d'cm

started at 77k and after 11 yrs 88k. then they fired me.

It's just this sort of BS that makes nursing a uniquely crappy job.

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 Ascension. Then Thedacare decided they didn't like th...

Thanks for posting that. It was indeed a fair bit of entertainment.

The best answers I have ever seen to this question can be found at : Nick Carmody JD, MS Psych (@Nick_Carmody)

Insurance company CM would definitely reduce your exposure to Covid - but not to regulatory BS.

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 medicaid).

to build on Curious1997: The medical history appears to be entirely "per the patient", do we have any actual medical records to verify her statements?

I've had at least 20 jobs in 25 yrs mostly because I would get fired. I think that should be some kinda record. :-)

Has the thyroid been fully evaluated by imaging and blood work?

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 about handing off care to some other agency so follow...

for some reason I thought of this:

I doubt it was discrimination, just bad managerial skills. You'll find a lot of that in nursing.

let's do an ELISA test.

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 pocket change raises and bonus' .

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, lots of autonomy and no pressure. - but little intri...

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 interaction in the hospital can get very complicated. I fo...

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. Coordination of communication with physicians, nursing,...

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 how to use Outlook, Word, and Excel.

Read complete Article: Do Hospitals Get Prestigious National Awards for Poor Nursing? | Medpage Today

Apply at United Healthcare. They are always hiring field case managers.

of course they supply computer. think HIPAA.

Are you talking about the LTC ( ABD/ MLTSS) program? If so - The corporation ( UHG) is great. The program is a tedious thankless job trying to comply with the State contract. But ultimately - like most jobs - you just work for a supervisor and they...

I saw that survey. Don't worry about it. The REALLY bad hospitals weren't even listed.

It was the same 25 yrs ago. What I remember vividly is that besides the hard cut off at B- 10% of the test answers were in the ***** category making it a pretty small window to pass. But most of us did.