Medical Case Management .. RN Medical Case Manager
I always negotiate costs with medical providers in advance of the doctor issuing the order.
RN Case Manager's take on Medicare. Medicare Part A. Medicare Part B. AARP Medicare Supplement.
Medicare should hire a team of RN Case Managers to control the escalating totally non-negotiated Medicare expenses.
Often transportation allowance or preferential treatment for my client can be negotiated with medical providers .. negotiate before the order is issued.
Once an order has been issued my leverage is gone.
Therapy centers / diagnostic centers are almost always willing to negotiate.
The % profit for a medical provider is quite high for each additional patient client (overhead is mostly fixed). Each additional client offers extreme financial benefit for the provider.
I can offer several new clients per month .. every month. The smart provider will appreciate the opportunity to work with my clients.
"Oh, he's doing so well. I think he'll be released today", said the floor nurse.
What that means to 'Bob & his family' is no more 'medication pump', no more nursing assistance, no more medical staff to answer questions, no ER a button away ..
Ask the hard questions. I go in to each appointment with pre made forms & ask the same 'base set' of questions at each visit + any specific questions regarding my clients care plan. The patient client hearing me ask the questions is positive.
Dates .. future procedures .. diagnostics ordered / completed .. possible additional diagnostics .. time frames.
Often a case managers primary role is to ask 'the hard questions' of medical providers.
The Case Manager's job is not to 'play pretty music'.
A Case Manager's job is not to ignore the medical condition's vocational impact ..
The RN Case Manager sees the 'post acute' patient client & family up close & personal.
An injury can potentially change all aspects of a person's life: personal function, health, lifestyle and vocation.
An Injured worker's role as a provider has possibly been removed .. human function lost .. standard of living may decline .. homes lost .. families destroyed .. not a pretty picture!
Objective vocational assessment, as well as the medical plan assessment, of the work related injury or condition is critical.
Often there is 'not a smiley face future' ..
& the sooner the client addresses the realistic future the better for all. An Injured worker's role as a provider has possibly been removed .. human function lost . standard of living may decline .. homes lost .. not a pretty picture, but a real one.
Very often work related incidents are life altering.
A lifetime of education / work / promotions / seniority .. all gone in a 'medical instant'.
From respected work place producer to a '40 year old has been' in community college classes with 19 year old freshmen.
Happens every day .. could happen to anyone of us!
If vocational retraining is the ultimate reality it should be addressed as early as possible in the medical plan.
Often injured workers stubbornly refuse to accept this reality.
I would too!
Address this critical issue as often as possible at client appointments with doctors & therapist.
If the client is agreeable, discuss with family members.
The opinion of the case manager does not matter, it is the opinions of the medical care providers, docs & therapist, that matter.
Expose your client to medical reality from the medical team as often as possible. Good or Bad.
Use any good news for motivation .. a part of the case management file is client motivation!
I often get calls from out of state Nurse Case Managers. I always share
all local information. The US Army, US Marine Corp and the US Department of Veteran
Affairs are in need of Nurse Case Managers. There is a huge need for Nurse Case Manages to assist injured
Iraq & Afghanistan veterans. To contact the VA regarding Medical Case
Management careers: 1-800-949-0000
The US Army, US Marine Corp and the US Department of Veteran Affairs are in need of Nurse Case Managers.
There is a huge need for Nurse Case Manages to assist injured Iraq & Afghanistan veterans.
To contact the VA regarding Medical Case Management careers: 1-800-949-0000
This can be an incredibly rewarding career.
medical care is an area in which globalization benefits the individual
Have yen to travel? TESOL / TEFL can be a good career choice.
Medical Tourism Book Store
Appropriate exercise, proper rest & planned nutrition ( intelligent lifestyle? ) are required for personal optimization.