So now I have a new job been on this for about 9 months. It is different from what iv'e been doing in the last 15 years as a RN. this job is home based which I love. Basically reviews clinical information from MDos, Imaging facilities in order to approve radiology procedures: CT scans, MRI, MPIs. Eventually I will add pain management to my specialty, but not right now Id like to concentrate on Radiology first.
It is interesting how this job works. It's like making sure the procedures are ordered appropriately and that it is really needed by the patient as the clinicals presented. And it can be tricky because if they give inaccurate clinical information the request can be either sent to Medical review or gets denied. So the person giving the clinical information plays a critical role since as a reviewer I cannot suggest anything.
It is also entertaining to listen to the callers as they give information. I can tell which doctors really did a thorough examination and those that simply wants to scan and diagnose that way. There are also callers who are very detailed and have the information ready and there are those that will say " i dont have the chart with me so I dont know"...well guess what..these callers that doesnt care to even try to gather information I have no qualms about sending them to review. On the hand, i have no hesitation placing astudy to urgent status and approving it because it is really needed.
From here on I will posting my thoughts regarding this area of nursing.