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ivyleaf

ivyleaf

Ambulatory Case Management, Clinic, Psychiatry
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ivyleaf has 13 years experience and specializes in Ambulatory Case Management, Clinic, Psychiatry.

ivyleaf's Latest Activity

  1. ivyleaf

    Transition from Hospice to Hospital Case Manager

    OP: did you end up changing to hospital case management?
  2. ivyleaf

    Case Management Nursing (CM)

    40 patients sounds like WAY too many for acute care!! I have only heard of hospital case managers having between 10-25 patients!!
  3. Everything the previous poster said. Start applying.
  4. ivyleaf

    New grad job search in Boston Mass

    BMC has a new grad program. Beth israel hires new grads into their 'clinical nurse 1' positions. MGH is almost impossible to get into if you don't work there as a CNA. I have heard of new grads getting into Brigham and womens as well. Also the steward facilities are worth a try (carney in dorchester, st Elizabeths in brighton). Also spaulding hospital- they have an acute rehab in boston/charlestown, and a LTAC (vents, drips, tele) in cambridge.
  5. ivyleaf

    Which path would you choose?

    what do you mean by "epic job"- is the job in informatics?
  6. ivyleaf

    Infusion nurse or Urgent care?

    I would apply to both, who knows if you will get an interview? Very different roles. Also, how good with you are IVs? Infusion is more scheduled/predictable.
  7. ivyleaf

    New graduate RN programs for mental health

    Yes but im not familiar w CA. In MA facilities will often take new grads into psych since there is such a need and most folks want to go into med/surg.
  8. ivyleaf

    Haven’t found my niche

    agree with MHD. What dont you like about the jobs? the patients? Hours? weekends? coworkers?
  9. ivyleaf

    Conflicted about going to ED

    I Agree with nurse beth
  10. ivyleaf

    Med/surg to ER or Management?

    Will you regret not trying ED if you go into management and stay there? If so, do it. I wish I had done ED but 13 years into my career its much harder to make the switch.
  11. ivyleaf

    New Grad can't determine best route

    I would take what you can get. You might not get the residency position if you wait. Any experience Is helpful and you are getting paid
  12. Anyone who has done both have any thoughts, pros/cons or each, what you liked most/least about each? I am assuming that *generally* inpatient is faster paced/higher pressure, and outpatient has more flexibility. Also thinking there may be more family involvement/pressure in the inpatient setting. But, interested in hearing from others. I am in an outpatient setting now but looking to eventually move into inpatient CM. Thank you!
  13. ivyleaf

    Transition Program Case Manager job shadow

    Cg-- did you get/take the position? I would love to hear more about it since I am looking into a very similar position
  14. ivyleaf

    Case Management Nursing (CM)

    B52: how is it going so far?
  15. ivyleaf

    Any rehab case managers?

    I did a search but couldn't find any posts about case management in an acute rehab setting. I am interviewing for a position next week and wanted to ask some questions. It is at a large rehab affiliated w/a major academic medical center. There are 2 positions open, one on a traumatic brain injury/stroke unit, and another that is split between 2 units- spinal cord injuries & general rehab (ortho, trauma, amputees, burns). The caseload in both is 10 patients and is discharge planning, "care coordination" and a small amount of UR. There is a small admin dept (2 admins for 11 CMs) that helps w/ faxing clinical and some referral stuff. To me this sounds really good since I have been reading about acute CM positions where people have 15-20 patients doing both significant UR and d/c planning w/o any admin help. I am not sure how much care there is to coordinate while the patient is in the rehab, and since the length of stay is longer I assume there is more time to put together a d/c plan (although I imagine a lot of them are more involved/require more homecare services than a lot of acute hospital stays due to the nature of major trauma/injuries requiring an inpatient rehab stay). Anyways, just looking for input. My background is in outpatient community and primary care CM. I am thinking about moving into UR and/or coding/auditing eventually; it seems most of the positions I see are inpatient or would like inpatient experience. I am sure they would prefer inpatient acute care, but I figured acute rehab would good experience as well and a place to start. Thanks in advance!
  16. ivyleaf

    Job change?

    I would apply! I totally identify with being comfortable somewhere, even if you're not happy. But doesnt sound like youve got anything to lose by applying.
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