I am an RN care manager, working for an insurance company. Our care managers are based in a hospital and do utizilation review and discharge planning for the admitted patients who carry our insurance plan. I do not like this job. My biggest pet peeve lately is the high amount of social admits. It is gross how many families basically abandon their loved one in the hospital. They can't take care of mom, so they bring her to the hospital for vague symptoms and then say they can no longer have mom in their home. Then they expect the hospital to find a facility or AFH. They continue on with their lives, not looking for a place, not caring at all, even though we explain it is their responsibility and pt may be billed for the hospital stay. Many don't care about being billed and blatantly admit they are not going to pay it anyway. The worst part of all this is how the hospital does nothing to back us up and expects us to find a "safe discharge plan." ***** When did we decide to take on the role of these people's life coaches and personal problem solvers? Why do people expect their insurance company to take care of finding their relative a home? Or pay for a nurse to come in and watch their relative 24/7? Rant over, time for a change.