My CM career is in the hospital setting thus far. When I work as a discharge planner (Case Manager) and a UR nurse all wrapped up in one, my case load is based upon the floor I work (inpatient or ED). When I worked inpatient I had as many as 40 patients a day, where I performed assessments, coordinated discharge plans with other providers, obtained resources and equipment for patients, and safely discharged patients home or to other settings AND performed UR. When I work as a UR nurse only I perform admission, concurrent, and retroactive reviews on a caseload of usually 20-40 patients per day. I also provided denial letters and other letters in both cases from insurance companies.