lisa41rn

Latest Activity

1. Case manager in a hospital setting

   lisa41rn replied to DesertSky's topic in Case Management

   I work per diem in two hospitals. One hospital has a great reputation and you have 20-22 patients to cover. It's a lot but the MDs are onboard getting patients out. It runs really smooth. With...

2. Acute Rehab CM Frustrations

   lisa41rn posted a topic in Case Management

   I just started a job as an RN Case Mgr at an Acute Rehab. Previously all my experience was in acute care at hospitals. I pretty much like it, but I find the rehab patients so much more difficult to...

3. New to MDS - ? salary

   lisa41rn replied to lisa41rn's topic in MDS Coordinator Information

   Thanks for that info. I'm hoping to get a year or two as an MDS Coordinator and then move up into some mgmt position. I did work in a LTC/Rehab facility for a year part-time in the past, but never...

4. New to MDS - ? salary

   lisa41rn posted a topic in MDS Coordinator Information

   I have my Masters, my BSN and am a certified Case Mgr. I currently work in a hospital and deal with SNFs everyday. I have worked on Medicaid reimbursements in the past, but not Medicare. I have...

5. Cm is a thankless job!

   lisa41rn posted a topic in Case Management

   I don't know what it is, but for the last few weeks I have busted my butt for a very financial needy patient or two and have had that very patient be completely unappreciative for what I've done. I...

6. MDS courses through AANAC

   lisa41rn replied to exnavygirl-RN's topic in MDS Coordinator Information

   Hey Christy: So how are things going? Did you take some online courses? I totally get your frustration in a previous response. You ask one question and for some reason this site has a tendency to...

7. Medicare Observation vs Inpatient

   lisa41rn replied to lisa41rn's topic in Case Management

   I'm not sure where you live, but in the Northeast the RACs are here and auditing records. Yeah, it's not pretty! My hospital uses the McKesson Interqual software which I believe helps to meet...

8. Medicare Observation vs Inpatient

   lisa41rn posted a topic in Case Management

   Can anyone tell me if a patient is admitted Observation in a hospital, is it paid 100% or does the patient pay a portion? I believe much of it, if not all, is paid under Medicare part B if they are...

9. How do you meet/greet your patients in a hospital setting?

   lisa41rn posted a topic in Case Management

   I was a case mgr about a year ago in a hospital and it was similar to a factory for the lack of a better term - patients would be admitted and discharged quicker than any other hospital I've ever...

10. I can't take it anymore!

    lisa41rn replied to shortsuzy87's topic in General Nursing

    I hear what you're saying. Nursing is a tough field. I wouldn't leave without a notice though. You've work hard and should be able to use this job as a reference. I worked for one of the worst...

11. Can you really change a bad LTC?

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    You're right that I have been in LTC for only six months but I came from many years of acute experience. However, it doesn't take an experienced nurse to know good from bad nursing care; a new grad...

12. Can you really change a bad LTC?

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    Thanks for the great responses. I did find one that said "It's commendable to have a Master's degree but it is NO substitute for experience. " I think you might be one of those I'm currently working...

13. Can you really change a bad LTC?

    lisa41rn posted a topic in LTC: Directors, Assistant

    I worked in acute care and truly wanted to change to LTC, but for the last six months it has been crazy! I shed many tears shortly after taking my LTC job as I was not trained as promised and my...

14. Rn's are better than lpn's???

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    While I think there are LPNs who can be better nurses than RNs, the fact that anyone would make rude comments about a degree someone has earned is ridiculous. While working in a hospital, there was...

15. Rn's are better than lpn's???

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    I went back for education with the hope of being able to take better care of my patients. I really never thought I would have other nurses making comments like I've experienced. Anyone can go back...