knurse8

I know this is a very late reply but I did land an ICD coding position without earning my CPC. This company preferred nurses over non clinical coders (CPC' CCS). They provided in-house training that was very organized and structured. But equally designed to progressivly squeeze out nurses that did not meet thier high production quotas & standards. Im glad I did not invest in getting my CPC license because I learned even though I could do it, I REALLY REALLY disliked it. Most recently I took a on line HEDIS training course and combined with my QA/Admin experience landed a position for the 2019 season. Down side is it is non salary IC and pays strickly per chart/review. Think Ill do better and be more productive on good old self motivation vs pressure of high quotas. Id love to hear an update on what yor doing, we all have to find our niche. WFH is hard work, all those physical skills get flipped into added mental strain. I dont miss comutting in traffic and enjoy the perks of my dog laying at my feet while sipping my coffee in PJ's. Hope your doing the same

UPDATE to my original post. I did land an ICD coding position without earning my CPC. This company preferred nurses over non clinical coders (CPC' CCS). They provided in-house training that was very organized and structured. But equally designed to progressivly squeeze out nurses that did not meet thier high production quotas & standards. Im glad I did not invest in getting my CPC license because I learned even though I could do it, I REALLY disliked it. Most recently I took a on line HEDIS training course and combined with my QA/Admin experience landed a position for the 2019 season. Down side is it is non salary IC and pays strickly per chart/review. I dont respond well to the fear based whip cracking management and know Ill do well and be more productive utilizing internal motivation. Work from home positions are incredibly tough to land!!! Ill I can suggest to other nurses is keep throwing resumes, job search key words like RN "remote, virtual, work from home", dont just use one platform to search- i found many jobs that were off Indeed and really liked Simply Hired. Do alot of research on the various WFH niches that exist and are in demand and keep throwing resumes specifically tweaked for the job specifications. Read employee reviews of working for the company for good and bad insights, i like Glassdoor because i noticed some companies pay Indeed to supress reveiws cause they know it will scare away nurses. If your fortunate, eventually (4-6mo ave) you might find the a great company! You will still work work hard, but enjoy the perks of your dog laying at your feet while you sip coffee in your PJ's.

I finally left hospice after 7 years. I never thought Id leave my perfect calling and still feel sad about abandoning pt/families and never using my hospice knowledge, talents and gifts ever again. Unfortunately there are a lot of Hospice companies that are in the business of "caring" to reap huge profits. Hiring staff is just the 'means to the end'. Add to the mix poor management, lack of support/training, and over worked staff as a recipe for failure. And while all areas of healthcare are overburdening nurses to the point of burn out, hospice has that added emotional component. What other job would you be driving home and get a call pt had bad fall, so you turn your car around go back to assess and treat, get home 2-3 hours late and still have charting to complete, then go to death pronouncement (because its you favorite pt and the on call nurse is busy w another death) . This specialty attracts nurses with compassionate hearts, but then bleeds them dry. Now I make a lot less money, but in exchange I'm taking better care of myself, sleep better (not being attached to my phone and turning it off at night!!!) While there things I don't miss like driving in traffic, bad corporate leaders/policies, office drama....I mostly walked away from the business of hospice. Hopefully I can return to end of life care as a volunteer or doula when I retire. Overall take away is positive, many pt's/family stories are forever etched in my memory and I'm so grateful for the experience and extraordinary life lessons.

Thanks for the information Pixie.RN! I found a Trauma Reg. job posting and applied. Will keep on my list of options in this competitive virtual RN market!

After reading about data abstraction and applying for a few positions I discovered on another thread that these jobs will slowly disappear due to real time extractions being coded into software(?). It's really helpful when those on the "inside" can provide insight and guidance. I having been doing a lot a research trying to decide how to best transition into a REMOTE/ WFH- work from home- position. It appears that 20years of nursing with diverse clinical background (NICU, Ped's, Home Health/Hospice, case management, QUAPI, and admin experience is not enough to crack the door open. So time to pursue some certifications in Coding and Auditing. I'm trying to decide between the 2 organizations: AHIMA: CCA- Certified Coding Associate and then follow with CDIP- Clinical Doc Improvement Practitioner. Or AAPC: CPC- Cert Professional Coder and CDEO Cert Documentation Expert. When I search these keywords on Indeed the credentials seem in demand, just hope the extra time effort and money translates into a landing a good job! Any insider direction, insights or pointers WELCOMED!!

Please HELP! Nurse with 20 years experience that includes in/out patient clinical, case management and administration. Despite what I feel is an attractive resume, I'm finding it challenging to land a work from home position. I've omitted case management with insurance companies and instead really like the idea of chart auditing, data abstraction and coding. I have some experience with all this but get turned down because I lack experience with specific Core Measures. And for coding jobs employers want CPC or CCS cert with 1 year experience. So after some research I'm curious if I obtained my CPC OR CCS and then also took a course on HEDIS, would this combo land me a job???? Just want to find a niche that will create income of at least 50k. Greatly appreciate any guidance or insights

Stay away from Silverado Hospice! I worked there for over a year and while they pay great and draw you in with their Love>Fear philosophy and boast about their high standards ... its a front. The reality is just the opposite. Corporate is out of touch, upper management was either incompetent or full of snakes. The local office is nice looking but again management is a revolving door and clinical staff retention is poor (they are constantly placing job ad's because of it). Several times I witnessed case managers would be dumped with case loads of 25-34 patients because nurses would quit. Very unsafe pt nurse ratios and a lot of pressure (dare I say coercion) for nurses to admit pt's who did NOT meet hospice criteria. I would never recommend Silverado. And the stories were no different talking to other locations. If you do interview be sure to ask how long staff members has been with company, doubt it will be over 2yrs. Ive never seen a company turn and burn employees from all positions as fast as Silverado.

Honey your going to see i mixed bag of nursing practice where ever you go. Count your luck stars and soak it up if you get a great preceptor, but don't discount the value of poor role models. You can learn alot from the them about what 'not to do' and help better define the nurse you want to be. Never fun or easy but I promise the transition from new grad to experienced nurse will go a lot smoother if your less judgmental and more curious .

Experienced hospice nurses are in high demand, find a new hospice that has a dedicated On Call nurse! So important to have your downtime and weekends, I work for a hospice that does not require CM's to take call.

Fellow colleges why so upset? I would'nt expect a comedian who's sole focus is hair, makeup, wardrobe and reading kindergarten level cue cards from a teleprompter to know the difference between a sphygmomanometer and a monkeys behind! Second thought maybe I should give her the benefit of doubt she's had a long carreer in entertainment, she would most likely be able to correctly identify an ******* !

I live in Texas, worked for a big non profit hospice pay was low CM salary $60,000 /$26/hr but you had your weekends holidays free. & case load 15 pt's LOTS of mileage. On call paid more, $31/hr plus $2 diffs for wkend and after midnight. Just switched to smaller hospice paying $35/hr

RE: Twedles reply no 363 "pulmonary toilet" this has been racking my brain and producing strange images. Would you kindly elaborate?

"I did a PRN visit one night for a youngish woman with lung Ca using TD Scop for routine symptom management, she got a bit dry and developed mucous plugs with some significant atelectasis. She didn't want to go to the ER so I stayed with her and accomplished quite a bit of pulmonary toilet and got her comfortable again. (thank the LORD for my NICU/PICU days)" "pulmonary toilet" I am trying to picture what this is? Would you kindly elaborate?

Listen for yourself http://www.youtube.com/watch?v=5JA6D1Mguh0 Or search lung sounds on You Tube