Thank Goodness for Case Management
I have no idea what Case Management is, but it's something that big insurance companies pay nurses (who can't or won't hack real nursing jobs anymore) with some of the money they aren't paying me.
Two weeks ago, I got a call from a Case Manager about an elderly, demented patient I hadn't seen in about a year. She had fallen, been admitted to the hospital despite having no fractures, and then transferred to a rehab facility. Her son had called me about all of this. Apparently she wasn't doing well at rehab, so they were supposed to send her back home. Her son had called to let me know this, too.
When I got the call from the Case Manager, I was trying to handle calls on two other lines at the same time, so I asked what she wanted.
Case Management RN: "I just want to give you my name and phone number."
Me: "Okay. Why?"
CMRN: "Because her insurance company offers case management services as part of her coverage."
Me: "Okay. But what do you want me to do?"
CMRN: "I'm going to fax you a form."
Me? "What for?"
CMRN: "Giving you my name and number."
Me: "Fine." click (I was really frazzled at that particular instant.)
I wrote down her name and number, and got a faxed form with her name and number, and a request for all kinds of information that I couldn't possibly provide, given that I hadn't seen the patient in about a year, so I stuffed it all into the patient's chart and ignored it.
Last week, the patient's son called to let us know his mother had died peacefully and to thank us for all we had done for her.
This week, I got a call from the Case Manager. She wanted to let me know the patient had died.
What on earth would I have done without her? [/sarcasm]