I would still continue to apply for any job you are interested in, even if you don't have all the requirements. A strong healthcare background is very appealing to organizations looking to hire...
I am an acute care CM and I work for 2 different hospitals per diem. Each hospital is interpreting the 2 MN rule differently. One hospital is extremely strict and requiring a Medicare Attestation...
Hi, I'm interested in similar experiences where a family refuses the bed offer for a particular SNF. We always ask for 3 choices from families and place referrals. Often times a bed is offered at...
Hi I had a question regarding switching from Obs to Inpt. In my previous experience, the physician was the only one who could make this change. In my new position, the CM notifies Admitting to make...
Thanks for the suggestion. I just started this month and was told they are planning to get Interqual sometime this year. The CMs do both UR and discharge planning. So far I find the most challenging...
I'm a new Hospital Case Manager and my facility does not use Interqual or Millman as a guide when determining Inpatient Vs Outpatient status. It's all "clinical judgement" at this point, and being...
EllbellRN replied to MoriahRoseRN's topic in Case Management
I know exactly what you mean about feeling dumb with the docs. I never had a problem calling docs when I was a nurse on the acute care floor, and I have a lot of personal experience dealing with docs...
EllbellRN replied to MoriahRoseRN's topic in Case Management
I just started a new job as a Hospital Case Manager this week. I have both Acute Care experience and Case Management experience for an insurance company. Both are helpful, but I don't have any direct...
I also worked for UHC for 5 years as a work at home CM/DM Case Manager. I loved it and the only reason I left was to have a baby and become a full time mom instead. I worked with an amazing group of...
I worked at home as a Telephonic Case Manager for UHC for 5 years and absolutely loved it. It was challenging, rewarding, and a little boring at times, but I loved it. I only left because I had a...
EllbellRN replied to EllbellRN's topic in Private Duty
Great point! Thanks so much. I need to get used to charting in homecare, as opposed to charting by exception in the hospital. I'll take all the pointers I can
EllbellRN replied to EllbellRN's topic in Private Duty
Thank you both so much. I did reach out to the RT who did a Vent inservice for me and he said some patients can find manual bagging a relief to anxiety. He said he would only do it for 2-3 minutes...
I recently oriented on a case for an adult who is on a vent. I was told that he periodically gets anxious and asks the nurse to manually bag him for long periods of time. The nurse orienting me said...
EllbellRN replied to AnaCatRN's topic in Private Duty
I completely applaud ventmommy and would take a case in her home any day. I am an RN and the mother of a child with complex medical needs receiving 70 hrs/week of private duty nursing. I have...