Copper4

Copper4 has 25 years experience and specializes in Cardiac, Utilization Review, Geriatrics,.

Latest Activity

1. Working from home as an RN with no experience

   Copper4 replied to natnat122's topic in Job Hunt

   Hi, I am not sure of your background, but have worked in home based roles in a couple of different jobs. I would not recommend doings so without significant "hands on" experience under your belt. Most at homes jobs are relying upon nurses that have...

2. HELP! Job offer from Mckesson (disease management)

   Copper4 replied to pshs_2000's topic in Case Management

   I think I am late here. I worked for a managed care company doing disease management, as with everything there was both good and bad. I have always enjoyed the patient teaching aspect of nursing, so that was a positive, especially if an eager client...

3. Medicare Observation vs Inpatient

   Copper4 replied to lisa41rn's topic in Case Management

   I am from the Northeast as well, but only work case management per diem. I knew RAC's were coming, but have not heard anything more in terms of the effect on payment. How has it been working at your hospital? Are they recouping money, or requesting ...

4. Medicare Observation vs Inpatient

   Copper4 replied to lisa41rn's topic in Case Management

   My understanding is that Observation status is considered to be an outpatient status. It drives me a little nuts when people state that she was "... admitted to observation status", when in reality she has not been admitted at all. The patient did...

5. shadowing opportunity following interview opinions wanted

   Copper4 replied to INDIGOSKY's topic in General Nursing

   I have requested an opportunity to shadow with a potential employer in the past- I feel it gave me a much better understanding of the expectations of the role I was looking to fill-- I would take it as a good sign- be yourself, ask intelligent questi...

6. Start as a case manager...huh?

   Copper4 replied to shynurse's topic in General Nursing

   I really think it depends on what type of case management you will be doing. I have worked in acute care case management as well as an insurance company. i feel by overall knowledge about healthcare and processes has grown over the years, because yo...

7. ? re-med "a"

   Copper4 replied to ktwlpn's topic in Geriatric

   If they are capable of giving out their own meds, then why do they need rehab-- I am still in the learning phase about the new MDS twists, but complex medical patients are important, and I think ADL needs are going to be weighted at higher rates. i t...

8. Is this "fraud"?

   Copper4 replied to adlockwood's topic in Case Management

   I am not sure if this would be considered fraud or not. The subacute facility I work for no longer allows patient's to bring any of their own medications. Apparently the lawyers have determined that we cannot do this ( we did in the past). My under...

9. Denial

   Copper4 replied to SuesquatchRN's topic in Geriatric

   Is that something that can be detailed in a living will? i know I need to put my desires in writing, my husband will totally not get it. Good luck with this case. We have a resident with very debilitating MS, they were just able to extubate her , ag...

10. Non-clinical nursing - What is out there?

    Copper4 replied to Sarah27's topic in General Nursing

    I really do not think case management is the place for you, at least not in a hospital or insurance environment-- case managers are totally involved with the health care industry/business, and have to be very aware of what is going on and how to adhe...

11. advice

    Copper4 replied to Maco's topic in General Nursing

    I agree with a couple of the other posters- and also am sorry for your Dad- I do believe also that your step mother is the legal decision maker if no others have been defined-- i would suggest you speak to the doctor or nurse, and ask them to speak ...

12. How many inpatient case managers work 7 day schedules as exempt employees?

    Copper4 replied to adlockwood's topic in Case Management

    With the concern for RAC's, i think the weekend staffing will be increasing. The concern being that medicare can review for appropriate level of care in retrospect and recoup monies if not appropriate. I am only per diem in case management, work ab...

13. Case management from home

    Copper4 replied to bbluvnursing's topic in Case Management

    I was fortunate to work from home- I started with the company, out at the hospital in the mornings, then in a cubbie in the afternoon and hated it-- then, the company decided they would save significant money setting our department up from home-- so...

14. Case management from home

    Copper4 replied to bbluvnursing's topic in Case Management

    You didn't mention what type of case management you will be doing? I was home based for 6yrs working for an insurance company- I would go to the hospitals in the morning to review for utilization purposes, but then from home to contact Md's and sma...

15. anything you wish you were told in nursing school that you werent?

    Copper4 replied to karyan06's topic in General Nursing

    No matter what your role, if you are thoughtful and smart, and always do what is best for the patient, you will do fine..(.if that means asserting yourself with a doctor or family member so be it-you are doing your job):)