Are you glad you chose case management? - page 2

I'm at a crossroads in my life/career & feel ready to make a change from being a med-surg floor nurse (often charge with full assignment) to a career that affords me a better quality of life. ... Read More

  1. by   babs_rn
    OnthegoRN, insurance companies do exactly that. There's telephonic case management and then field case management (where you work from home and visit clients who can't be managed telephonically).
  2. by   Karen_tn_37211
    I did case management for 10 years. I am now back into hospital floor nursing. I was tired of working 40+++++++ hours a week just to get it all done. When they pay you a salary they tend to expect more work. At least in the hospital I just work 3 days a week/36 hours unless I choose to work more.
  3. by   traumaRUs
    I do hospital (ER) case management. I do utilization review, discharge planning and case management. However, I am bored with it and will be glad to move on when I finish school. At least for my job - I spend 2-3 hours per day just sitting in front of a computer and I can't stand it! I also am salaried and work rotating day/evening shifts plus every third weekend, plus call another weekend or two (and no, we don't get paid for call). Those are the downsides to what I do. I do feel that I have an impact with patients and families but miss the clinical connection.

    To the OP - you might want to shadow a case manager so you can get an idea of what they do on a daily basis. Good luck.
  4. by   Ambrosine
    I'm in my 6th year of case management and I love it. I've done it both on the hospital side and the insurance side. Great use of nursing knowledge, communication skills, and plain old common sense.
  5. by   wincha
    Quote from Karen_tn_37211
    I did case management for 10 years. I am now back into hospital floor nursing. I was tired of working 40+++++++ hours a week just to get it all done. When they pay you a salary they tend to expect more work. At least in the hospital I just work 3 days a week/36 hours unless I choose to work more.
    Would you mind sharing what type of company this was? hospital, insurance? if insurance what company?
  6. by   wincha
    Quote from traumaRUs
    I do hospital (ER) case management. I do utilization review, discharge planning and case management. However, I am bored with it and will be glad to move on when I finish school. At least for my job - I spend 2-3 hours per day just sitting in front of a computer and I can't stand it! I also am salaried and work rotating day/evening shifts plus every third weekend, plus call another weekend or two (and no, we don't get paid for call). Those are the downsides to what I do. I do feel that I have an impact with patients and families but miss the clinical connection.

    To the OP - you might want to shadow a case manager so you can get an idea of what they do on a daily basis. Good luck.
    Around where are you from in the MW? I have done telephone nursing for the last 9 years and love it. Looking to move into case management.
  7. by   mxnrn
    Quote from susanmary
    I'm at a crossroads in my life/career & feel ready to make a change from being a med-surg floor nurse (often charge with full assignment) to a career that affords me a better quality of life. Thinking about case management. Any insight? Pros/cons? What are the major issues dealing with worker's compensation & disability? Do you feel you are able to be your patient's advocate in your position? Stress level? Was it a good choice for you? Why?

    Thanks for your input.
    Hello, I am just making a change into case management, have started doing cases for Medi-Cal waiver program as a home based busijness. Is anyone out there doing any of this kind of management? Am looking to pick some brains and network too. Virginia
  8. by   mxnrn
    I just started doing case management as a home based business with the Department of Health Medi-Cal Waiver program. Strictly paperwork, no hands on. It is a change, but after 25 years of doing home health nursing, it's a welcome change, but I am not quitting the day job yet! Is anyone else doing this kind of cases? The waiver program case management is a bit different from regular case management from hospitals or for that matter insurance agencies. I would like to pick someones brains if they have started doing these cases and also to network. Virginia

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