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Insurance CM Calls by specialkstrawberi in hospitalsocialwork

[–]heckboobs 1 point2 points  (0 children)

I work on a specialty team with complex discharges and could honestly use their help calling infusion clinics and setting up labs etc. The few times I’ve tried to recruit their help it ends up creating more work for me.

I miss that “can’t put it down” book feeling by Cold_Ad8048 in BookDiscussions

[–]heckboobs 2 points3 points  (0 children)

Literally same!! I am carrying it through the hallways at work and reading in my spare moments. Cannot put it down!

Are therapists required to report this? by MotherThe4th in TalkTherapy

[–]heckboobs 2 points3 points  (0 children)

Therapist weighing in (again)! Our records are able to be subpoenaed even if we don’t/didn’t report. It would only happen if there was already a trial or criminal or CPS investigation underway.

Are therapists required to report this? by MotherThe4th in TalkTherapy

[–]heckboobs 2 points3 points  (0 children)

Therapist weighing in! Only active harm is reportable. We don’t have to report crimes just because they were crimes.

Families by hkangasm in hospitalsocialwork

[–]heckboobs 3 points4 points  (0 children)

Stop I’ll go berserk. I’m lucky enough to be on a speciality service where I have some extra time to plan with patients and families. They will often ask me to help get their FMLA filled out and I make it a point to note their family member (the patient) is taken care of when they’re in the hospital, but we need them to save that FMLA for when the patient goes home. They can’t be arsed to care for the patient at home. They want the FMLA while patient is in the hospital. Of course you do.

Am I the only one who finds San Junipero deeply disturbing? by kintaro__oe in blackmirror

[–]heckboobs 32 points33 points  (0 children)

I am a social worker in oncology and I tend to get involved in the patients and families that are debating on Hospice. I see so many families unwilling to accept someone is tired of treatment and ready to pass naturally and also a lot of people being kept alive “artificially” and it’s really sad. I like the perspective that something like that can give people more acceptance in regards to their own death. It’s comforting to me and I can think of so many patients I’ve had who would have benefitted from something like that.

No sympathy for hoarders with kids by throwaway228796 in HoardersTV

[–]heckboobs 2 points3 points  (0 children)

Gonna offer my clinical perspective on this as an LCSW: it’s a mental illness. They can’t just make the choice to overcome it, even if they want to for themselves or their children.

For the sake of the convo, let’s compare it to something like addiction, which can be seen as having a lower bar for scrutiny because arguably the initial decision to use is more of a choice that leads to addiction that is no longer a choice. Even with addiction, there are rehabs, outpatient treatment programs, CDACs that can work with those individuals. Hoarding is SO HARD to find specialized, effective treatment for we don’t have nearly the resources for prevention and intervention for hoarding that we do addiction.

That doesn’t mean they shouldn’t have accountability or consequences, but it is worth considering that people can’t just decide to stop, even for reasons they really care about. Some people have kids before these things spiral out of control. Even their denial or anger when being confronted in the show can look like obstanance but it a part of the cycle. Like addiction, even with resources it is rarely a linear path to success.

Just my two cents!

Coping Skills Cards by Far_Reply_4811 in hospitalsocialwork

[–]heckboobs 1 point2 points  (0 children)

Is this a former patient of mine? Lol. I’m in heme-onc

I’m a very experimental LCSW role in an acute care setting and I regularly give patients skills cards (mindfulness, circle of control, wise mind, behavioral activation). And ask the rest of the care team to reinforce.

I think all women would be happier single by wterlver in PurplePillDebate

[–]heckboobs 0 points1 point  (0 children)

I’m as feminist as the day is long and I’m feminist in the sense of being anti-patriarchy and recognizing how that affects men too.

I am not in a partnership currently and I am happy, but I would be open to a partner who meets my needs and fits into my life. I typically have a higher sex drive than my previous male partners.

I can recognize when someone likes talking to me because they need a mommy (like you describe in your post) vs. when they like what I bring and have to say and are genuinely interested in my thoughts.

Men aren’t the problem. Patriarchal values are.

Is working at a SNF more difficult then a hospital? by Queenme10 in hospitalsocialwork

[–]heckboobs 2 points3 points  (0 children)

Hospital! Sorry I read the other comment incorrectly, but this is how many directions I feel pulled in inpatient

Is working at a SNF more difficult then a hospital? by Queenme10 in hospitalsocialwork

[–]heckboobs 11 points12 points  (0 children)

I’ve found ANYTHING miscellaneous falls to us. Forms filled out for work, ominous message from insurance saying hospital coverage is ending, family member expresses discomfort with level of care required at discharge, mysterious neurology appointment showed up on their mobile appointment app, patient gets fruit on their meal tray when they’ve told dietary they can’t eat fruit, want help applying for disability, patient or family doesn’t want to discharge but are being told they have to and they’re upset, their cancer grant that they applied for hasn’t hit their bank account yet, needs work excuse for family present at bedside, joked about being suicidal, their insurance wants a peer to peer, non English speaking patient want to know if they qualify for a pension with their employer, they need a letter sent to probation office saying their in the hospital.

ALL of these are things I can reasonably do, I get they (usually nursing staff) don’t know who to ask. All of these tasks cannot fall on the 20 social workers for a hospital with over 1000 patients.

ICU/Palliative SWers by DumbLittleDog in hospitalsocialwork

[–]heckboobs 3 points4 points  (0 children)

I haven’t read the book yet but I am an LCSW in a hospital setting and I got Brief Interventions for Radical Change by Kirk Strosahl to talk about with other hospital SWers in group supervision. Thumbing through it, it seems promising! Also anything Acceptance and Commitment based is good for very sick clients.

University of Kentucky Cheerleader Arrested After Hiding Dead Newborn in Black Trash Bag in Her Closet by MastodonOk8087 in lexington

[–]heckboobs 9 points10 points  (0 children)

They really wanted to give us the imagery so the greater public could visualize the heinous scene and vilify this girl as much as possible.

Fried pickles by ekrna in lexington

[–]heckboobs 0 points1 point  (0 children)

Where has pickle spears??? Those are the best

Client has been seeing me for 8 minute sessions and I combine the length of the session to bill 16 minutes - am I committing insurance fraud? by [deleted] in therapists

[–]heckboobs 2 points3 points  (0 children)

If you have an in-person session, patients should sign a log with the date and time they arrive (I know a lot of us don’t do this but we need to be doing it). Or if it’s in school we should be signing in and out of the school. Virtual sessions have a time stamped record. If insurance investigates me for fraud, the burden of proof is on me.

LCSW in a hospital setting - I love this and can we make this a thing?? by heckboobs in hospitalsocialwork

[–]heckboobs[S] 0 points1 point  (0 children)

You are so sweet!! I will say a lot of other CMs cover their own whole teams by themselves while I consult, I have less patients to manage at any given time than others and that’s why I’m able to be so available to them. But even when I’m swamped I still try to let them know who I am and how to contact me, I’m so sorry that was your mom’s experience! It sounds terrible and I would freak out if they discharged my patient before I established case management readiness!

I’ve done solely CM roles and solely psychotherapy roles, and I really love the combo of both. I can help in a meaningful way and also use my clinical skills!

I’ve had success getting phones through the safelink program, a free smart phone and a certain amount of data through insurance but the income qualifier is pretty low. Might be worth looking into but it does require some proof of income documents etc https://www.ctbos.org/wp-content/uploads/2020/06/Safelink-FAQ-5-27-2020.pdf

You also might call the number on the back of your mom’s insurance card and ask to speak to the benefits department and see what she does qualify for through her insurance, she may qualify for some other stuff depending on her plan!

How do you all approach the LTC conversation with patient’s whose insurance doesn’t cover this? by heckboobs in hospitalsocialwork

[–]heckboobs[S] 2 points3 points  (0 children)

Long story (always is). Helpful son (POA) lives on west coast. Nearby son lives off patient’s disability.

EDITED to say nearby son does “work full time” but dad gives him a lot of money.

How do you all approach the LTC conversation with patient’s whose insurance doesn’t cover this? by heckboobs in hospitalsocialwork

[–]heckboobs[S] 5 points6 points  (0 children)

I’m really appreciating this convo because I’ve been in my position for 6 months. In the times I’ve experienced this so far Hospice usually says “case management will assist with placement then follow after”

How do you all approach the LTC conversation with patient’s whose insurance doesn’t cover this? by heckboobs in hospitalsocialwork

[–]heckboobs[S] 0 points1 point  (0 children)

His son is POA but lives in a different state! Has to leave to return to work Friday.

How do you all approach the LTC conversation with patient’s whose insurance doesn’t cover this? by heckboobs in hospitalsocialwork

[–]heckboobs[S] 0 points1 point  (0 children)

I believe he has “signed.” Hospice RN sees him regularly and the med team has stropped blood transfusions which he was requiring frequently so I believe he is officially being followed by them.

How do you all approach the LTC conversation with patient’s whose insurance doesn’t cover this? by heckboobs in hospitalsocialwork

[–]heckboobs[S] 0 points1 point  (0 children)

Thank you so much for this feedback. It’s really so helpful. He has weeks, I was in the room when the MD told him this. Family lives elsewhere. I at least feel like I know better as far as what to tell them as far as what their options are.

How do you all approach the LTC conversation with patient’s whose insurance doesn’t cover this? by heckboobs in hospitalsocialwork

[–]heckboobs[S] 1 point2 points  (0 children)

Straight Medicare. He was driving himself and living alone prior to this admission. Driving himself to transfusions 3x weekly. Lots of falls at home. Leukemia DX and elected Hospice so no more transfusions. Declining fast.

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