Interview : Case Manager Report

The person I interviewed is Raegan. Raegan is a patient advocate in a nursing home. Raegan received her Bachelor’s Degree in psychology at Western Michigan University. She received a Graduate Certificate in patient advocacy from the University of Toledo. Raegan has been a patient advocate for 5 years. She became a patient advocate because she likes helping patients with their direct care needs, and enjoys helping patients navigate through the complex health care system. As a patient advocate, she helps patients in numerous ways. Raegan ensures that patients see the correct doctors, coordinates care between doctors, ensures the patient has access to all available treatment options, and that the treatment plans are being followed. She also educates the family on how to

For this assignment I was able to interview Regina Bowman RN, BSN. Her current position is that of the Director of Medical Surgical Nursing. Her position places her over top of seven nursing units between two facilities. Regina graduated from the Mercer Medical School of Nursing in 1979 with her diploma in nursing. The Mercer medical school of nursing is still in operation although it has been renamed the Capital Health School of Nursing. Her return to school started after graduation. She enrolled at Mercer County Community College to obtain her Associates. Secondly she attended La Salle University and received her Bachelor’s in Nursing in 2003. Lastly she is currently enrolled at the Thomas Edison State University, and has a

For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.

Case management is a continuous balancing act of judgment calls, making ethical choices, getting along with coworkers, and following legal protocol. It is the duty of the case manager to know how to develop a relationship with both clients and coworkers while still maintain their professionalism. The healthcare professional must always leave their personal opinions at home and provide the same quality of care to all their clients regardless if they have different views, religion, sexual orientations, or cultures. The case manager needs to ensure that the client’s concerns will be put first no matter what, and should also clarify that the as the professional he or she will do all that is necessary to provide the best quality of care to their client.

Case managers play such a key role in the health systems that they are almost considered as the face of patient care.

For my health care interview assignment I chose to interview Mayra Cruz, Certified Nurses Assistant. She works at Cuidado Casero Home Health and Hospice at 1617 E. Missouri Ave, El Paso, Texas. In my interview with her she described her job duties, her patients and how she interacts with others in her environment. In addition, she identified the length of time she has been in her current position, her career path that has led her to this position as well as her experience in the health care industry. Her education and what requirements were necessary for her certification. She also wonders if the education she received proper and

I had an interview with Helen Quelch in her office. She has been working as a volunteer engagement manager at National Jewish Health for more than 7 years. Before that, she also had worked at the Denver Hospice as volunteer manager as well for many years. She had a lot of managerial experiences of working in a healthcare field. That is a reason I want to interview her to explore the career in healthcare management.

On Wednesday, December 16, 2015, at approximately 2:15 p.m., I, Investigator Torres, traveled to meet with Human Resources Manager, Ms. Sylvia Yu at The Hat Restaurant located at 2300 South Atlantic Boulevard, Monterey Park, CA 91754. She refused to provide a recorded statement and refused to sign a confidential waiver in regards to providing a statement of this claim involving Claimant Diana Guzman.

I interviewed, Ivonne Suarez, who is a case manager at Arizona Counseling and Treatment Services (ACTS). She has worked in the field for seven years, but has only worked at ACTS for seven months. Next, she has a Bachelor’s degree in criminal justice and a Master’s degree in public administration. Also, she is in the Army reserves, prior to her working at ACTS, she was active duty and was stationed all over Europe. While in the military she worked as a medical tech, and also in behavioral health. Lastly, she enjoys her job because she gets the gratification from helping others who are in need.

My Profile of Business is on Nurses; but more specifically Flight Nurses. I chose to do a profile of business on flight nurses because I wanted to thoroughly know what the job and work environment entails, as well as the experience, education, and certifications requirements for the field. I also wanted to know the salary and characteristics of a good flight nurse. The information will be invaluable when I start on my path to becoming a flight nurse. In order to make the report well rounded I interviewed Lynn Manning. Lynn is currently a Nightingale Air Ambulance Flight Nurse at Norfolk General Hospital; she has been a registered nurse for 20 years and a flight nurse for four years. I used the information from the interview and websites such as Flight Nurse HQ, Nurse.com, and OSFHealthcare.com to create an in-depth profile of a Flight Nurse.

The BSN case manager is responsible for collaborating with the patient, physician, RN, CNA, family and other ancillary departments. She is also involved with the more complex aspects of the daily care and establishing a relationship with the patient and family.

For my health care interview, I conduct an interview with Ayanna Randle Banks she is Quality Assurance Nurse at Kensington Place located at 3405 S. Michigan, Chicago IL. Kensington Place is a nursing home and rehabilitation facility. She has worked at Kensington Place for three years and was recently promoted to a Quality Assurance Nurse. As a Quality Assurance Nurse, she works to the review of clinical cases that may be related to quality of care issues identified by appeals and grievance process, adverse events occurring in the hospital or an outpatient setting, which provides clinical interventions. She also evaluates the work and behavior of employees in her departments. And also educate other nurses on the best practices and implement innovative procedures to improve the quality of work. This managerial role is often considered to relate more closely to the business side of health services than patient care.

I interviewed Abbey, a Registered Nurse Case Manager (CM). Abbey has been a CM for more than 10 years. She has been in her current position for one year and 6 months. Prior to her current position, she worked as a CM for the VA hospital. She received her RN license in 1974 from a junior college in Rhode Island. From there she has worked as an RN in the states of Massachusetts, Connecticut, New Hampshire, Maine, Alaska and lastly Arizona. She has more than 30 years of experience as a nurse on various units including medical surgical, progressive care, and rehabilitation (personal communication, October 13, 2016). Requirements for her current position include a bachelor’s degree in case management or health care, current licensure as an RN in Arizona, and 5 year of clinical experience (Banner Health, 2016).

Ensures a safe and smooth transition from hospital to patient’s primary care medical home by coordinating and overseeing the discharge process, identifying that all steps have been completed when hand off occurs.

The insurer appoints a case manager who coordinates the Injury Management Plan in accordance with current legislation. The Case Manager is the primary contact for the support team. It is the insurer’s goal to ensure David can return to his usual work in a timely manner with minimal disruption.