gonzoRN

gonzoRN MSN, RN

Utilization Review, Critical Care, OR, SNF

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All Content by gonzoRN

  1. Has anyone taken CCMC Exam? Looking for advice.

    gonzoRN replied to Logan Berrian's topic in Case Management

    Deanna Gillingham's book CCM Made Easy is the gold standard. Her website is also a great resource. Good

  2. Transition from insurance CM/UR to hospital CM/UR possible?

    gonzoRN replied to PlayLikeAGirl's topic in Case Management

    I spent almost 6 years as an insurance UM nurse doing inpatient UM, and last year, transitioned to hospital UR. It wasn't difficult, however, it definitely took some adjustment. Specifically, the...

  3. Relocate while under monitoring agreement?

    gonzoRN replied to Sivraj's topic in Nurses Recovery

    Relocating, for me, was a complete disaster, and extended my time significantly. Before you pack up that moving van, be crystal clear on your contract. After 2 years in a monitoring program, I moved...

  4. Hospital Utilization Review Question

    gonzoRN replied to Jory's topic in Case Management

    From my point of view, not interested in separate labs/imaging. If the results are included in H&P, progress notes, then it's redundant to send the extra. However, we don't generally accept your...

  5. Insurance Case Management

    gonzoRN replied to NikiRN88's topic in Case Management

    See

  6. New to Case Management-Any Advice?

    gonzoRN replied to Marie32's topic in Case Management

    The insurance company, contrary to belief, is not your enemy. Find out who the health plan case managers are for your facility/unit/what-have-you and say Hi. I have relationships with acute hospital...

  7. Blue Apron, Hello Fresh, Etc. - Help with Meals

    gonzoRN replied to Graduatenurse14's topic in General Nursing

    I work 5-8s. My husband is/was the cook in our house. He loves it, I was always "meh", and never felt very imaginative. He went back to school full time, and I decided that I needed to pick up more...

  8. Anyone relocate to another State while on a disciplinary contract?

    gonzoRN replied to amandanurse's topic in Nurses Recovery

    I moved twice while on contract. Once to get away from a toxic marriage, and the other time to get home to care for a parent undergoing treatment for cancer. Both times, I had to physically go...

  9. CCMC Exam - no result!

    gonzoRN replied to LithEruiel's topic in Case Management

    I took the exam in December and passed. I had read in multiple places that the new blueprint for the exam was going live in August and that results wouldn't be given right away. Sorry you guys had...

  10. Can a nurse be Disciplined in every state

    gonzoRN replied to ontheupside's topic in Nurses Recovery

    Not the whole process--just monitoring, mandatory group, and ...

  11. Advice on applying through insurance company.

    gonzoRN replied to nmillrn's topic in Case Management

    This is a great point. Have you looked into any of your regional health systems--many have their own insurance companies these days. The particular one I work for is actually more popular in my...

  12. Can a nurse be Disciplined in every state

    gonzoRN replied to ontheupside's topic in Nurses Recovery

    My last move was FL and into IPN. The move was necessary, to take care of a parent with cancer. The hardest part, believe it or not, was physically appearing before the BON. It was the most...

  13. Seeking advice from all you Introverted nurses out there...

    gonzoRN replied to jk2185's topic in Patient, Colleague Relations

    This. And you're not alone. I always say, I'm an introvert who plays an extrovert in real life. I was in CVICU for a longgg time, and the nightshift was a godsend. Our unit was designed in such a...

  14. Can a nurse be Disciplined in every state

    gonzoRN replied to ontheupside's topic in Nurses Recovery

    My two cents. I moved twice during monitoring. Complete pain in the rear, but it can be done. However, both states made me start over. I completed over EIGHT years of monitoring. Since finishing,...

  15. LPN job prospects in Abq/SF?

    gonzoRN replied to bp123456's topic in General Nursing

    The Albuquerque SNF market is pretty desperate for nurses, I personally know of more than a few buildings that have been using agency for a while now. PM me, Ill give you more

  16. Shiprock Hospital and basic living in New Mexico questions

    gonzoRN replied to MaridithRN's topic in General Nursing

    New Mexico Highlands University RN to BSN...is anyone currently attending? Or graduated? I'd love to hear some thoughts on the

  17. Desperate for answers regarding IPN

    gonzoRN replied to Rosa09's topic in Nurses Recovery

    it sucked, but saved my life and my career. Do everything they ask of you with a smile. Never volunteer anything. Answer any question posed, but don't elaborate. Dont get complacent...in my case a...

  18. Case Management for insurance companies

    gonzoRN replied to cozyandrustic's topic in Case Management

    Have you considered a regional health plan vs one of the major ones? Many delivery systems are getting into the health plan biz these days. My health plan services over half a million people in my...

  19. CCM Exam April 2016

    gonzoRN replied to LJUN71's topic in Case Management

    Hi there--I took and passed the CCM in December as well. I'm in utilization management so I was a little worried about this exam because of my narrow focus (I only do inpatient UM). I put a good...

  20. Insurance Haters

    gonzoRN posted a topic in Case Management

    I work for an insurance company in a combined UM/inpatient case management role. I don't know about ya'll but I am so very sick of the "insurance haters" out there who think that insurance companies,...

  21. Aging Nurses - Where do we go?

    gonzoRN replied to TamDar429's topic in General Nursing

    Yikes, I didn't know I was old at 52? My body ain't what it used to be, I can't work six 12s in a row (nights) and pop up and go skiing the next day. However, I moved on to something that didn't...

  22. Insurance Haters

    gonzoRN replied to gonzoRN's topic in Case Management

    I also believe health care is a human right. I would LOVE a single payer system. I would LOVE to be put of a job in that way. Do I think that it will ever be allowed in this country? Nope. And...

  23. How much experience do nurses need in order to become a Case Manager?

    gonzoRN replied to Q_vick03's topic in Case Management

    Most nursing jobs requires clinical experience. If that doesn't interest you, rather than getting a BSN, why don't you consider an alternate path? My company requires RN case managers to have at...

  24. Insurance Haters

    gonzoRN replied to gonzoRN's topic in Case Management

    I do out of plan CM/UM for acute hospitals, acute rehab, LTACHs, and SNFs for a regional health system. Our health plan serves about 500,000 members across all lines of business. I work remotely,...

  25. Insurance Haters

    gonzoRN replied to gonzoRN's topic in Case Management

    I really appreciate your comment. I was having a moment of frustration :) Almost all of my interactions with members have been positive. The negative interactions that I've experienced have come...