clhankin67

clhankin67

Tele, Med/Surg, Case Mgmt, Ins. Rev

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All Content by clhankin67

  1. I left hospital nursing out of frustration of being pulled from the bedside with all of the bright ideas everyone came up with. Additional forms, more frequent computer charting, with computers only...
  2. Medicare Observation vs Inpatient

    I am a manager for a Managed Care Company. Per the Medicare Benefit Policy Manual, Chaper 6, Section 20.6, Outpatient Observation Services Effective 07/01/09 : "Observation care is a well-defined set...
  3. I am a manager for a Medicare HMO. I have 20 Nurses that are direct reports and they perform daily onsite reviews at hospitals and Skilled Nursing Facilities. They gather clinical and psychosocial...
  4. LVNs training RNs???

    You are truly in a difficult situation. I agree that Standards of Care should be universal, and I find this LVN's appalling. I was an LPN for many years before becoming an RN. I took every CE opp...
  5. Fired because they "can't afford me"...now what?

    Sorry to hear that. Having been blind sided myself in the past I can understand how you are feeling. I agree with the filing of unemployment and clarifying your severence pay and benefits. I also...
  6. Utilization Review vs Case Management

    I am a Manager at a Medicare Advantage plan and we have transitioned all of our Field Nursing Staff from UR Nurses to Case Managers as we wanted them to view the members Holistically and not just view...
  7. What a blow to my ego

    I want to applaud the "stare" technique. I have used it myself for most of my career. It is useful not only with obnoxious fellow nurses, but with rude physicians, patient family members, etc. Now...
  8. As a Regional Inpatient Manager who is currently reading dozens of resumes at the moment I confess that I tend to skim for key words and phrases. Bullet points make the resume too long. I want to...
  9. What is the best unit to start on in Cardiac Nursing ???

    I started fresh out of nursing school in a Tele/Med/Surg unit and know it was the best thing for me. I was able to get the basics, as well as Cardiac and Pulmonary. You sometimes have patients that...
  10. Medical coding and being a nurse

    Coding is very important if you are wanting to transition into UR, billing, and certain other positions. I would recommend a classroom coding class if you are unfamiliar with coding. Good
  11. Any Excelsior ADN Nursing Grads out there??

    I was an LPN for 16 years. I had 3 general Ed courses and 5 nursing courses. It took about 2 years including clinicals and boards, but I really had to
  12. Any Excelsior ADN Nursing Grads out there??

    I graduated this past year. It allowed me to be promoted to a management position within only a few months. I would recommend this program if you are disciplined, focused, and a self learner. I found...
  13. How do LVN's train to become Case Managers?

    I became a Case Manager in a smaller hospital while an LPN. I also went on to work at 3 seperate insurance companies as an LPN. I applied for positions that required an RN Licensure, but allowed my...
  14. How sad, the staff at York were
  15. New hospital case management position

    I have been a hospital case manager, and am now a Field case manager for an insurance company. I enjoy both sides. The challenge as a Hospital Case Manager is to understand the various insurance,...
  16. Excelsior/ College Network LPN to RN transition

    Yes, if you are a Florida Licensed LPN and pass the Excelsior Bridge program the Florida Board of Nursing will currently allow you to sit for your boards. This is always subject to change, I do...
  17. Where have all the LPN's gone?

    West Central Florida would tell me you are in the Pinellas/Pasco/Hernando county areas. LPN's are utilized here in LTC, SNF and rehab facilities. You will have difficulty being hired to one of the...
  18. Physical Assessments: Do Any Nurses Do Them

    "Damn I was just being thankful for this thread because it gave me an epiphany but it seems to me that being judgmental and sarcastic override being supportive and giving helpful advice especially to...
  19. Physical Assessments: Do Any Nurses Do Them

    In reference to Lauramae 18's comment about new grads, and where they start...... I was fortunate enough to start on Tele, and it was the best well-rounded training I received! You get everything...
  20. CPNE Application

    Thank you for the clarification, I did not know
  21. CPNE Application

    Utilized the CPNE video from Excelsior. Great help! Shows exactly how the instructors want you to perform in lab and clinicals. Also, David's CPNEX blogspot on the web. All of his video blogs were...
  22. Excelsior CPNE

    I was in the second group at York, it was perfect for me. Smaller hospital, staff was pleasant, not overly hustle and bustle. In reference to the CPNE message board at EC....I found them to be...
  23. Excelsior/ College Network LPN to RN transition

    Just graduated with my ASN at Excelsior and sat for my Boards on Saturday. State of Florida required my transcripts from Excelsior be sent after my graduation date. If you are an active/licensed LPN...
  24. CPNE Application

    I received my RN License today in the mail!!! What a stressful few months. To respond to the question regarding the EC video for CPNE, yes, it helped. Pay special attention to the labs, especially...
  25. Physical Assessments: Do Any Nurses Do Them

    Sadly, there are nurses, new and old that do not perform PA. I spent the majority of my 18 years in MED/SURG/TELE. I always carried (and used) my stethescope. Always performed at least a quick head...