dria

dria

home health, peds, case management

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All Content by dria

  1. Neonatal/Pediatric case mgmt./disease mgmt.

    dria replied to Humbled_Nurse's topic in Case Management

    i know the lisle site well, i work there! i reiterate that there is no peds-specific program that bridges the gap between optumhealth complex medical conditions nicu program and the optumhealth case...

  2. Anyone working for Humana?

    dria replied to CJLESNER's topic in Case Management

    i disagree. i've been with uhc for a number of years, and i find my caseload to be very manageable. we tried the call center thing with the the dialer technology, it didn't work out, and we are no...

  3. Neonatal/Pediatric case mgmt./disease mgmt.

    dria replied to Humbled_Nurse's topic in Case Management

    optumhealth/uhc does not offer any pedi specific case management programs. they do have the antepartum and neonatal programs, but once the infant reaches age one, they go into the general case...

  4. I want a job as a case manager in a hospital

    dria replied to lifein08's topic in Case Management

    the catch with the ccm cert (and i believe the ancc cert as well) is that you must have actually worked as a case manager in order to even sit for the

  5. Good side job for RN?

    dria replied to neatnurse30's topic in General Nursing

    bartending is not nursing. nursing is not batending. stop it. stop it now!!!!!!!!!! i've been a nurse for 10 years, spent 7 years in the restaurant industry before that...including pouring drinks and...

  6. Problems encountered with DMs

    dria replied to luvmyworld's topic in Case Management

    the op has clearly stated that she does work for an insurance company, aka health plan, so she/he will be calling the member after d/c. i do understand that the role of the cm varies by setting, and i...

  7. Problems encountered with DMs

    dria replied to luvmyworld's topic in Case Management

    were the admissions emergent or scheduled? what was the admitting diagnosis? when you f/u with the member after discharge (i assume you do since you know they are inpt) read the ur notes. ask the...

  8. Business Knowledge needed for CM??

    dria replied to lisa41rn's topic in Case Management

    it absolutely makes sense that a business background is useful in cm. most cms work in an environment that is much more of a business environment than a healthcare environment. having prior function...

  9. Telephonic Case Management

    dria replied to surfchic's topic in Case Management

    my experience has been that hospital case managers work onsite. insurance companies and companies that specialize in cm are usually

  10. Does Methadone really help prevent relapse?

    dria replied to sharona97's topic in Nurses Recovery

    so sorry to hear about your son, i know how hard it is to see a loved one go through this. i also know how hard it is to be there. i think ms papa has given you some great information. here's...

  11. Am I wrong?

    dria replied to emmy41lgpn's topic in General Nursing

    i think it less lack of interest than the fact that you were already given sound feedback...really nothing more to add than what has already been said. i agree with the others, you were most certainly...

  12. Medicare Competitive Bidding

    dria replied to BahaMamamaRN's topic in Case Management

    luckily, i don't have to deal with the medicare population...however, since one never knows what is around the corner, i like to keep an ear to the ground... i am interested in learning the finer...

  13. CM Certification- how long did you take to study for your CCM exam?

    dria replied to Lizzy6's topic in Case Management

    i'm assuming that you've already tried amazon and ebay? other than that, i don't really have any suggestions. have you looked into your employer's reimbursement policies? maybe you can get a few...

  14. Inhumane Supervisors/Managers-LONG

    dria replied to pagandeva2000's topic in General Nursing

    glad to hear that you are getting some relief!!! i find it completely absurd that nurses aren't allowed to wear sneakers....i've never heard anything like it! in response to your query re: ada-it's...

  15. NFLPN Health Discount Card??

    dria replied to rockexrolloh's topic in LPN, LVN Corner

    don't get me wrong....free is my favorite 4-letter word (one of them anyway!!) good luck, and i hope it works well for

  16. NFLPN Health Discount Card??

    dria replied to rockexrolloh's topic in LPN, LVN Corner

    took me about 2 seconds, thanks to google: http://www.nursehealthplans.com/nflpn/mednet.php looks like it's geared toward services that are not conventionally covered under a medical plan. looks to...

  17. Illinois License Concern

    dria replied to sharasu_rn's topic in International Nursing

    il runs a two year licensure cycle for rns. everybody's license expires on that

  18. New job update

    dria replied to Tangerine Lipgloss's topic in Case Management

    good to hear from you both! sounds like things are going well! the best advice i can give you right now is to hang in there...all of us cms started out just liek you did...brand spankin new...it is...

  19. The other health care issue: Getting costs down

    dria replied to HM2VikingRN's topic in Activism, Healthcare

    re-read the article ksilty..... you are correct that that is the case when a consumer uses a contracted or in-network provider. however, when a consumer uses an out of network provider, the insurer...

  20. Do you really need a certificate to get a CCM?

    dria replied to JwagRN08's topic in Case Management

    karen is correct. no certificate is required to sit for ccm, only an eligible license or certification (please note that certification is defined differently than certificate.) the employment...

  21. starting in cm

    dria replied to STORKRN93's topic in Case Management

    good for you!! welcome to

  22. Private Duty Nurses...Let me know if I am insane please!!

    dria replied to radrook's topic in Private Duty

    why would the family need to buy anything?? they have clearly manipulated the nurses into doing this for them. so unhealthy for all

  23. Does HH keep patients indefinitely?

    dria replied to Jo Dirt's topic in Home Health

    having a teachable adult only comes into play when medicare/medicaid is the payeor. (if im remembering your age correctly...i'm guessing it's close one way or the other) and what i'm hearing here is...

  24. LPN as Case Manager?

    dria replied to dsanto3's topic in Case Management

    ah the drawbacks of the written medium...hard to tell when one's tongue is placed firmly in cheek!!! my concern was that i had been misunderstood in my initial post, and i definitely didn't want this...

  25. LPN as Case Manager?

    dria replied to dsanto3's topic in Case Management

    ah geez... let me get my foot out of my mouth so you can understand me. this is not meant to be an rn vs lpn discussion and i apologize if i offended you...totally not the point... and if i find out...