snotpikkr

snotpikkr has 30 years experience and specializes in oncology, med surg.

Latest Activity

1. Patient Right to Appeal Discharge

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

   I can't answer that question, but there is a customer service number for every patient's own insurance that they have the right to call. We have had HMO patients refuse to be discharged and go that...

2. Patient Right to Appeal Discharge

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

   This has been in effect in CA for over a year (feels like it if not..) where the patients have the right to appeal their discharge. Upon admission, all Medicare and senior managed care (Mcare elig)...

3. Interqual?

   snotpikkr replied to Ginger35's topic in Case Management

   I have trained many nurses from the floors. In my opinion, as long as you have a good clinical background for the area you will case manage or coordinate, you'll be ok. Interqual will be another thing...

4. Problems encountered with DMs

   snotpikkr replied to luvmyworld's topic in Case Management

   My mistake, Dria. The first post I read did not state she worked for an insurane company so I offered my opinion, which is what this is

5. Problems encountered with DMs

   snotpikkr replied to luvmyworld's topic in Case Management

   We as acute hospital case managers don't routinely call the patients after discharge- we rely on the health plans to do that- it is their responsibility to follow up and case manage the patients. We...

6. Interqual?

   snotpikkr replied to Ginger35's topic in Case Management

   IQ is not very patient friendly, that's for sure, and that's what we use at our hospital, however when a patient doesn't meet the criteria, our physician advisor overrides the criteria. Everyone...

7. Yeah! I got my first CM Job!!!

   snotpikkr replied to lisa41rn's topic in Case Management

   Congratulations! What I tell my staff- No one dies because of the paperwork you do. Your job is never done in a day. When it's time to go home, you need to go home. Being a Case Manager is stressful...

8. Problems encountered with DMs

   snotpikkr replied to luvmyworld's topic in Case Management

   Welcome to the world of frustration and rebound patients. You have to know that what you did on the last discharge will have no impact on the patient for his/her readmission. When a patient is...