WVrnmom

I hope you get your new job. I am a UR nurse, however I work very close every day with our Clinical Documentation Specialist. Her degree is in HIM, so it is nice to work with her because she looks at a chart from one perspective, and I look from another. It has helped me to learn more about DRGs, and coding.

Thank you for your help, I truly appreciate it. Our previous UR Nurse was never allowed to go to any training, because of course that is an expense. So far no help has been offered, and training has been turned down when I have asked.

Currently I have been in my job for less than one year. My concerns are I feel that I am just not quite understanding what all I do, more of the reasons why behind some specific tasks. My supervisor's area of speciality is coding and to my knowledge she has never done my job in its entirety. We seem to be on two different pages at all times, and when I started the job, I felt as if she just expected me to understand it. In our facility, we use Interqual, I also send charts to EHR when I am unable to make the determination. I have several reports I must provide, like our Observation Stays, and Short Stays( anything that was made an IP that was, a one day stay). I am looking for any written information out there on Utilization Review. This is a job one cannot learn in nursing school! So far the only thing provided to me is Webinars on the "two midnight rule"! Managing those Observation stays is tricky when you don't work seven days a week!