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geriatrics, dementia and like, insurance
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olive11 has 22 years experience and specializes in geriatrics, dementia and like, insurance.

olive11's Latest Activity

  1. olive11

    Law firm going after unpaid OT

    JustBeachyNurse, I've been an exempt employee paid salary for the last four years and was working hourly prior to that. Both job types involved working mandatory OT but only the non-exempt job paid for the OT. The salary job did not because working more than 40 hours per week was not only the norm but an expectation from our bosses. We weren't paid additional pay or bonuses or comp time for any additional hours worked beyond 40 per week. I know laws were changed in recent years but whether that makes me eligible for unpaid OT time as a salary (exempt) employee, I don't know. I was just curious as to whether other nurses had received letters like this or had experienced a similar situation and what their thoughts were about it. I haven't responded to the attorney or joined the lawsuit as of yet.
  2. olive11

    LPN being forced to introduce self to pt's as a CNA

    I don't know about other areas, but here in the San Antonio area, LVNs (LPNs) are being interchanged with CNAs (called "techs) in the hospitals. While BON has licensed LVNs with all the duties and responsibilities of an LVN, they are not recognized as LVNs per se in the hospitals. You get paid a slightly higher wage and you have slightly more responsibility but many CNAs (techs) have been trained to d/c IV lines and do many of other duties that were strictly for LVN or higher levels of nursing. I understand what you're saying. You work for the hospital and you obtained your LPN and continue to work for the hospital. The hospital increased your pay and changed your name tag job title but your boss doesn't want you introducing yourself to patients as an LPN while you working because they don't hire LPNs as a job category. They hire RNs and CNAs. So while you are having to perform the same level of care an LPN would perform, you can't introduce yourself like that to patients to avoid "confusion". It's ridiculous. I don't know if that was stated in your hiring paperwork or made clear when your job category was changed but I understand why it's upsetting to you. You worked hard for the LPN and deserve full credit for it. If you truly like working there, then just leave it be and continue until you finish your RN. I'm sorry they are treating you this way but it appears to be the standard for many hospitals now. Taking advantage of LVN/LPNs and utilizing them as CNAs AND nurses (combo!).
  3. olive11

    Finally Leaving Nursing...For Good!

    Although I'm not an RN, similar experiences have kept me from wanting to pursue my nursing education beyond LVN. I even went so far as to get a Bachelor's degree in a non-nursing field. I currently work in insurance review utilizing nursing experience and judgment but even that has not satisfied. I stopped bedside nursing several years back and although I also loved my dementia patients and working with patients directly, everything else just left me feeling burned out. I'm considering switching fields altogether but it's scary when all you know is the medical field and it would be essentially starting over. I wish you the very best and hope your new direction is exactly what you need to find joy and satisfaction in your career.
  4. olive11

    Law firm going after unpaid OT

    Has anyone received a letter from a law firm requesting you to join a lawsuit for an unpaid wage claim? The law firm (out of Houston, Texas) got my contact info from the BON and sent me a letter asking if I'd like to participate. I'm not sure about it and was wondering if anyone else had received the same kind of outreach or had experience with the outcome, etc. The letter states the attorneys get paid first (of course) which includes a % of the settlement (from 33-1/3 to 40%) plus fees and contingencies if necessary. It almost seems like the attorneys will use nurses to get a settlement but the nurses will see very little if any money as it will all go to pay the attorneys. I don't know for sure so I'm reaching out to everyone to get some feedback. Thoughts? Advice? Suggestions? I searched up the topic on the allnurses site but couldn't find anything that addressed this particular situation. Thanks in advance. :)
  5. olive11

    Taking notes during an interview

    As someone who has interviewed for both nursing positions and office based positions with corporate companies, HR and/or the interviewer do not look down on people who bring prepared questions and ask to take brief notes. The understanding is that YOU are interviewing them as much as they are interviewing you. There is also the expectation that you are interviewing at more than one place. Practice your questions ahead of time so you can use your list as a reference but speak primarily from memory and maintain good eye contact. Look up reviews about the facility/agency/provider to get some third party insight when writing your questions. For those who said it reflects poor memory, I'd have a hard time trusting a nurse who didn't take notes during shift change report. Sure, you can refer to the chart but with so many things to manage, it helps to have a quick reference for important things to get done or focus on during your shift. Same kind of thinking here. You want to remember the important stuff. I wish you the best of luck. Interviewing can be intimidating and overwhelming. I hope you land a terrific job that fits YOU.
  6. olive11

    Healthbridge Care Manager

    Hi Debra, I've never worked with Healthbridge specifically but I did work with Enterprise Health Staffing doing the same type of position. I tried searching for HealthBridge because I found some job listings for the care manager position and I'd like to return to doing it. However, I don't know who they are or anything about their company. The search just took me to a job listing site with the ability to create a profile and search jobs. Have you been able to find out any information about Healthbridge? If you have, I'd like to know more if you're comfortable sharing the info. Thanks!
  7. olive11

    Humana Senior Bridge

    I believe the Care Manager role was created by Humana to help control costs by diminishing the number of patients returning to the hospital within the first 30 days of discharge from a hospital or rehab facility stay. Since Medicare frowns upon re-admits of patients to the hospital within the first 30 days after discharge, they can refuse to pay for readmissions and can even order an audit of the patient's records to find out why the patient would need to be re-admitted. All of this can add up to big charges for the insurance company carrying the patient. The care manager is there to be a patient advocate of sorts and to help with patient concerns and needs without actual hands-on nursing. I don't know who pays for it, but I do know that the patient (member) has to be qualified for the care manager program. There is criteria they need to meet (diagnosis, prognosis, recent medical history) as well as what is in their particular insurance plan. fbesn is correct. Medicare doesn't pay for care managers. This would have to a covered benefit offered by the insurance company. Since Humana offers Medicare plans within the Humana system, this is how they are able to offer the care manager benefit and are still subject to Medicare oversight.
  8. I currently work as a Care Manager for Seniorbridge through Enterprise Health Staffing. It's considered part-time so it's best to keep a full-time job going unless you can afford to work less hours. I was hired by Enterprise and I'm paid by Enterprise. However, I do wear a Humana ID when visiting members. I do have access to a Humana email account for updates from Humana regarding Seniorbridge. The majority of my communication comes through my personal email directly from Enterprise. There are several layers of supervision/management. The two most immediate, your supervisor and nurse manager, are the ones in communication with you the most. The area manager is also available if you need additional help. I don't know that Seniorbridge is hiring directly, at least not in my area. From my understanding, the agency handles all the hires to fill the positions for the program. I've had the position for a month so if you have any questions regarding what the job entails, etc, I'd be happy to answer them (if I'm able). My location is Texas but I believe there are Care Managers all over the US. The pay scale may differ depending on the location and agency that hired you.
  9. olive11

    Wound bed appearance with a wound vac?

    Slough is easy to remove using a q-tip. It's stringy, usually yellow in color, and won't "stick" to the wound. If it doen't come up easily, even after rinsing the wound with sterile saline, then it may be adipose tissue and should be left alone. Go to www.kci1.com and click on the education link. There are videos, photos, and docs with full training on there for each type of VAC. Most wound VAC companies do NOT have nurses working the field anymore as reps due to cost constraints. Although the reps, territory managers, and such are well trained, they are not nurses. You can find nurses "in-house" when you call the 1-800 number for KCI and when the nurse calls the agency/clinic/office for wound care updates. I recommend talking with them. They are highly trained, have constant updates, and are happy to talk with you about your concerns. Good luck!
  10. olive11

    work from home opportunities for lpn

    One more thing: if all else fails, contact a healthcare recruiter and tell them what you're looking for in a job. You can find tons of recruiters on LinkedIn. If you aren't on there, go to the site, create a free profile and account and search for recruiters and jobs. Actively network. This can make a world of difference in the number and quality of jobs you find.
  11. olive11

    work from home opportunities for lpn

    Not all nurse work from jobs are telephonic. However, they are all computer based. You'd need to have access to high speed internet, not wifi, so you'll have to be able to connect directly to the modem for your work even if the rest of your home utilizes wifi. You'll need a private work space, generally one that can be locked and/or is away from home traffic to protect HIPPA. Some jobs require a ground telephone line (this is not a priority for jobs that aren't telephonic). You'll also have to work within the basic office hours for the company but most have flexibility within those hours. This means no working around the clock whenever you want but within a basic flexible schedule. For instance, basic office hours are 9-5 so you need to start work no later than 9am and end no later than 5pm BUT you can start as early as 7am and end at 330pm. Make sense? These are things to think about as you search for telecommute/remote/work from home jobs. Your best bet for these jobs are insurance companies, DME companies, and Medicare appeals companies. Jobs can also be found in hospitals and clinics but they are harder to find. If you don't want to work health care, you can find work from home jobs in the travel industry, with American Express, credit card companies, and sales. Those are usually telephonic and computer based - so you're on the phone with a headset all day. Good luck!
  12. olive11

    Galen vs Excelsior?

    Thanks for the responses! I'm in Texas so licensure in California wouldn't be a problem. Texas has an agreement with Excelsior. I like the accessibility of Galen because it's in San Antonio which is a short drive for any assistance and I work near the campus. Excelsior is tempting because I've already done nearly everything except actually enroll and start classes. My main concerns for Galen are cost and acceptance from local employers. Someone told me the VA doesn't hire Galen nurses (I have not plans to work at the VA), but, if you pass the boards and have your RN, does it matter where the education came from? You need to know the same info to get past the boards so whether you went to community college night school or the Ivy league, you still need to pass. For those going to Galen, how difficult was the admission process? I was told there was a pre-test, they review your prior GPA from submitted transcripts and look for a minimum 2.5, and require FBI fingerprinting which can take up to 45 days to get done. I asked about actual clinical sites but the sales person didn't tell me anything specific. All she said was that with more than 1500 students and over 100 sites, it would just depend on the site itself. I was hoping to hear actual hospital/clinic/nursing home names to get an idea of who allows them in with their students. I'd like to hear from actual applicants. The sales pitch at any school will generally leave much unsaid. As for Excelsior, I've "heard" that the time for a clinical site to complete the program can be a waiting list of several months long. I'd hate to finish my program in less than a year only to have to wait an additional six to nine months to actually do the clinical so I can graduate and take my boards. I'm still considering both programs. I want to get started as quickly as possible and the start date for Galen is October 4th. I'm running out of time to get all the paperwork submitted. Any more suggestions, advice, or information would be GREATLY appreciated. Thanks in advance!
  13. olive11

    Galen vs Excelsior?

    I had an informational meeting today at Galen in San Antonio, Texas, and the program sounds promising. Expensive. Fast paced. The lab looked comprehensive and the classrooms are up to date with tech. There were tons of resources in the student library and they seem to be a quality school. I've also checked with Excelsior and have had them review my transcripts, etc. I'm torn between which school to enroll in. I would be doing online courses with Excelsior or the hybrid/online with Galen. If you have experience with the either program, do you mind sharing pros and cons? I'm conflicted here and could really use some input from actual students or former students. Thanks!:)
  14. olive11

    I hate being a new grad lpn

    Depressnewgrad: the unfortunate part of nursing that you don't hear about in school is how little real world training you will get when you start working. Hospitals are pretty good about training but it's not a guarantee. Long term care and home health will generally give you one day - if you're lucky! - and then you're one your own. I've had LTC's have me clock in on my first day, show me the med room, hand me the keys and walk away. It was trial by fire in so many places. Yes, it's scary and yes you have the potential to make mistakes but even experienced nurses face that. My best advice would be to take careful notes, ask questions, and jump in. Take your time and use your best judgement. You'll grow and learn and develop faster than you realize right now. It's rare to find a facility that will do extensive training. They are too short staffed, too busy, and have too many patients and residents to care for to take more than a day or two to train. They pretty much expect you to jump on and go for it. It's not the best plan of action but it's the reality of the industry. Good luck!
  15. olive11

    LPN working as a CNA

    Ugh. Talk about an administrator taking advantage of staff. He's not willing to work with your scheduling needs. He needs to staff CNAs and has decided to use you (probably because of your past experience, your new nurse status, and your scheduling needs) to fill the CNA gap. Myself, I'd find a place that could use my nursing skills that I worked so hard to obtain. There are tons of long term care facilities and nursing homes that would hire you. Look into them and be sure to explain your scheduling situation so you can be clear from the get-go. I've had great DONs and Admins and I've had terrible ones so I know what both sides can be like. Focus on what's best for you and your future. Good luck!
  16. olive11

    Medical coding/ LPN...

    Andreasmom2, I don't know about your area but here in Texas there are several insurance companies that hire LVNs to do case management and utilization management. (Humana, Aetna, Superior Healthcare to name a few). I would also check and see if you have any Medtronic or the like type of companies where you are, they hire LVNs also for supervisory and management positions. Good luck!

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