Writing a paper on Case Managers, Help

What I would really like to know specifically is what are your major responsibilites?

Can you tell me what kind of care you provide to your patients?

Can you tell me what are the things that stress you out about your job?

Thanks again

Hi- I am an acute case manager, who manages a Level 1 Trauma service line in a large midwestern city. I run an average census of 24-30 patients who come in Level 1 and Level 2 trauma patients, who are sent from a variety of outlying facilities for specialized tertiary and intensive care/critical care management. I am responsible for assessing and developing an ongoing dc plan of care, and follow the patient from the admission to dismissal. I am also responsible for insurance reviews ( concurrent only) with the payor ( Insurance company). I also do all referrals for Home Health care, OP post-acute services (OT/PT), and facilitate transfers for rehab, ltach, nursing home etc. Right now I have 13 patients in assorted ICU's throughout my hospital, and 10 pts. on the various floors. I find my job very interesting, and challenging. The biggest challenge in my position, are unfunded pts (those w/o insurance) who come in with devastating catastrophic injuries. Most of these stay until we can get them on with Ks. Medicaid. I have one fellow with self-inflicted stab wound to abdomen, with open abdomen wound vac, been here 30+ days, another with 9 gunshot wounds to the abdomen, also with open abdomen, wound VAC 40+ days. Multiple pts with severe CHI's, on vents, etc. There is no typical day... every day is different. In this job you have to be able to turn on a dime, and change your game plan, with whatever happens next... I guess that is why I like the job so much, it is always changing and evolving. I do try to start my day with whomever is going home that day first, so I can get them off my slate, so to speak. Then move on the the ICUers and other new ones. We do all charting in the computer, a personal laptop, which is issued to each CM. Hope that helps.

I just saw this - don't know if you still need info - I'm a hospital CM in a Cardiac Unit - will be glad to share if you need it. Let me know at: [email protected] - thanks.