Paul B

Latest Activity

1. What makes a good nurse case manager?

   Paul B replied to Inori's topic in Case Management

   Although a good case manager must be clinically strong and knowledgeable about the required "data"...a really good case manager has excellent communication and time management skills...the rest can be...

2. What is the difference between the hospital CM and SW?

   Paul B replied to Stripes311's topic in Case Management

   I would recommend going to some of the career and job websites - and looking at the descriptions of the CM role and qualifications. This will give you a good overview of a variety of CM jobs - their...

3. Peer to peer

   Paul B replied to RN010101's topic in Case Management

   Be sure to include this type of discussion with your Physician Advisor - they are your best resource when having communication issues with a specific

4. new case manager

   Paul B replied to snngregory's topic in Case Management

   Oftentimes, ER patients do not have insurance - this is why they come into the ER in the first place. The most important aspect of ER case management is to determine if the patient actually needs...

5. Learning Interqual

   Paul B replied to CABG patch kid's topic in Case Management

   I truly believe that learning the nuts and bolts of Utilization Review is easy...but learning how the real person (patient AND family) fits into a computer program is something that takes more time...

6. Considering Nurse Review position

   Paul B replied to Road2CNO's topic in Case Management

   Nurse Review positions can also involve what is called "Onsite Review" which means you have your case load and you go to the hospital to review these patients' charts and if necessary speak with...

7. Work-Life Balance of Nurses in Case Management

   Paul B replied to cleom925's topic in Case Management

   It is always impotant to maintain your work-life balance...this is obvious but not always easy to do. One must learn skilled and diplomatic ways to maintain your own boundaries. Many companies will...

8. New WC CM Nurse

   Paul B replied to cubrnjvm's topic in Case Management

   A great deal of the workers compensation RN position is to advocate for the patient. Even though "saving money" has been identified as a purpose of this position - it is much more a position of...

9. interviewing for UR position

   Paul B replied to mnbrn's topic in Case Management

   Utilization Review will never be on the chopping block but as you mentioned it may be merged into a more comprehensive role that includes discharge planning, etc. Utilization Review is the foundation...

10. Case Management Scenario Questions

    Paul B replied to SPJJMommy's topic in Case Management

    Scenarios are a good way to understand the intricacies of case management. I would conclude that an interviewer who is asking you about this level of understanding of case management - is probably...

11. Interqual and/or Milliman training for individuals

    Paul B replied to nikkicb2004's topic in Case Management

    InterQual fails to see the value in training employees of NON-PAYING customers, even though it benefits their PAYING customers in the long

12. Interqual and/or Milliman training for individuals

    Paul B replied to nikkicb2004's topic in Case Management

    CPHM Program Agenda -- see for yourself what is covered -- I don't see the word InterQual anywhere . . . or Case Management for that matter. CPHM Program Agenda |

13. Interqual and/or Milliman training for individuals

    Paul B replied to nikkicb2004's topic in Case Management

    P.S. McKesson's CPHM "certification" does not teach students how to use

14. Interqual and/or Milliman training for individuals

    Paul B replied to nikkicb2004's topic in Case Management

    Being the tenacious CM investigator that I am . . . here is an FAQ page on the McKesson website: InterQual Education and Training FAQ's | McKesson that describes WHO InterQual offers training for...

15. Interqual and/or Milliman training for individuals

    Paul B replied to nikkicb2004's topic in Case Management

    I followed these links and never found an InterQual course that I could sign up for. I did see that they had a phone number listed, but no matter how many times I called, I only got a recording. I'm...