utilization review rn - forums post summary

Started 1 week, 1 day ago (2008-11-11 04:43:00) by vvwahm

At Home Care Manager II JOB SUMMARY: CARE MANAGER II - Concurrent Review - INTEGRATED TELECOMMUTING OPTIONS The Care Manager II - Concurrent Review performs advanced and complicated case review and first level determination approvals for members receiving care in an inpatient setting determining the appropriateness and medical necessity of continuing ...

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Forum: Telecommuting Moms

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Re: Dr. Oz: What Really Happens to Your Brain During a Stroke--- english language

Started 3 weeks, 5 days ago (2008-10-23 18:44:00) by lovely160

In response to agilles 901 who quotes..."if this is such an educated person, why can't she use correct grammar???? never end a sentence with a preposition, ie what I was at?" and jjneikis. Yes dear...let me tell you why family victim shouldn't care about grammar right now. Reporting a horrifying event is a nurse duty, therefore, doesn't involve grammar style. However, being specific ...

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Hospital Case Mangement

Started 1 month, 3 weeks ago (2008-09-27 10:56:00) by suzannemiami

My hospital has closed the Utilization Review department (an all RN dept) and has changed the Social Work department into a Case (Care) Management department. They have cross trained the staff so everyone does UR and DC planning. Almost all of the RNs have left. As a result we have an almost entirely SW based Care Management department and Utilization has been put on the back ...

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Forum: Nursing

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Investors Hub - Cdex, Inc. (CEXI) Message Board - Post #27414

Started 1 month, 3 weeks ago (2008-09-26 22:35:00) by capnmike

Florida: CDEX Event Monday, September 29-October 1, 2008 Join us at Health Connect Partners Meeting - FALL Hospital Pharmacy Conference at the beautiful Swan and Dolphin Resort in Orlando, FL. http://cdexinc.com/ I notice this event has some folks responsible for medication safety that are confirmed attendees. With CDEX having Mr. Jahr as the new Director of Investor Relations, I ...

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Forum: Cdex, Inc.

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Re: "It's Health Care, Not Health Insurance" permalink

Started 1 month, 3 weeks ago (2008-09-23 16:23:00) by ksilty

Originally Posted by lindarn I work for a large insurance company. I am a nurse reviewer who approves or denies claims for members. We have to go by each insurance contract that each company has. Believe me, the public has no clue what and how much infrastructure goes into the insurance industry. I have no trouble believing that if we cut out the ...

Source: allnurses.com Nursing for Nurses

Forum: Social & Health Care Coverage Activism

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Re: will universal healthcare ( in the usa) cut RN pay? permalink

Started 2 months, 2 weeks ago (2008-09-03 18:53:00) by paddlelady

I am a supporter of universal health care. The AMA is not and so are many other physicans and health care professionals. I have worked with the underserved for the past 40 years of my career . I was trained in the ghetto of the south side of Chicago. Our administration told us never to turn anyone away. I have carried that philosophy with me through my career. Health care is a right just ...

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Forum: Social & Health Care Coverage Activism

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RE: new york state nursing home law

Started 2 months, 3 weeks ago (2008-08-27 11:12:00) by regulatory realities and

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Forum: Salt the Wound

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Re: I am about ready to throw in towel for nursing job permalink

Started 2 months, 3 weeks ago (2008-08-25 21:09:00) by lindarn

Originally Posted by paddlelady Can you take an RN refresher course. This will show prespective employers that you have taken steps to return to work. This way you can work in a hospital in which they must have part time work. I have been a nurse for 4o years and the past 20 I have only worked part time and have even negoitated a full time postion to a ...

Source: allnurses.com Nursing for Nurses

Forum: Inactive Retired Nurses

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Re: BT Meds...

Started 2 months, 4 weeks ago (2008-08-23 00:41:00) by cmpgirl

Steve and Ex, It's the state's Ombudsman's office. They handle all appeals that have been exhausted within the conforms of the insurance carrier. It might not need to go to that level, if Steve's PM doc speaks with Anthem's Medical Director. Right now, I doubt very highly that it's even reached his level yet. The people who have handled your case up to this point, are more than likely ...

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Forum: Pain Management

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