adlockwood

50 pounds in 90 days is unrealistic and a set up for failure. I joined Medical Weight Loss Clinic and work out with Jillian Michaels DVDs 4-5 days a week and have lost 36 pounds in almost 7 months. That is a healthy average of 5 pounds a month of co...

Hear hear! It is about time someone talked about boundaries. You have a right to a break. As a professional, you do what needs to be done but stop whining about it. If you are unhappy in your current role, MOVE ON! Your co-workers will appreciate ...

The liability insurance is the same as your malpractice insurance - it is cheaper for case managers because you are not hands on. Get it thru Nurse Service Organization

I started this new inpt job, and I knew they were working toward adding more weekend coverage. Now that I have been there 3 months, they added a holiday rotation, and plan on moving to a 7 day schedule in the fall. Exempt employees mean no weekend di...

One of our staff wants to know if it is considered fraud to send a patient to a facility with a script for an expensive chemo drug to fill himself through Medicare and bring it to the facility as a home med, knowing that the sub acute rehab would not...

I posted on the case management forum, but thought maybe someone here would know. If you know a sub acute rehab will not take a patient on an expensive chemo drug, is it fraud to have the patient fill the script on the way to rehab through a pharmac...

Which is exactly why it is impossible to send someone to rehab who needs 6 weeks of Mycofungin at $15,000 - so they sit in a hospital bored to death and killing our LOS, and risking hospital acquired pneumonia. Let's face it - acute care hospitals a...

I don't mind sending my resume to anyone who is interested - unless you plan on ripping it:) Annette By the way, Tampa - I don't think you have much to worry about with that background - it is similar to mine. I was out of CM for 15 years, and my UM ...

I followed up on this today, and it turns out our onc case managers do this frequently and unless the chemo drug is a carve out and billed by rehab in spite of the patient already having it, it's not fraud. Besides, it's not us comitting fraud, it w...

I appreciate your answers - there is always new twists and situations to learn in the world of medicine, insurance and money!

You should write a letter to your manager and let them know of your change of position and end date. You can mail it if you don't want to make a special trip in. Email is not really a classy way to quit.

For the sake of further discussion, I assume the facility doesn't want the patient NOT because he needs the medication, but because they don't want to have the cost in their case mix. My assumption is that SARs have a set reimbursement based on diagn...

It is an oral med, not IV, and it is still prescribed by a Dr. So, I would like to know exactly WHY it is fraud.

I have worked in all of it - from floor nursing to Blue Cross, to Insurance CM, to home care, and now inpatient CM. I agree with those that vote for home care, or if you could get in to a medical home primary care provider office, that would be grea...

If you send your email address to me, I will forward you a copy of my resume. Forget about my educational background, because that is not a key issue - but do look at the way I describe my experience. I did work on key words when I wrote this for my...

I was out of nursing completely for over 8 years, and here is how I got back in: I started working for a home care company that was not certified and needed an RN for supervising the aides and setting up medications for the elderly in their homes. ...

I agree with most of the posts here, however I think it would be good to tell your supervisor you have suddenly experienced anxiety/panic attacks in the past 2 weeks, and that this has never happened to you before. Let her know this was the cause of...

I am sure they will still have a "40 hour" week, but still - that schedule is not a "normal" life. So, if you had an opportunity to work a county job that is truly M-F, no weekends and no holidays, maybe less money - would you do it? I just feel li...

It's legal, it is the same as floor nurses work - rotating thru weekends, only this is for salary. We have already been reminded twice by email our company policy for exempt staff is regular pay for weekends and holidays. We should be hourly with t...

I am thinking the best way to do that is to become a certified diabetic educator. I am leaning that way myself, or I was until I found out my old job in mental health is available full time. I like to specialize in something, and inpt cm doesn't al...

I have done both. I worked for insurance as a case manager for worker's comp and no fault auto - those cases are long termers, meaning they are the medically complex and usually have psych components related to long term disability. It can be hard ...

I am a float, so that means I cover for both nurses and social workers on our CM team. Here's a question - what exactly is an inpt case manager supposed to do when you get a call from a family member telling you your patient, who is an adult and liv...

I must say that external case managers are more involved in "real" case management. Inpatient CM is not very satisfying in that you spend 2 hours just figuring out who is on your patient lists and where they are in the process, plus the nurses do the...

Here's an odd dilemma to have: I have 2 potential jobs, and I need some opinions about pro and con, and which way to go. First, some background: I am 50, 22 years experience with critical care, case management (insurance), and home care/mental heal...

In my opinion the question is, do you want to not see patients, and just work with computers, charts and data? That is what this would entail.