NurseMegP

NurseMegP BSN, RN

Utilization Review

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All Content by NurseMegP

  1. Agree with RNperdiem above, this does seem pretty specific. I'd say that pain control is going to be your biggest concern but also watching out for any post op complications (blood clots, etc). If it's run like a med-surg floor then your typical day ...
  2. UR for insurance company?

    Hey been there, thank you for your response. I ended up having an interview with a bigger company and I would have had the ability to work from home in 1-2 years but the catch was I would still have to go downtown (10 minutes from my house without tr...
  3. UR for insurance company?

    Hello all, This is really a utilization review question more so than case management. I currently work as a UR nurse for a MCO in Ohio. This is only worker's compensation so I don't know how different doing UR for an insurance company would be. This...
  4. Would you do this

    Agree with Golden. 9 months is nothing and the experience that you will get from it will look good on future resumes. Best of luck.
  5. I think I'm tapping out...I hate nursing :(

    I hated bedside nursing. I lucked out an got into a position doing Utilization Review after a little over a year of bedside medical/surgical nursing and I really enjoy it. As the PP said, you could always view nursing as "just a job" but if you hate ...
  6. Failed for Clinical-but no proof

    Whatever you decide to do, I do agree that the phone thing, at least while you are a student, needs to be nixed. As a student, unless you are on lunch, do not touch it. Hopefully, you'll continue this practice through as a nurse because as someone el...
  7. Case Management Nursing (CM)

    Worker's comp is it's own beast and a LOT of providers don't understand how it works (that goes double for the office staff under them). At least that's how it is in Ohio . Just try to learn as much as you can. Read the policy. Don't be afraid to be ...
  8. Humana Montage Phone Interview

    Something that is really important is time management. Also the ability to work as a team is good, but in this role it's also good to mention your ability to work independently. Organization is important. Attention to detail is a plus. There is a cha...
  9. Long hours/no life

    You could always look at doing CM/UR for a different company? I work as a UR nurse for a smaller MCO and while the CMs and claims analyst people here are busy, we're fairly steady in what we do in UR. Probably what I do now is a lot like what you did...
  10. It could be that they're looking for a magical number of 3-5 years experience but maybe because you have 3 as an LPN and 2 as an RN your automatically getting rejected because it may look like only 2 years RN? Also agree with the above advice on word...
  11. How do you like case management nursing?

    I know this post was pulled from the grave here but I had to say in regards to the comments about at least 3-5 years of hospital experience that it is NOT necessary. I had about a year and a few months of med-surg and then went into utilization revie...
  12. Help me feel better...

    I actually just accepted another position as well! I'm sad to be leaving my co-workers but I am confident there are other good people out there and excited to make new friends :) it's bittersweet, but I am sure I'll be happier on a normal schedule. B...
  13. I want to be a Case Manager

    Tele as in telemetry or telehealth? What is your current job duties? If you're not bedside with the patient, it's going to be hard to sell (probably not impossible though!) Use your strengths and if there is a weakness like "lack of bedside care" tur...
  14. Use of cellphones while at work

    Really? Just because they're a student you're assuming their a certain age and then calling them entitled? Yikes. I have my phone on me while I'm at work, I check it when I'm at lunch. I'm 26. I check my phone far less than my 45, my 50, and my 38 ye...
  15. My thoughts are to get in touch with a school advisor of sorts who might know more about the school's programs and perhaps certain courses that will help boost your GPA without looking too much like fluff. Ratemyprofessors website is an awesome resou...
  16. Rn-bsn new grad.pay per hour 2016

    In Cleveland, Ohio I started at $26/hr day shift (27 when rotating to nights) at a major hospital. However, my orientation period was 75% pay for those 3 months. So, in my mind, starting at 27 (which is what I'm at after a year) is a great thing!
  17. Use of cellphones while at work

    I work where they are pretty lax about cell phone use as long as you're not face-timing at the nurses station or like someone said not answering call lights to finish posting on allnurses ;P ! I carry mine with me but rarely if ever even peak at it. ...
  18. Gel polish

    I work on a med surg unit who is pretty laid back about nail polish but most days I still take mine off. Special occasions I might get them done but I would say get a feel for your unit first and know that you should always of course wear gloves when...
  19. Best shoes for clinicals

    I bought a pair of new balance last year with a wider heel base and I absolutely love them. They are professional looking (mostly white with a little blue), light weight, and comfortable for 12 hour shifts. I do still wear compression stockings but I...
  20. Feeling like a terrible nurse

    Some people don't seem to think they'll ever make a mistake, but trust me I am sure that nurse biting your head off has given her fair share of crappy reports. We are expected to know everything, but the problem is, we're human too. Don't let her own...
  21. Small hospitals/units bigger drama hotbeds?

    I work on a small unit in a big hospital and we've got a great sense of teamwork. I would hate to work on the other units on a regular basis who are full of themselves and not big on teamwork. I think part of it has to do with having a good manager w...
  22. Negotiating Pay

    They might start you at a certain wage and you might be able to get a raise soon into working if you continue to do a good job and show them that you're worth a raise as well. I haven't had a lot of experience in asking for higher wages but do rememb...
  23. Feeling overwhelmed

    First off, I hope things start to get easier on you as time goes by. Second, if they don't get easier or you continue to feel overwhelmed and stressed I would speak with the office manager about needing a second person doing some of these tasks. If y...
  24. Hmm... I make less than nurses on the low end of the spectrum :/... how is this possible?
  25. Former ER & ICU RN Struggling With Tele Ratio

    Are you on days or nights? I am sure either way you will eventually get into your own groove. I'm on a med-surg with tele floor and I don't think I felt super comfortable on nights with 6 patients until I had about 6 months under my belt (this was my...