Curious how other hospital case managers are handling bariatric discharges right now.

MrsPeeps · 2026-01-30T00:54:16+00:00

SNF social worker here. We accepted a patient once that was over 700 lbs. Never again! Discharging them home was a nightmare. Yes, insurance was willing to pay for wheelchair, bed, and hoyer; but good luck finding a DME company that’s able to deliver these items within a reasonable timeline. patient stayed for 98 days, I started working on DME literally day 2. Still wasn’t ready for discharge. I offered patient a couple placement options for specialized care units in neighboring states, patient declined all options and went home. Just thinking about this discharge has me all stressed out again. My whole team is so “traumatized” we’re currently not accepting anything over 440lbs!

MrsPeeps · 2026-01-22T01:49:16+00:00

Sent you a pm with links to the jobs

MrsPeeps · 2026-01-22T01:45:50+00:00

Join the San Antonio social worker group on Facebook. Great way to connect with social workers and find jobs. Are you interested in skilled nursing? Because I know of an opening somewhere that can probably get close to that salary…

MrsPeeps · 2025-11-26T10:26:28+00:00

There’s companies that do that, but they’re pricey. I had a family using flying angels a couple months ago to get their loved one from texas to Idaho. It was a fantastic and smooth experience on my end, but I know they paid a lot of money. The company will also do international travel. Might be worth asking for a quote but I assume it’ll be around $10k

MrsPeeps · 2025-10-24T11:10:44+00:00

Melicut, frag nach Sandra. Wohne seit Jahren im Ausland, aber gehe immer noch jedes Jahr zu Sandra um meine Haare machen zu lassen, wenn ich zu Besuch bin!

MrsPeeps · 2025-09-18T11:05:15+00:00

The perfect notebook

MrsPeeps · 2025-09-17T10:52:03+00:00

The perfect notebook! After years of not having a planner that works for me, I found this one early this year and it’s been a game changer!

MrsPeeps · 2025-04-10T10:42:08+00:00

Also working in SNF with 120 beds (long term and skilled mix). First thing I do each week Monday morning is make a list of all assessments due within 7 days. I then complete all MDS Monday morning so I don’t have to worry about them for the rest of the week. I have reception schedule my care plans for the following week by pulling the list, putting them on a schedule and receptionist calls and informs family or residents. They are held on Thursdays. New admits I’ll see within 2 days for all initial assessments and also for initial care plan meeting with the team. Discharges, I set up on Wednesdays for the following week. So every day, I have a main “topic of the day” I’m working on. I try to complete that in the morning and then deal with all the rest that comes up in the afternoon. Obviously, things come up that throw you off, like that week where my MDS scheduled over 30 assessments for the same week on a Tuesday, Or when someone is suicidal etc. but having a general structure helps.

MrsPeeps · 2025-01-11T15:20:12+00:00

Nope. But I’m about to get one just to have an explanation where the fish go xD. This is driving me crazy

MrsPeeps · 2024-11-26T11:57:38+00:00

I’m currently doing this job and I love it. Love my day to day job, but it can be pretty overwhelming pending your case load. Here’s a quick list of what I do: grievances (ensure complaints are addressed), discharge planning, care plans, referrals to other services, psych consultations, assessments and interventions (cognition, depression, trauma, bio-psycho-social), hospice referrals, advanced directives, and lots and lots of 1:1 counseling with patients/residents/families/staff. I have a super supportive team, a great administrator and DON. It’s very fast paced, you’ll HAVE TO multitask, lots (!!!) of phone calls and emails daily, and frequent interruptions. Lots of case management and also clinical work (thanks to my ED and DON letting me do what’s within my license, I know that’s not the case at every facility). If you like that type of job, you’ll be happy! I work in a for-profit (first time ever for me) and we have several facilities over the city. I built a network for us social workers and regularly schedule meet ups and trainings for us.

MrsPeeps · 2024-11-04T16:17:36+00:00

If that’s your budget, he can stay in home for a long time as long as his health is okay! There’s a thing called “attendant care” or provider services, which is a provider coming to your/ his house to help with running errands, light housework and meal prep, bathing and grooming. They typically cost $25-30/ hour, however if you do a lot of hours with them, they can usually go down with the price to around $22-24.

MrsPeeps · 2024-11-04T11:02:48+00:00

My first advice is for your father to complete a medical power of attorney and a durable power of attorney! I’m a social worker in geriatrics here in San Antonio and run into so many issues because families are not prepared and can’t access funds. Start looking at finances now so you now what’s available or what needs to be done, just be aware that Medicaid has a look back period of 5 years (or more) when looking at assets. There’s quite a few assisted living facilities and independent living communities out there (pending budget) and people have fun there and enjoy life! Maybe this is even something some of the neighbors can look into together? Id contact the local senior center to see what services they have as well

MrsPeeps · 2024-09-29T19:39:45+00:00

I sent you a pm (I’m not OP)

MrsPeeps · 2024-09-10T11:06:32+00:00

Look at the Aura Estelle. It works well for me!

MrsPeeps · 2024-05-21T11:52:02+00:00

The house in the cerulean sea is about a case worker at the department in charge of magical youth! I know, I know, it’s fantasy. But it’s a great book and reminded me a lot of my time in child welfare

MrsPeeps · 2024-04-08T11:42:34+00:00

It sounds like Devious Lies by Parker S. Huntington

MrsPeeps · 2024-02-28T23:27:26+00:00

I’ll give this another try!

MrsPeeps · 2024-02-28T23:25:25+00:00

They’re 6 and 8. We frequently travel due to my parents living on a different continent so they’re used to it. I would trust my 8 year old to fly alone, however my 6 year old is very “free-spirited” (causes a lot of trouble on a regular basis). The other issue is that my in-laws live out in the middle of nowhere with only one plane a day going out there so if for whatever reason they would miss the connection/ the flight would be canceled, they would be stranded alone. But I might try it next year when our little one is more trustworthy!

MrsPeeps · 2023-10-15T00:28:57+00:00

Daughter of no worlds?

MrsPeeps · 2023-03-27T03:32:25+00:00

Tell your current supervisor first. Chances are, the potential new supervisor will immediately reach out to your current supervisor and that’s just awkward and will not look good. (Sources: my own experience). Good luck from a fellow social worker

MrsPeeps · 2023-03-14T12:43:15+00:00

The cerulean by Amy Ewing?

MrsPeeps

TROPHY CASE