d'cm

d'cm

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All Content by d'cm

  1. Are We Change Agents?

    Could nurses be change agents? Theoretically yes, practically.. NO. In my 30yrs experience I have found nurses to be highly risk adverse and almost universally corporate compliant. The most jarring...
  2. Health Insurance in America

    One of things people don't realize is that private health insurance is one of the primary reasons healthcare in the US to be so expensive. In a market economy, price is a function of supply and...
  3. *The Role of Artificial Intelligence in Hospital Medical Management and Utilization Review** In recent years, the healthcare industry has witnessed a transformative shift with the integration of...
  4. Streamlining Utilization Review Utilization review is a critical process in healthcare that ensures medical services are used appropriately and efficiently. Traditionally, this process has been...
  5. started at 77k and after 11 yrs 88k. then they fired
  6. EKG order

    It's just this sort of BS that makes nursing a uniquely crappy
  7. So a bunch of employees at Thedacare in Wisconsin got a better offer at another hospital - Ascension. The employees asked Thedacare if they would match the offer and were told no, so they went to...
  8. Thanks for posting that. It was indeed a fair bit of
  9. The best answers I have ever seen to this question can be found at : Nick Carmody JD, MS Psych
  10. Is Case Management the right move?

    Insurance company CM would definitely reduce your exposure to Covid - but not to regulatory
  11. New Nurse Case Manager

    It really depends on what population you will be working with. Insurance CM can be any number of different things e.g. Disease mgmt, inpatient your/DC planning, or LTC (MLTSS
  12. to build on Curious1997: The medical history appears to be entirely "per the patient", do we have any actual medical records to verify her
  13. How many jobs have you had in your career?

    I've had at least 20 jobs in 25 yrs mostly because I would get fired. I think that should be some kinda record.
  14. Has the thyroid been fully evaluated by imaging and blood
  15. New Case Manager

    Doubting yourself is a good thing, it keeps you vigilant. Making a big mistake at this point would be far worse than just not getting everything done. Doubt others also, discharge planning is all...
  16. Bombed my interview

    for some reason I thought of
  17. How do you deal with workplace discrimination?

    I doubt it was discrimination, just bad managerial skills. You'll find a lot of that in
  18. let's do an ELISA
  19. ANY Case Managers at United Health?

    United sees nurses purely as an expense. If regulations didn't require us they would not hire them. Evidence of this is that they have been profiting BILLIONS every month but nurses see literal...
  20. Hospital CM vs Insurance CM

    I loved hospital cm - it was fast paced, fully focused work and hours flew by, but was terrible at the politics and thus was unsuccessful at it. I do long term care CM for MCO now, work from home,...
  21. Hospital CM vs Insurance CM

    I've done both and there are a lot of differences. The core similarity is they both involve discharge planning and utilization review. The big difference is the professional/social/political...
  22. The most difficult? Knowing which of these duties is most important to someone over you and any given time. 2. Application of process improvement methodologies in evaluating outcomes of care 3....
  23. advice for new case manager insurance company

    The actual work of an insurance company case manager is tightly defined by the company. Going in with preconceptions could be counterproductive. The only thing I would suggest is making sure you know...
  24. Read complete Article: Do Hospitals Get Prestigious National Awards for Poor Nursing? | Medpage
  25. how to land a case management job?

    Apply at United Healthcare. They are always hiring field case