d'cm

d'cm

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All Content by d'cm

  1. Interview Advice

    d'cm replied to caligirl12's topic in Case Management

    If it is an insurance company: they want people who are computer savvy and productive. So an emphasis on being goal and detail oriented should serve you

  2. CM Challenges

    d'cm replied to AshleelRenee's topic in Case Management

    The utilization part because the we still very much have a health care system that continues to reward excessive care rather than that which is proven effective and

  3. case management certification for case management?

    d'cm replied to santacon's topic in Case Management

    All the previous posters have valid points, but just to confuse you I have been a case manager for 16 years and do not have certiifcation and have never had a problem getting a job. IMHO if employer...

  4. Interqual vs. Millman

    d'cm replied to Erwende's topic in Case Management

    thanks for the info, that is a huge change for

  5. Interqual vs. Millman

    d'cm replied to Erwende's topic in Case Management

    I have to disagree with greentea, the two have completely different approaches. Interqual determines acuity based on severity of illness (SI) and intensity of service ( IS) for the generalized body...

  6. CM VS UR

    d'cm replied to buster5505's topic in Case Management

    The vagueness of your question has stunned us to

  7. New Medicare Guideline's Affect On Case Management

    d'cm replied to illsince83's topic in Case Management

    I don't think there is any doubt that there will be a continued and accelerating demand for case managers. This demand will curb the requirement for advanced degrees to some extent, but the increased...

  8. Obamacare: Should I get out while I still can?

    d'cm replied to TexasAbby's topic in Activism, Healthcare

    Amanda, I see a great future for you in nursing administration, an area of nursing where the ability to promulgate nonsense by citing copious reasons without regard to spin or accuracy is often...

  9. Obamacare: Should I get out while I still can?

    d'cm replied to TexasAbby's topic in Activism, Healthcare

    So Amanda, to summarize your position: you believe in all the things Obamacare is about, you just don't want to have to pay for

  10. If we had a conservative nurses forum

    d'cm replied to FLmomof5's topic in Activism, Healthcare

    is it time to be conservative'? I was going to put this little blog in here but "they" moved it to : Is it time to be conservative? - US Politics check it

  11. Social Policy vs Social Agenda

    d'cm replied to wilburneat's topic in Activism, Healthcare

    The agenda drives the

  12. If we had a conservative nurses forum

    d'cm replied to FLmomof5's topic in Activism, Healthcare

    No, I believe the uniformity means taxes will be the same from state to state, not individual to individual. A truely flat tax, where everybody paid the same rate would actually be highly...

  13. Obamacare: Should I get out while I still can?

    d'cm replied to TexasAbby's topic in Activism, Healthcare

    Your brilliant governor just opted out and it is going to hurt hospitals big time. Time to get out? Yeah, of

  14. Flipping from Obs to Inpt

    d'cm replied to EllbellRN's topic in Case Management

    I have reviewed for a RAC and I can assure you that CMS requires an MD order to admit. Your organization is committing

  15. A day in the life of a Case Manager...

    d'cm replied to kiszi's topic in Case Management

    An ex hospital case manager responds: 1. On arrival to floor: Print census: Note: admissions, planned discharges, HMOs that need review and why the patient who should have left is still here. 2. Meet...

  16. Utilization Management - sending clinicals

    d'cm replied to Umrn1's topic in Case Management

    Not only are you right that it is redundant, I can assure you that no one on the payor side is going to read the Interqual junk, it has no

  17. How to make a big change at my hospital

    d'cm replied to skinny_murse's topic in Activism, Healthcare

    "should I say something about this?" Do what you want but consider this before you leap. This idea was undoubtly advocated by nursing executives and is their 'baby'. You will be heard but not your...

  18. Nobody likes "Obamacare", so what should we replace it with?

    d'cm replied to MunoRN's topic in Activism, Healthcare

    our current system is incredibly inefficient. how else could we be spending so much more than any country in the world and have such poor results? the inefficiencies persist because healthcare is...

  19. conflict in hospital case management

    d'cm replied to paperclip4's topic in Case Management

    "Why is there so much conflict in CM? Is this normal for CM." In some institutions conflict defines the job. In hospitals where the attending physician is an independent practioner who is paid for...

  20. Grossest thing that you've experienced?

    d'cm replied to dirtyhippiegirl's topic in General Nursing

    One of the creepier experiences I had was wound care on a patient s/p eye removal. When the dressing was removed you would look thru the eye socket into the oral

  21. new graduate RN -- terminated after 2 months

    d'cm replied to cyoucapri's topic in Men in Nursing

    Dude, 2 months?!. Not a good sign. Yeah, plan B is in

  22. Health care a right or privilege

    d'cm replied to jcasablanca's topic in Activism, Healthcare

    before we can answer the question if healthcare is a right we must first attempt to define what a right is. one approach it to acknowledge that a right is matched with an obligation. if one has an...

  23. Interqual

    d'cm replied to renge1's topic in Case Management

    Linda, There certainly are reasons not to like Interqual, especially if you are using the CERME software, identifying SI and IS is pretty straight forward and gets easier with experience. Using this...

  24. Hospital RN to Utilization Review ie Insurance Nurse

    d'cm replied to pgnurse79's topic in Case Management

    I'm with Delta32 to the OP. Personally I have the hospitals to be the dark side for case

  25. Is it necessary to take Masters?

    d'cm replied to MiraLaccay's topic in General Nursing

    In the long run an MSN will open oportunities. If you can - go for