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New to CM
I'm not familiar with the program you referenced... I did hit the link, and checked it ouot.. Most of the places are going to want CCM for what you are doing, I would suspect. Don't get me wrong, I imagine the course material is very relevant, and may help you. But you have to keep in mind what employers are looking for in terms of certification. Before I spent a bucket o money, I'd recommend a sit down with the DON ( who isn't much for orientation), and ask more questions about the role, what it will involve etc. I can't imagine someone asking you to assume a new role, with no expectations outlined. Hope that helps somewhat.
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Opinions on a term.
Gypsy is often used to identify an ethnic population known as Romani or Roma. In our city, there is a large segment of Roma population. They typically all have the same last name. In general, when one is hospitalized, the whole family comes to the hospital to suppport their family member. They do speak the Romani language, which to me sounds like a mix of Portugese and Arabic. If anyone has any other info, or any experiences, I'd like to know too.
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What freak occurrences have you seen?
Pt with minor finger lac... local to sew shut.. Pt of course reports no allergy to local anesthetic... Doc injects... pt. codes before syringe is empty... Boy anaphylaxis. you never know when it's gonna getcha.
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Nurse CM Reality Check
Again... I think 1800 people is too many for one person to effectively manage... especially high risk, problem prone folks that you describe... IMO, but as I said, I don't manage this kind of case load... I cry when I get to 30 people in the acute setting, But, we are setting up rehab, home health etc. A different perspective.
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Nurse CM Reality Check
Well.... I don't have your job, but I do case management. I can't imagine trying to case manage 1800 souls. You don't say if this is disease specific or what, but MAN, that sounds like a daunting proposition. A little more info may be helpful to someone trying to help you. Do you have to set up services, follow-ups, or what???
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Interested in Case Management--lost as to where to start
First of all... sorry nobody has replied yet to your query... as for me, I'm often not home early enough to get to my 'puter to login. I work in Hospital based Case Management for a large tertiary health system in the midwest. I do the Level 1 and 2 trauma patients. I love my job, it is very interesting, challenging, always changing, but yes can be stressful. Soooo.. if you are looking for stress free, CM is not necessarily going to be your best bet. I think, a minimum of 10 years of clinical experience is a minimum, with a variety of clinical areas of interest. For example, I've got a Master's in Psych, but my other clinical areas are OB, OR, Med Surg, and of course,Psych. I couldn't tell from your post if you have a BSN or RN Diploma program or what... Some employers want the BSN, my boss requires the Master's. Broad based clinical experience, good with people, critical thinking, good at strategic planning ( predicting the pt.s eventual dismissal needs out of the gate), experience with Medicare Medicaid criteria for Home Health, rehab, etc., knowledge base in Milliman/Interqual and concurrent insurance review data would be some of the job requirements.
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Case Managers--I need your advice please
I "lucked" into my position, and sometimes that is the way people get started. Sometimes you have to wait for somebody to move so a vacancy opens. Just depends... I see you are in Fla... I recommend looking on various CM sites... many have positions posted or even google "case management positions in fla" may get you some hits. Depends to on what kind of CM job you are looking for.. there are usually lots of telephonic positions available in your state.. just depends on the locale. Some of those jobs are worked from home, some are not, depends again on the company hiring you. My employer requires a MSN, many require BSN. I don't necessarily think you need to go out and spend bucks on a course, but some firms are going to want CCM or other certification. You will need to be good with DRG and Insurance certification data such as Milliman or InterQual criteria. There are certification courses you can inquire about also on the web. You will also need to be familiar with Medicare criteria and Fla Medicaid criteria for such things as Home Health, rehab, or LTACH. If you want further info, other than I have provided here, PM me and I will be glad to try to answer your questions further.
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Why does this seem impossible?
You have great credentials for role. I'm curious... why not in hospital setting. That is where I work; the pay is great, we are salaried, and have few on call + no travel. I recommend you try the different CM web sites, many of them have places to look for open positions. If you want Ins company, you could do telephonic CM from your home office... You might try looking on the web, and typing in Case Mangement positions in your query, and see what hits you get.
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My group home experience, at least it inspired me to create.
I looked it over, and I thought it was very creative and a great idea... I think you should continue developing this... Just be careful, though, that you don't gi ve too much info away... you will lose the rights to it, if someone steals your idea, and patents it first. Have you thought of approaching a software developer/patent attorney??? I know... costs $$$$$. Just a thought though. Sorry about your experience within that setting... sounds as though you may be better off without that employer anyway. Good Luck
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New Grad willing to work ANYWHERE! Where's hiring and doesn't have 1000's of apps???
Wichita Ks,,, come to the land if Oz.... seriously!!
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Strange job interview...thoughts on this?
The system where I work, HR sends the interview, and the manager carries it out. does the actual meeting with prospective employee... I dunno.... hard to read people sometimes
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pyxis dilemma
This is not a pyxis problem... it is a drug diversion problem. And it is YOUR problem too, if you don't identify it as such to your management team.
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Frustrated with new job
See previous post. Nuff said!!
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Bummed...I think I have MRSA
I had a post-op wound infection that was found to be MRSA, and it was on my foot... since the darn thing was I&D'd, and packed open, the hospital I worked at would not allow me to work... Are you being referred to an ID specialist... I would certainly ask for one. Sometimes people need the Vanco, as has been suggested, but also lifetime suppressive therapy, if you are colonized to that extent... just a thought
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Private Caregiving as an RN
You would be getting your orders to do these things from whom?? Family physician?? Hospitalist discharging the patient. Were you planning to bill?? Or do this pro bono. You can't bill insurance or medicare unless you have an NPI Number you are operating under (as a home health agency would do) or if you are a Mid-Level Practitioner. Even so, ARNP's still have to (in Kansas at least) operate under protocols of an MD. So I don't know if that answered your question or not???