edgwow

edgwow

Case Managemnt, Utilization Review

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All Content by edgwow

  1. Interqual?

    edgwow replied to Ginger35's topic in Case Management

    I an an Interqual Certified Instructor, you would need to ask your management team if you are able to call Change Health Care( formerly McKesson) in reference to your question or if there is a chain...

  2. Bacterial Pneumonia

    edgwow replied to mkapulelauriano's topic in Nursing Student Assistance

    First I thought of, What level of care are they in Med surge or ICU, are they getting IV antibiotics, if not , I think they should be to address the the crackles usually indicative of pneumonia. What...

  3. CM for AmeriChoice or Hosp? DIfferences?

    edgwow replied to myjo's topic in Case Management

    I cracked up at the adlockwood post, how true is that - in hospital you do it all, utilization review and discharge planning , insurance medication authorization, for insurance company, you take calls...

  4. Can any one help with salary range?

    edgwow replied to myjo's topic in Case Management

    I would expect around $55,000-60,000 no weekends or holidays, generous vacations and eventual ability to work at

  5. Case Manager Interview (Few questions for school assignment)

    edgwow replied to aazark's topic in Case Management

    Question 1) ROle, I am a discharge planner, case manager and utizilation review coordinator at a large hospital My role is to coordinate or buzz word, Transition to the next level of care for...

  6. Philadelphia VA hospital salary quote, is this right?

    edgwow replied to vikichck's topic in Pennsylvania Nursing

    It depends where you live. Apartments in the city Philadelphia can be 900-1000 a month. Parking is also another concern.At the VA in Philadelphia, you are a short drive , less than 20 minutes from New...

  7. RN TO BSN, Online or not? Please HELP!

    edgwow replied to oolilxminnieoo's topic in Pennsylvania Nursing

    YOu must be disciplined. All the programs vary as to the requirements, many 2-3 posts a week, daily logins and a paper at the end. It is definitely manageable to do online classes. I had not been in...

  8. High School Senior+ADN or BSN?

    edgwow replied to TeeGuneys23's topic in New Jersey Nursing

    I would suggest BSN first. I understand the lure of making money sooner, but if you have a BSN, you have more career options. The magnet facilities and the hospitals that are trying to get magnet...

  9. interqual

    edgwow replied to kvick's topic in Case Management

    I have used interqual over 2 years, it is not possible to meet interqual unless they are having significant pain and on a narcotic, morphine/dilauded drip, or if they require >40% oxygen. Comfort...

  10. Discharge planning question ! Please help!

    edgwow replied to Keysnurse2008's topic in Case Management

    I work for a large metropoliton hospital. The best way to anticipate needs, is to talk to the patient and the family, caregiver and ask, a hone call is very apropriate for a demented family member ....

  11. Need to Interview a Nurse

    edgwow replied to Unique87's topic in General Nursing

    I also sent you something to your

  12. Bayada nursing interview

    edgwow replied to Turtle08's topic in New Jersey Nursing

    I have worked for Bayada nurses for almost 16 years, I found thier test to be just as a previous writer said, what would you do in a certain situation. I have had to take that test multiple times...

  13. Who, generally, has the most job satisfaction?

    edgwow replied to nursalicious's topic in Case Management

    Well, I think home health or hospice visits have more freedom, than a hospital based job and are a little flexible wheather you work part or full time. There is nothing easy about any part of nursing,...

  14. Case Management Jobs from Home

    edgwow replied to PEDSVA's topic in Case Management

    Pediatric cardiology seems too specific for home CM. You could possibly get a CM position that works from home eventually in pediatrics though. To become CM certified you need to work 1 year under a...

  15. Why doesn't medicare pay for IV antibiotics?

    edgwow posted a topic in Case Management

    Why doesn't medicare pay for IV antibiotics? I hate the idea of sending someone with medicare as only insurance to a skilled nursing facilty (SNF) for the duration of the IV antibiotics. Doesn't...

  16. Who, generally, has the most job satisfaction?

    edgwow replied to nursalicious's topic in Case Management

    Not inpatient!Totally overstressed always more work pile

  17. teas exam frankford school of nursing

    edgwow replied to lmangano07's topic in Pennsylvania Nursing

    I went to Frankford, many years ago (20 to be exact) Best of luck to you.!!!!!! Back then, you did not need to take a

  18. Oh boy...this isn't good, is it?

    edgwow replied to SoggygranolaNurse's topic in Case Management

    As a case manager, I look for facilities to place patient's in that have frequent successful outcomes. If you explain this to your administrationis they have to see that this is what builds...

  19. Trying to help..need insight

    edgwow replied to SoggygranolaNurse's topic in Case Management

    In my large city, these pts get evaluated by the Corporation for Aging, medicaid applications are started and we wait until the actual application goes through. Many times , I have seen social workers...

  20. Trying to help..need insight

    edgwow replied to SoggygranolaNurse's topic in Case Management

    Cardio Trans, I had to laugh, how many times has that happened? They think that when we say day 56 we really mean day 89, they do not understand we don't make the rules, we just have to abide by...

  21. Questions for case managers

    edgwow replied to Liljen1978's topic in Case Management

    I work in a 700+ bed urban hospital, case management is the discharge planner and the utilization review department. Utilization review calls all the insureers and lets them know why the pt is...

  22. Average Inpatient CM case load?

    edgwow replied to gypsyatheart's topic in Case Management

    I work on a 40 bed medical unit- I am responsible for 20 in pt all discharge planning, except those that are going to another level of care, our social workers handle that. I work in an urban medical...

  23. Attention all discharge planners. I need an honest opinion

    edgwow replied to SanFrannurse's topic in Case Management

    I always have 20 patients for all utilization and discharge planning needs that go home. If someone goes to any type of alternative care setting, they are managed by the social worker. My job would be...

  24. Hospital pays tuition?

    edgwow replied to xlilchatonx's topic in Pennsylvania Nursing

    From what I know, you have to be employed in a hospital first in another capacity before they will pay for your schooling to be a nurse. Transport, billing, and CNA or receptionist, I had to work 6...

  25. Attention all discharge planners. I need an honest opinion

    edgwow replied to SanFrannurse's topic in Case Management

    I'Ve been a discharge planner for a year, but I also share the DCP responsibility with the utilization review responsibilities also. Do you want to be challenged every day? At 45 yrs old, I would like...