wincha

  1. hedis outcomes or managed access

    wincha posted a topic in Quality Improvement

    managed access states the work is feb to april. outcomes says the work is march to may. is it possible to do both? which company is better? they both say you need to commit to 20 hours a week how many...

  2. Pulmonary hypertension?

    wincha posted a topic in Cardiac

    If anyone could share some info. I have a background in cardiac but its been over 17 years. My mom was diagnosed with pulmonary hypertension. She has one stent only. I have read when you have the...

  3. UR in the hospital

    wincha posted a topic in Case Management

    I know this isn't officially case management however this appears to be the best place to post this. I understand what UR is for insurance companies ie Interqual Guidelines to pay for a level of care...

  4. looking for home-based triage position

    wincha replied to Jana Stephens's topic in Telephone Triage

    Intellicare used to be in St. Louis. They laid a bunch of nurses off over 2 years ago and left the building they were in. I don' t think they have an office in St. Louis

  5. what is the max case load for disease specific case managers.

    wincha replied to sassy3's topic in Case Management

    700-1000 is IMPOSSIBLE! I work with high intensity members whose a1c's should be above normal thats why they are in our workload. For a member who needs to be called back at least monthly or sooner...

  6. salary range 2007

    wincha replied to cab6e3's topic in Telephone Triage

    What type of triage? For a company ie insurance company, hospital,

  7. Anyone work for American Healthways?

    wincha replied to funnygirl_rn's topic in Telephone Triage

    I have heard that AH has gotten worse than what you describe. Now they are pushing more calls per hour and less time on the phone. Many nurses I know came from

  8. Rn Case Mngr Position With Ccm Preferred?????

    wincha replied to powernurse's topic in Case Management

    Those are alot of areas to cover for a test. I know nurses who are great case managers however have not worked in all areas and the test focused on some areas they had not worked in. What would be the...

  9. 2nd job CM

    wincha posted a topic in Case Management

    I have over 20 years of nursing experience divided between adults and pediatrics. My adult experience was cardiothoracic, ent, renal transplant and float pool. The last 10 were in a call center...

  10. Fiduciary duty of health insurance corporations

    wincha replied to pickledpepperRN's topic in Activism, Healthcare

    My department receives this information in different ways. We get cases that trigger the medical condition ie A1C, lipid panel, hospitalization, claims. We reach out to our members who have this...

  11. Can taking an antidepressant affect getting my license?

    wincha replied to sdcalichan's topic in General Nursing

    The military is different...it is weeding out people with medical conditions, not only depression but other conditions that they feel would interfere with the duties. I was never asked what medicine...

  12. Fiduciary duty of health insurance corporations

    wincha replied to pickledpepperRN's topic in Activism, Healthcare

    This is what I do. Teaching about their condition, making sure their doctor is following evidence based medicine... finding another doctor if he/she is not following evidence based medicine. Finding...

  13. Just Plain Nasty Mean. What Would You Do?

    wincha replied to nurseaboveboard's topic in General Nursing

    First ignore. Then talk to your manager..this employee needs to be counseled... then talk to

  14. Pregnant: What do I really care about it the hospital?

    wincha replied to Curious1alwys's topic in General Nursing

    I used to work years ago in the float pool and stopped going to Renal transplant when I was pregnant due to

  15. Fiduciary duty of health insurance corporations

    wincha replied to pickledpepperRN's topic in Activism, Healthcare

    One case in which the primary physician would not refer a man to a cardiologist. The man died of heart failure: http://biotech.law.lsu.edu/cases/hmo...v_esensten.htm As a RN working in disease...

  16. Fiduciary duty of health insurance corporations

    wincha replied to pickledpepperRN's topic in Activism, Healthcare

    Insurance companies are now looking at wellness care, disease management to keep their members with chronic health conditions healthy. They also are steering their members to doctors who follow...

  17. Would you tell another facility you worked elsewhere for 1 week?

    wincha replied to changeofpaceRN's topic in General Nursing

    Most jobs have a 3 month period in which you can leave or they can let you

  18. Would you tell another facility you worked elsewhere for 1 week?

    wincha replied to changeofpaceRN's topic in General Nursing

    No I

  19. Disease Management how many are there ?

    wincha replied to renerian's topic in Case Management

    Dri... What type of DM do you need help in? Does your company do DM for fully insured and if so there will be tools and information to help you with your ASO

  20. Disease Management how many are there ?

    wincha replied to renerian's topic in Case Management

    I have seen people post about DM here and on the telephone triage section. There are actually more of us :) DM is a large part of my job however I have other responsibilities also. We also have some...

  21. salary range 2007

    wincha replied to cab6e3's topic in Telephone Triage

    I made my hospital pay when I moved over to our call center for telephone triage which was over $30 plus in addition I made $3 diff for evenings and $7 diff for

  22. Disease Management how many are there ?

    wincha replied to renerian's topic in Case Management

    Many of the large insurance companies have disease management now. Even medicaid/medicare is starting to have disease management

  23. Disease Management how many are there ?

    wincha replied to renerian's topic in Case Management

    Officially I work in disease management but have alot of other responsibilities as

  24. Rn Case Mngr Position With Ccm Preferred?????

    wincha replied to powernurse's topic in Case Management

    I am taking my CM certification next year but I am not required to or even encouraged to. I work in a job where I do a combination of case management and disease management. I came from hospital...

  25. We make as much as maids

    wincha replied to TRN's topic in General Nursing

    I make 30 plus an hour and yes cleaning people make over $20 an hour or more if you use a professional service. Is it right NO? However, thats the going rate at least where I