To all: I experienced burnout with my first FT Nursing Case Management job as well. I choose to only perform UR for that company and resigned my full-time position for a PT UR one because I could no longer take the stress. My current FT job has stress too, but absolutely nothing like my last job. The reason being I have support in this job. For instance, there are other human beings responsible for stuff that needs to be done for the patient; I am no longer the only one. In fact, I learned boundaries in my current role, that if I had them in my last role, I think I would have done myself a world of good! Therefore, those of you who are taking on too much, stop!
I thought incorrectly that I was responsible for everything and I allowed others (doctors, patients, family members, other health care people, vendors, management, etc.) to make me think that I was responsible for everything. I was wrong and so were they! Once I was able to remove myself from my past FT position, I saw the areas where I took on too much and made myself sick. My co-workers were just as bad so I could not figure this out until I left. Speaking of co-workers. Most have eitherl eft on FMLA (yep... stress), quit, or re-negotiated his/her terms of employment, like me.
By the way, quitting is not a bad option if you cannot see now what I am saying to be true. Just be sure to have a job lined up before you resign and do not burn bridges while you remain. For example, one of my co-workers (who was not necessarily one of the strongest or most resourceful casemanager around) had the audacity to tell our managers she hated the job and planned to quit.... She thought this gave her license to be negative and unprofessional at work and to constantly remind everyone she was leaving.... Anyway, she did not find another job almost a year after her announcement and ended up performing so poorly she was fired. Good luck.