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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 of command to follow before actually making the cal...

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 does the chest x ray show, was infectious diseases...

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 all day from the hospital folks doing case mangem...

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

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 patients going home- do they require home care, have dura...

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 Jersey and can find single family homes for 900-1...

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 school for 18 yrs and found it very beneficial to t...

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 status, only hire BSN's for inpatient care. I worked w...

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 care for comfort. They won't meet, but if they are ...

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 . What do you already have, give suggestions based on...

I also sent you something to your mailbox.

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 throughout my employment as I worked for various offic...

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, either LPN or RN. If you reallly want to be a nur...

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 certified case manager or 2 yrs doing it not under ...

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 Medicare see that this is a huge waste of resources by ...

Not inpatient!Totally overstressed always more work pile on.

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 test.

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 rereferrals. You are trying to sell substandard facilites e...

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 send out over 50 referrals for facilities as far ...

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 them.. LOL

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 admitted to the hospital, what the hospital is doing and ...

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 center and have all the no insurance issues. It to...

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 more manageable if there were 1 more social work...

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 monthes first full time, part times get tuition for...

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 to settle in and just do the job without extra ag...