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Post by M~ on Aug 11, 2014 22:08:24 GMT
So at my job, I review hundreds of cases per year (On average, about 600 or so). I really care about my job and I always want to "do the right thing," I want to have a good reputation, and I want my boss to have a good reputation. Sometimes though, "doing the right thing" legally really sucks. There are some types of cases I SUPER REALLY PAY ATTENTION TO, like I obsess about it for a week and then obsess some more, and then I ask my colleagues if there is ANY WAY UNDER THE SUN that we can pay??? And, when they tell me "nope, you're right, you can't pay." So these are usually cases dealing with cancer patients and cases dealing with some obscure disease.
I got one of those assigned to my side of the alpha and well, I always feel like crap. I recommended a denial and my boss agreed. So it sucks and I feel super guilty and feel that Karma is going to bite me in the ass. I told my boss that "I felt I wasn't being compassionate, but in order to be compassionate, I couldn't be a good attorney."
BLECH.
So, are there instances where, in order to be good at YOUR job, well, you don't like doing something, or it makes you feel bad?
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Post by Crack-a-lackin on Aug 11, 2014 22:16:26 GMT
Nothing like what you're describing. That sounds horrible and I would have a veer hard time with it. Maybe you can try to focus on the positive - you do care and are able to help many people. That's better than sitting back and rubber stamping "rejected" without giving it a second thought. The patient may not know how much you care, but you do, your boss does, your family does, God does. That's important.
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ddly
Pearl Clutcher
Posts: 3,958
Jul 10, 2014 19:36:28 GMT
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Post by ddly on Aug 11, 2014 22:37:03 GMT
I'm a special educator and I just came from a special and eligibility meeting. The student was not eligible and it sucks because he is at a residential placement and being very successful. The only way for him to remain there is for tuition to be paid through a special ed placement. It's a sucky situation.
He was placed there by the local mental health agency and they somehow got the state to pay but they no longer will. The school was never involved in the placement so it makes it look like we are the bad guys.
Lisa D.
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Post by cindyupnorth on Aug 11, 2014 22:47:59 GMT
ahhh. yea, EVERY day, all day. I'm a PT. I make people get up and walk and exercise, and basically be in pain all day. It's for their own good, but dang, it's hard being the hard ass on them all day!
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caro
Drama Llama
Refupea 1130
Posts: 5,222
Jun 26, 2014 14:10:36 GMT
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Post by caro on Aug 11, 2014 22:50:53 GMT
I haven't made those kind of decisions but I have been on the receiving end. That sucks too!!
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Post by LavenderLayoutLady on Aug 11, 2014 22:52:47 GMT
(((hugs))) to you.
Even though those cases are difficult to deal with emotionally, I'm sure there are many other instances when you can say "yes" to the person and truly be a benefit in their life.
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Post by playingcinderella on Aug 11, 2014 23:04:36 GMT
I'm a high school theatre teacher. Due to the amount of time the students & I spend together (by nature of doing theatre), we become very close - like a family. One of my students who graduated in June is in some trouble - bail was paid, lawyers have been hired. I have talked to him when he's called me - he's scared, but I have had to remove myself from the situation as much as I want to "save" him. It's not my place. I'm not his mother, I'm no longer his teacher and we have crossed into this weird place of old teacher/friend/mentor.
I can't imagine your situation. You are a good person for wanting to say yes, but you also have to your job. That sucks. I hope you find peace with the situation that you have done all that you can.
Michelle
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Post by lightetc on Aug 11, 2014 23:13:46 GMT
That sucks.
I do feel like that sometimes but mine has far less of an effect on people's personal lives.
For me it's when I know the answer to a question I've been asked, but because of the way the contract works I can't answer it, I can only direct the asker to the person who can answer their question. If I gave them the answer and something goes wrong or changes it could cost my company a lot of money, but having to say "I'm sorry I can't tell you that, please jump through these 15 flaming hoops before crawling backwards over hot coals and it will be delivered by carrier pigeon on the 6th Friday of the month" makes me feel terrible.
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Post by 950nancy on Aug 11, 2014 23:22:30 GMT
Thankfully I get to do the opposite and make people believe great things about themselves. Yes, there are rough days, but yours sounds heart wrenching at times. You must get to do really great things for people too, right? Maybe try to think about those cases more.
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Post by Pahina722 on Aug 11, 2014 23:41:24 GMT
Sometimes, yes. I always have a student or two, generally online, who just will not pay attention to the instructions, announcements, and personal emails about his/her poor performance in a class. At the end of the semester, there's an "OMG, I'm FAILING! If I don't pass this class, I lose my Pell Grant (or loan, GI Bill, whatever)" phone call, begging for another chance, extra credit---basically to let him/her get a passing grade for not meeting the requirements. While I feel sorry for them, . . . NO.
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Post by rst on Aug 12, 2014 0:00:40 GMT
If you see that there are flaws in the system with allow people with legitimate needs fall through the cracks because their condition does not fit the textbook case or is too obscure, then one way of dealing with that frustration is to work to change the system to become more responsive and genuinely helpful. It might not be directly within your job description, but there are surely ways you can contribute to positive change. Pretty much every big system or governing agency is in a constant state of process improvement. If you personally can not contribute to that process, you can provide information to others who can, or you can direct the family or client to ways that they can continue the advocacy.
I've been on the other side of your job, Angievp -- I've been the mom going back for appeal after appeal requesting coverage of much needed equipment for my son. It sucks to get the denials, but the attitude of the person you communicate with can soften the blow. I'm sure you convey compassion. You can also convey alternatives sometimes -- other funding sources that previous people in similar situations have accessed, different programs that may be able to cover services, an outline of the criteria which will make a difference in the answer you have to give (ie - so you can't approve it now, but if x, y, and z conditions occur, then they should not hesitate to re-apply.
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Post by danalz on Aug 12, 2014 0:26:06 GMT
That is the main reason I turned down a job offer not long ago. I was offered a job with the state as a disability determination specialist. The job involves reading case records and deciding if the person will get social security disability benefits. I couldn't see myself making those decisions and not feeling horrible about turning some people down. I also would have had no personal contact with clients. I decided to stay with my non profit job and make a difference in lives there.
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eleezybeth
Pearl Clutcher
Posts: 2,784
Jun 28, 2014 20:42:01 GMT
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Post by eleezybeth on Aug 12, 2014 0:57:37 GMT
Ugh. I get it. By law I am required to call law enforcement in certain situations. It is always a craptastic call to make. It's a horrible conversation to have with the client. It's not always possible to advocate within the confines of the law and even when risk is shared it is still me who will lose my license to practice.
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Post by M~ on Aug 12, 2014 1:08:31 GMT
If you see that there are flaws in the system with allow people with legitimate needs fall through the cracks because their condition does not fit the textbook case or is too obscure, then one way of dealing with that frustration is to work to change the system to become more responsive and genuinely helpful. It might not be directly within your job description, but there are surely ways you can contribute to positive change. Pretty much every big system or governing agency is in a constant state of process improvement. If you personally can not contribute to that process, you can provide information to others who can, or you can direct the family or client to ways that they can continue the advocacy. I've been on the other side of your job, Angievp -- I've been the mom going back for appeal after appeal requesting coverage of much needed equipment for my son. It sucks to get the denials, but the attitude of the person you communicate with can soften the blow. I'm sure you convey compassion. You can also convey alternatives sometimes -- other funding sources that previous people in similar situations have accessed, different programs that may be able to cover services, an outline of the criteria which will make a difference in the answer you have to give (ie - so you can't approve it now, but if x, y, and z conditions occur, then they should not hesitate to re-apply. Thanks. I really can't give legal advice or serve as an advocate for anyone. The best I can do in these subset of cases is call the patient to get all the necessary medical documentation. At the same time though, I have to be very careful because I can in no way give anyone legal advice or I get in serious trouble. But, if the facts don't support payment, I can't in good conscience recommend something to my boss that's not legally defensible, as much as it bugs me. My friends are of the same mindset: we all have at one time or another researched statutes, regulations, medical literature, drug compendia, etc. on our own time, to find even a teensy loophole, but sometimes, it's just not happening. It just kinda makes me feel like an asshole, you know? Thankfully I get to do the opposite and make people believe great things about themselves. Yes, there are rough days, but yours sounds heart wrenching at times. You must get to do really great things for people too, right? Maybe try to think about those cases more. I would hope so. Ha! Thanks for letting me vent.
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Post by JBeans on Aug 12, 2014 2:06:50 GMT
Yes, and sometimes, it feels like what I call a screw job.
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purplebee
Drama Llama
Posts: 6,738
Jun 27, 2014 20:37:34 GMT
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Post by purplebee on Aug 12, 2014 2:19:00 GMT
Well, Angie, not anywhere near the seriousness that you encounter in your job, but...... I'm a lunch lady, starting my 15th year. When one of my little kindergarten kids looks up at me with those big eyes and says, can I please have another cookie? Gosh it's hard to have to say no! (And I'll deny it if anyone says that I might - very occasionally- slip an extra one to someone special...)
Good luck in making those hard decisions, and stay focused on the people that you do help, I'm sure the positive outcomes outweigh the bad.
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tiffanytwisted
Pearl Clutcher
you can check out any time you like, but you can never leave
Posts: 4,538
Jun 26, 2014 15:57:39 GMT
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Post by tiffanytwisted on Aug 12, 2014 2:26:43 GMT
Not me personally, but my husband experiences that all the time.
He's a warranty auditor for an auto manufacturer. He goes to dealerships and checks their warranty records. It can get pretty ugly. Usually, he just finds mistakes that have been made, he tells them how to corrct them and the company takes back their money (which never goes well). However, sometimes he discovers people have been lying, padding their hours, stealing, etc. Quite often the owner has hired friends and/or family members. My husband says it's like going into someone's living room and telling them their family member is a thief. It's never good.
People have been fired due to things he has found.
One time he had to appear in court and his testimony made a lady cry.
Yeah, he's good at his job and yeah, most of the time that sucks.
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Post by megop on Aug 12, 2014 2:37:17 GMT
Yes, absolutely. We both work in the health care realm. We're compassionate people. But sometimes, there isn't anything we can do to fix for another, even though we want to.
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Post by megop on Aug 12, 2014 2:41:04 GMT
I think you have to remember, that the structure you are dealt with to operate in, can be pushed. And appreciate it about yourself, that you push that limit to do the right thing. You do create change. And while that may not effect the case at hand, your knowledge and efforts do enact meaningful change for the next, or at least educate those around you to also push to take ultimate care in doing the right thing.
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Post by rst on Aug 12, 2014 3:25:40 GMT
I get it that you can't advocate for the individual or advise them directly. But you do have the power to affect change in the system. Systems change, and it's caring individuals who make those changes sometimes.
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Post by peasful1 on Aug 12, 2014 4:34:09 GMT
Rough job that requires a certain personality. Must be hard. I imagine you have to kind of disconnect the requests from actual human beings.
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Post by fairycat on Aug 12, 2014 13:35:11 GMT
That sucks. I do feel like that sometimes but mine has far less of an effect on people's personal lives. For me it's when I know the answer to a question I've been asked, but because of the way the contract works I can't answer it, I can only direct the asker to the person who can answer their question. If I gave them the answer and something goes wrong or changes it could cost my company a lot of money, but having to say "I'm sorry I can't tell you that, please jump through these 15 flaming hoops before crawling backwards over hot coals and it will be delivered by carrier pigeon on the 6th Friday of the month" makes me feel terrible. This is my situation! I can answer them in like 5 minutes but instead I have to refer them to someone who can't help them, but is the person who decides if I get to help them or not. And the average turn around time is at least 2 weeks! It sucks, especially because I just look like an idiot (or a bitch). And of course the end-user has no idea why I suddenly can't help when in the past I was always extremely helpful and responsive.
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Post by alibama on Aug 12, 2014 13:59:19 GMT
I can not imagine being in your position.
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