Bella RN

I am a case/care manager for a Medicaid market. The term is used interchangeablly where I work. Some management may use the term Care Manager and some may say Case Manager. Either term used you will be providing care to your patients to help lower overhead costs and also work on care plans to decrease admissions. Congratulations on your new career path. You will do great ?

Thank you so much for your reply. You are giving me great ideas. Have a Happy New Year!

Hello, I have been a RN for 22 years. I left the bedside over 10 years ago and have been working remotely as a case manager for an insurance company for over 10 years. I love my team and the company is great. They paid for me to get my Masters degree and I'm so thankful. Only problem is in this market there is no room for growth. I am considering taking the CCM Exam. I've been in the same role for years. I see myself in management but I have no management experience. I do not want to be a supervisor but would rather be a manager. I thought about looking into quality. I receive very good raises and have very good benefits. It's truly a blessing but I sense there is more within me but unsure how to achieve this. I have the degrees but do not have the management experience. Thank you

Wow thank you for that information. I read about a retired ER physician in South Florida who took his first dose of the vaccine (Moderna or Pfizer can't recall which one) he broke out into a rash in his hands and feet at home. Then his wife took him into ER and was intubated and died. I would like to post the article but not sure how to from my phone. You may Google it. He did not have any co morbidities and was quite healthy. But he was a older gentleman. When I read about these incidents it saddens me and not sure which to take if any.

Hello Fellow Nurses, Which Covid vaccine supply is better to you Moderna, Pfizer, or Johnson& Johnson? Does anyone know where to review research? I have elderly parents and elderly in laws. I have read about side effects and anaphylaxis reactions. It's so nerve wracking! I wanted to hear my fellow Nurses thoughts. At this time I prefer to wait until I discover more research and data to make an informed decision. Thank you

That is so Awesome!!Enjoy the pampering!!???

You did a great job in your article and your descriptions were excellent. I hope you are feeling better. It warmed my heart when you talked about how God used you to encourage the other Nurse. God is very strategic. Sometimes we may not understand His plans. I have had angioedema from lisinopril in the past and it is no joke. I was admitted for several days. I'm glad you are better. Thank you for sharing ?

I do not have the link, but I read a research article from a group of scientists out of France that do not recommend using ibuprofen in relation to covid diagnosis or covid vaccine. The French scientists recommend acetaminophen. If anyone can find that article please post it. Thank you

Hello, I pray things get better at home for you. I listen to Dr. Laura often and she recommends taking care of home first. It may be healthy to step away from work and school to find out why the marriage is failing. Maybe he may feel neglected. Maybe in therapy you both can find life goals to work on that will make you both feel fulfilled. Nursing will always be there. Put yourself first. Remember self care. The alcoholism maybe a symptom of some type of pain your husband is feeling. Hopefully he can get help. Take care.

Thank you so much for this wisdom. I want to brush up on my computer skills. I am almost done with school. I do not want to stay in a metric driven role, but I will learn and grow while here. Thank you again ?

I think you are right. I have seen up north or out West Black RN's in higher level management. But I have not seen that in the south. I have seen White Latina RN's in a mid level management position, but I have not seen a Afro Latina in a upper management roles. I often wonder about this? Is it that they are not applying or not given a chance? I have seen many White colleagues who were friends with someone in Senior Leadership get promoted very quickly WITHOUT a Bachelors degree. I find that very puzzling. But no one appears to notice or say anything. It is concerning to me. Thanks for the reply?

Hello, I have noticed that there are not any Black RN's at a upper management levels in managed care or in the hospital setting. I am in the south. I have seen Black charge nurses and Black supervisors. I have not seen a Black CEO or Director of Nursing in the south. It truly makes me concerned. Our company always gets very poor scores on diversity and inclusion. Upper management at my company are all White males or all White females. I did bring this up at a meeting we had post George Floyd's death and the Whites in upper management stated they never realized that there is such a lack of diversity in upper management, until I brought it up.. No changes were made. It makes me very sad. Black people have so much against them. Especially with everything going in the news. I do not agree with hiring someone based on the color of their skin, but I notice Black Nurses in the U.S. get the very short end of the stick. Upper management should be diversified across the board which represents the patients and clients that are served. Is there still a good ole boy network within Nursing? I truly hope things change. Everyone deserves a seat at the table and the opportunity to shine. Thank you

Get your BSN first. I learned alot in my BSN program coming from a ADN program. I am currently in my MSN program and I can see how the BSN prepared me for the MSN. Good luck!

You should apply at different insurance companies. There are alot of remote positions out there. Good luck

Hello, I have not been on this site in so long. I have been working for a large insurance company telephonically and remotely. Pays well, good benefits. I do not like that is very metric driven role. We must enroll 32 members a month. It makes me feel like a herdsmen trying to get cattle. There is really no opportunity for growth here. I voiced my desire to grow and have applied to countless positions but never got the transfer or the promotion. Only twice in the 7 plus years that I have been here has there been opportunities for advancement. On my interviews I often impress them. They tell me I am amazing during interviews and my credentials are impeccable, but I do not get the promotion or job. I am beginning to resent the metric set up. Sometimes people do not answer the phone. I have been away from bedside Nursing since 2010. I have no desire to go back. I do like managed care and have a high interest in policy and procedure or risk management. Not sure how to get into that. I am a couple of classes away from obtaining my MSN with a specialization in Public Health. I feel we have been put in a position to grasp at straws just to get a member enrolled in the program. Many Nurses have told me I should be a manager or in a leadership role, but I have no leadership experience and not sure what to do. I am one of the very strong seasoned Nurses on the team. Any thoughts or advice? Thank you