gr8rnpjt RN

Case Management

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All Content by gr8rnpjt

  1. gr8rnpjt

    New case manager

    What you need to remember is that your job has changed. You are not caring for your patient in the hospital, you’re planning the care your patient will receive when they discharge from the hospital. You’re looking at the patients needs right now and ...
  2. Hi there. If you've done case management you should try working for an insurance company. Many are opting for working from home. Your experience makes you a perfect fit.
  3. I felt the same way you did. Some people call it burn out, others just call it tired. I was tired. I found a good job working for insurance companies, but there are so many choices out there. Don't feel badly about wanting a change. It's your choice....
  4. gr8rnpjt

    CPUR o CPUM certification

    Thank you. I will try there.
  5. gr8rnpjt

    CPUR o CPUM certification

    None know anything about certification in Utilization Management? I've worked in CM and UR for 20 years. I was a CCM at one time but I let my certification lapse. I am now looking to fulfill a goal of certification in UM but I've hit a brick wall. A...
  6. gr8rnpjt

    Death of Jail Inmate, Big Settlement

    I am very sorry for your loss. She should never have died. Hopefully the changes that are made will assure that this never happens a again to another person. She was a beautiful young woman. What a senseless tragedy.
  7. Allnurses has helped me get through the most difficult times of my life, from the breakup of my marriage to the carreer choices I have made. I know a place where everybody is a friend. gr8rnpjt PA
  8. gr8rnpjt

    Funny things lay-people say...

    My ex husband told me one time that he threw up so hard that his pee came out of his mouth:eek:
  9. If you are a caffiene junkie, (coffee, OR tea, OR caffeinated soft drinks) I would suggest you stop the caffiene right away. Nothing interferes more with a good nights(days) sleep than too much caffiene. Even if it never bothered you before, it could...
  10. gr8rnpjt

    Guilty for pursuing a nursing career

    You're being too hard on yourself. We all had doubts in the beginning, that's understandable. You need to work through those fears and remember what you did all the hard work of nursing school for. You are your own worst enemy. Don't let the negativ...
  11. I left bedside nursing after 8 years of solid Medsurg/Tele experience. I have always worked for insurance companies, but have done every imaginable type of UR/CM nursing. I worked onsite at hospitals, worked in office settings in a large metropolitan...
  12. gr8rnpjt

    Nursing in the US Virgin Islands?

    When I graduated from nursing school (in 1980) I married a month later and took a 2 week honeymoon to Nassau, Bahamas, and St. Thomas. I stayed at the Frenchman's reef in St. Thomas and we took in the culture and flavors of the various resturaunts in...
  13. gr8rnpjt

    I keep getting hugged

    Wow! That is a horrible story! Thank God his son spoke up. That is a sobering alternative to the hug debate.
  14. First, Congratulations on graduating and obtaining an internship so quickly! Don't be discouraged, it happens, everywhere! Be glad that the unit that said they didn't want you did so because that would have probably been a terrible unit to work on! G...
  15. gr8rnpjt

    How did you choose your nursing specialty?

    Back when I was in bedside nursing, my specialty chose me actually. Or the staffing people chose my specialty. They kept floating me to telemetry. I was afraid of the monitors. I didn't know what was a good strip and what was bad. I asked a lot of qu...
  16. gr8rnpjt

    Young mother faces long recovery after rare embolism

    I had a patient recently that had one as well (not this one) and hers went to her lungs. She was on a vent for a few days and recovered completely after a couple of weeks. Very scary, and unbelievable how devastating the outcome can be.
  17. gr8rnpjt

    Devastated - What would you do?

    I'm so sorry this happened to you. It must be hard to have to walk away from your dream job. If you were to have another job,what would you want to do? Can you type well? Do you want to work from home? Many insurance companies now offer work from ho...
  18. gr8rnpjt

    A patient made me cry.....

    afrocentricRN, You did a great job advocating for your patient. I know how it affected you. I too was at my grandmothers side when she left this earth. Her pain was very well controlled in the end, so I did feel good about her passing. I also wanted...
  19. gr8rnpjt

    Missed diagnosis - just a vent

    I can understand your concern about calling the insurance company, however, chances are the bill will still be paid, but the hospital will be flagged for a quality issue. Too many quality issues and the hospital could lose their contract with the ins...
  20. gr8rnpjt

    Charge nurse who doesn't give a rat's patootie.

    I would agree with everything that has been suggested already, with a little tweaking. I would warn admin of her plans to call the admin on call every time she is unable to locate the RN in charge. Then follow through. And I would suggest she look f...
  21. I started nursing school with a girl who was so squeamish, she actually fainted at the sight of blood the first time she saw a blood draw...down on the floor, fainted. She continued through nursing school and continued to be squeamish, but she became...
  22. gr8rnpjt

    nurses health study

    I was an original participant in the first Harvard nurses health study. The nurses who have participated in the study have contributed invaluable information to the study and it takes very little time and there is no cost, ever. I too, got my letter...
  23. gr8rnpjt

    Can a nurse report a MD for being rude?

    Agree, you can and should report it. Will it go anywhere? Probably not. But it may be something that will make him less apt to do it again to YOU. Don't be afraid of any doctor. Just becaue they have an MD after their name they are not above the dec...
  24. gr8rnpjt

    LTC Nurses Bottom of the Barrel

    Keep your chin up. I work in managed care and I can tell you, patients are spending less time in acute and our medical directors are pushing for more patients to go to skilled care if they cannot quickly and safely be discharged home. We in managed ...
  25. gr8rnpjt

    Follow-up advice/recommendations

    First of all, congratulations!! you're almost done! That is a great accomplishment, and you deserve kudos! Regarding your question, I believe letters of recommendation are saved for after the initial interview. I may be wrong, but the last time I in...