Can't believe the difficulty hiring CMs

Specialties Case Management

Published

We are a mid-size medical group with a growing Case Management department. We have had 3 positions open for over 6 months now. I'm ASTONISHED we've been unable to fill these jobs with qualified candidates. We have a very user-friendly online application system that SUPER CLEARLY states the requirements; it pays above market rate; full benefits, etc. And it's 9-5, M-F!

Yeah, we require BSN with at least a year of bedside......and I'm astounded we haven't had SWARMS of burnt-out bedside shift nurses FLOCKING to these positions. We advertise all over the place. It's so weird. Yes we have tons of new grad resumes we just toss. Sorry. (If I made the rules I'd totally hire new grads but oh well).

It's like we're yelling "Waaaaaanted!!!! CAAAAAASE MAAAAANAGERRRRS!" And all we are hearing is crickets! What's the problem?

I am a highly productive Case Manager with >20 years of clinincal experience, working for an enormous Health Insurance company and am looking for employment elsewhere. I'm taking my CCM on Dec. 1st and studying for ICD 10 certification as well.

What I look for in a job is:'

autonomy once I prove my outstanding reliability and work ethic

primary work at home

willing to travel if it's an auditing job

decent pay

decent benefits

I don't think I've seen your job advertised, and I've been looking, so I don't know the answer to your question.

Specializes in CCM, PHN.

We have advertised in Nurse.com, Advance for Nurses, LinkedIn and ZipRecruiter. You must have RN-BSN and it is NOT a work from home position.

Specializes in ER, Med Surg. ICU, Mgmt. Geri. Hme Care.

Thank you, I'm not a new grad, but sorry not moving.

ninna6--Hope this will help you. I was a medsurg RN, then life changes, need mon-friday work, landed a case manager job/now I think it is more appropriate care coordinator. I didn't know what it was, I just need the hours. After being a cm in the hospital for 6 years, basically, you have to be bold yet good communicator to talk to everyone in the hospital..I mean EVERYONE..MD/residents/other RN/MSW/secretaries/insurances/NA/PT/OT/Rehab/SNF/LTAC..you name it...you are the facilitator with clinical knowledge so you can talk to them and get things done for the patient so they can go home/appropriate place safely. Be able/not afraid to negotiate, and if you know more clinical and resources, rules/guidelines of insurances you are on the upper hand. Sometimes reading is good, but in reality, you have to be innovative and adapt whatever comes at you. MUST be able to multi-task, team work, understanding of different insurance guidelines, and smile even when you are under pressure :). It is a different type of pressure in CM. I find that knowledge of the rules/guidelines of different insurance and good communication make cm an easier process cause you can convince people (especially patients) to do what you want. For example, they want home health to come out 24 hours just because they think they are entitled to it, well when I tell them, glad to set that up however, the insurance only pay for this r/t their illness..without hesitate, they agreed with the cm..life much easier then :) At first, you will miss bedside, but after about a year, you will love cm, it's an advanced type of nursing where you use clinical knowledge and life knowledge to coordinate care across the continuum for the patient. It is very rewarding.

Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.
ninna6--At first, you will miss bedside, but after about a year, you will love cm, it's an advanced type of nursing where you use clinical knowledge and life knowledge to coordinate care across the continuum for the patient. It is very rewarding.

This is very good!

Rethink the education requirement. An associate degree nurse with years of experience would be much more effective than a bachelor prepared nurse with one year @ the bedside!

It takes experience to case manage, not book learning.

Specializes in CCM, PHN.

We have concluded that it takes a well-rounded liberal arts cornerstone education and critical thinking skills at the baccalaureate level, in addition to clinical experience, to case manage our patients the way WE want them case managed.

Sorry, but every facility and company will be different, and this is what we want. If you don't like employers requiring BSN, I'm sorry.

We are a mid-size medical group with a growing Case Management department. We have had 3 positions open for over 6 months now. I'm ASTONISHED we've been unable to fill these jobs with qualified candidates. We have a very user-friendly online application system that SUPER CLEARLY states the requirements; it pays above market rate; full benefits, etc. And it's 9-5, M-F!

Yeah, we require BSN with at least a year of bedside......and I'm astounded we haven't had SWARMS of burnt-out bedside shift nurses FLOCKING to these positions. We advertise all over the place. It's so weird. Yes we have tons of new grad resumes we just toss. Sorry. (If I made the rules I'd totally hire new grads but oh well).

It's like we're yelling "Waaaaaanted!!!! CAAAAAASE MAAAAANAGERRRRS!" And all we are hearing is crickets! What's the problem?

How far above market value? Money talks..... Evidently, the salary is not competitive enough if positions are being unfilled for >6 months....

Employers can require whatever they want to. I fail to see how liberal arts will prepare for the real world . I needed a phys ed class for my associate degree. Still laugh about how taking bowling made me a better nurse.

Critical thinking skills are learned on the job, not taught in theory.A bachelor prepared nurse with one year of experience cannot nurse her way out of a wet paper bag. An experienced nurse has seen what the patient needs to prepare a viable discharge plan or evaluate the quality of care.

I sincerely feel you are missing our on a wealth of talent.Just my opinion.

Specializes in CCM, PHN.
Employers can require whatever they want to. I fail to see how liberal arts will prepare for the real world . I needed a phys ed class for my associate degree. Still laugh about how taking bowling made me a better nurse.

Critical thinking skills are learned on the job, not taught in theory.A bachelor prepared nurse with one year of experience cannot nurse her way out of a wet paper bag. An experienced nurse has seen what the patient needs to prepare a viable discharge plan or evaluate the quality of care.

I sincerely feel you are missing our on a wealth of talent.Just my opinion.

Aaaaaaand.......what you just wrote only reinforces why we require a 4 year degree. Thanks for providing further justification and evidence as to why more education is ALWAYS better. You just proved it. Thanks.

I absolutely agree that more education is always better, but is the BSN ultimately necessary? If you are looking for that liberal arts education, why wouldn't you consider a ADN trained nurse with a BA or BS and the years of bedside nursing experience that build critical thinking skills? I have an ADN, BS in Health Studies, a Master's degree (MLS) in Health Science Information Studies and 5 years of hospital inpatient experience. I just started as a case manager in an international hospital outside the US. I plan on staying in my current position indefinitely and sitting the CCM exam once I have the 2 years experience, but if I go back to the US and look for CM positions, will I be thwarted because I do not have the BSN? Despite my two additional degrees? Do I need to consider further nursing education?

Can they work from home? I have been looking for a part time CM position but its hard to find a CM job without any CM experience. I do have my BSN and 9 years bedside nursing experience. You might have mentioned it already but what is your website address.... So I can take a look.

Thanks!!

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