UWRN07

Good luck to you!

Here's another.....again, not an insurance company per se, but getting your foot in the door. RESTORE REHABILITATION, a GROWING case management company has an IMMEDIATE opening for a EXPERIENCED MEDICAL CASE MANAGER, to work in the FIELD with injured workers. (Bilingual a PLUS!!) Great, SUPPORTIVE work environment, WORK FROM HOME, excellent BENEFIT package, salary position, health, 401K and more. EXPERIENCE IN THE WORKERS COMPENSATION FIELD and/or Catastrophic Case Management field a huge PLUS!!! MUST BE A REGISTERED NURSE with current license and have dependable transportation. Come be a part of our WINNING team!!! Please send your resume to Doug Schisler, [email protected] or Pam Anthony [email protected]

Here....I found this posted as of May 21st. It's not for an insurance company, but might get you some needed experience. Nurse Case Managers Needed The Medical University of South Carolina's Medical Center is seeking Nurse Case Managers to coordinate care plans to achieve clinical outcomes in order to discharge the patient safely. These positions manage the plan of care throughout the inpatient hospitalization to ensure the efficient movement of the patient through the hospital and to serve as a change agent to improve clinical care, customer satisfaction, and financial outcomes. The Nurse Case Manager functions as a clinical expert and resource related to discharge. This position requires a Bachelor's degree in Nursing or a related field from an accredited school and three years Registered Nurse work experience demonstrating leadership. Licensure as a Registered Nurse by the state of South Carolina or compact state required. Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider. Certification in Case Management preferred. We offer a competitive compensation and benefits package in a progressive environment. All interested applicants should complete an on-line application at http://www.muscjobs.com. Please reference job #s A008610 and A008593. Medical University of South Carolina Medical Center Human Resources 1-800-468-7276 http://www.muscjobs.com "Promoting Workplace Diversity An Equal Opportunity Employer"

Do you only want to do case management or do you also have interest in doing utilization review?

Are you doing an assessment including evaluating their motivation and stage of change? I find that this information really helps me figure out what makes someone tick or not tick. For instance I usually say, "no one wants to have uncontrolled diabetes so tell me why you think your diabetes is uncontrolled." After they tell me why they think theirs is, I come out and ask them, "So are you ready to do anything about that?" If they tell me yes, then I work with them to set a SMART goal(s), if they say no then I give them information about diabetes related complications and their risk. I let them know what is likely to develop if they continue to maintain an A1c of 10%. Ultimately it is their choice whether or not they work with you and while it can be very frustrating, don't give up. Eventually you will find a system that works.

When I was in my last semester of Nursing school one of my Profs had a brief commentary in one of her lectures about how us nurses should sign our credentials. She told us that we should always sign our highest level of education first, then credentials, then special certification. She also made it a point to tell us NO PERIODS. Ha-Ha, I loved her! As in previous posts, the idea is that they can't take your degree from you but they can take your RN (hopefully none of us will ever have to worry about that though). I have to admit that it does drive me crazy because it really makes us look less professional. Like other members of the medical profession are saying, "Look at those dumb nurses...they don't even know how to sign their own names!" Why can't the ANA just come out with a position statement or something and put an end to this whole argument! That's what I think anyway. GO BADGERS!

A friend of mine (who has been an RN for ages) and I discussed this last night as well and what I told her is that what really bothered me is that not one step in the process was a good way to do it. So lets say I had an infusion pump and the right bag, I could get by with having to mix it myself, not a problem I've done that before. What bothered me the most was why even put that patient through that and expose them to potential harm when we have a perfectly good infusion center about 10 minutes away from our clinic. In addition, the provider never even asked the patient what she would like to do. If I was the patient, I would certainly have chose to go to the infusion center. I am going to see if I can find a policy or procedure regarding this today. Will keep you posted.

Are there any military mom's that you are friends with that would be willing to watch your child on the off days?

I am a nurse at a Family Medicine clinic. It is also a residency program affiliated with a University Hospital with many resources, including an infusion center. Today I was asked to give a patient IV Vanco 1 gm via PIV. I haven't been working at this clinic long, about 8 months and have only given Vanco via PICC with an infusion pump. So, I find out that there is no infusion pump and this would need to be given after calculating drip rate. Then I'm given a vial of Vanco powder from our pharmacy who had to special order this and find that there is no package insert and the pharmacy does not make the bag. After that, I go to look at our IV supplies and find that we only have 1 liter bags of fluid and I would have to withdraw the extra fluid from the bag before adding the reconstitued Vanco. Now, it is pretty obvious to me that this clinic is not at all equipped to handle this situation and this is poor patient care, especially with a top notch infusion center available. I told the ordering provider that I was not comfortable doing this and asked for this procedure to be set up at the infusion center. I definitely caught some heat today, but bottom line I felt this was a huge patient safety issue, not at all best nursing practice and I believed it was the right thing to do. Please tell me your thoughts and if any of you would have given the IV Vanco under these conditions (keeping in mind you have an infusion center available to you) Maybe I was just spoiled in the past.