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[center] Refreshing. That is how I would describe my new job!
Of course, the first six months of any new job is the "Honeymoon Phase", but so far, week 2, and I am really glad I made this decision.
To start with, I have a big office with a window. Today, I had to apply for a corporate credit card. When I travel to corporate, I stay at the Ritz, and a limo picks me up at the airport. Talk about a move up!! I was never expecting this kind of treatment!
The other nurse manager is cooler than cool. We clicked like two peas in a pod. I have some major manipulators on my team, but I can deal with them. I am doing a bit of schmmozing with my team now, just getting to know them a little, and letting them know me.
My director likes to create chaos where there is none. But what I had was worse, and between the little group I have bonded with, we can calm her down.
I am a nurse manager for a Medicaid insurance company. The state pays us X number of dollars per person we have enrolled, to manage their medical services. If we do a good job, we can save money, but the reality is, a few premature babies or a transplant case can do us in. Nurses, or case managers, are made aware of people who frequent the hospital, and try to get them the care they need to prevent complications and hospitalizations, which not only saves the state money, but improves the person's quality of life.
This is no easy task because the Medicaid population are the underserved. They have social barriers that discourage preventive care, like diabetic teenagers, who get involved with gangs and their health suffers to the point they are hospitalized for serious complications, or their vision or kidney function is already suffering.
We have to ensure all kids are tested for lead poisoning, have well child care, have their shots up to date, and that the doctors are providing quality care.[/center]
[center]Members call and complain to the state constantly. 90% of them are wacky complaints, some are very appropriate. By wacky, I mean, and this is not at my current company, that a member calls and says their heart stopped on the operating room table and now they are worried they need to see a heart specialist. We will get the medical record, read it and see if this is founded (it was not) or if there is a really bad doc doing surgery. Another wacko said her doctor is not taking her pregnancy seriously, she thought she needed an ultrasound, but the doc wouldn't order it. Well, maybe that is because she was 50, post-menopausal and had several negative pregnancy tests. She was also schizophrenic. Occasionally, we do get serious complaints, and follow up on those.
This week, I am responding to a state audit. They informed us what we were missing in our cases, and we have to write back and say how we have followed up on that, and how we will be certain this doesn't happen again.
We interact with several state agencies: medicaid, division of youth and family services ( for abuse) and the departments of health. We are often placed in the middle of divisional conflicts. It's always a party!
OK, this was my rental car today. It's a Suzuki Forester. Let me assure you, IT SUCKS!!!!
I am 5'2", and had no leg room! The buttons are complicated to use. The stereo sucked. I had the volume at 33 (in my car, this would have blown out the speakers) and I was barely rocking out!
The shits at the dealership left me 1/4 tank of gas. By the time I got to work, I was on E (50 miles.) So, I figured I'd fill up at lunch time to expedite me getting back to the dealer at a reasonable time.
So, I pull up. The dude, not American, tells me to "unlock your tank." Hmmm, I look and look, I see no button. He tells me again, and starts getting all excited. I say, this is not my car, I don't know how to open the tank. He then says "your lock is broken." I think, Oh, it needs the key. So I get out, walk around, he takes the key, and there is clearly no keyhole, and he proceeds to try shoving the key around the edge of the little cover, saying "thee lock ess broken."
I take the key back, get back in the car, pull out my cell to call the dealer. I felt like an ass. Meanwhile, he starts telling the customer next to me about this, and I look at her and say, It's a rental, I don't know how to open it, and I can't make him understand that.
The dealer receptionist puts me on hold, then comes back and tells me it's on the floor, next to the seat adjustment button. Who knew? Mine is under my headlights. I get out, and show him, I have opened it, and then showed him where the button is, so if anyone else is ever in this position, he can advise them. I have never known a gas station attendant who didn't know where the button was to show you themselves.
I wanted to kiss my car when I picked it up tonight. Of course, it will snow tomorrow, so I am going to have to take the train. I have to seriously consider an ipod now, because I need my tunes. BUT, will the other folks on the train get mad at me if I sing out loud to music they can't hear? I mean if I really belt it out? Or, will they just chalk me up as a mental case and have men in white coats waiting for me at my destination?
The nice thing is, I am relatively certain my new co-workers would understand this and happily break me out.
So, that's my new job, and my crazy car rental experience. Now I have to log in remotely and prepare my state repsonse. [/center]