Re: Do you like being a CM in the hospital? Originally Posted by delta1961 
I currently work as cm, am looking for another job-on call every third week 24/7 plus work that weekend-do have a day off before/after working that weekend but am so behind not really much of a benefit to be off those days-work all holidays-MANY social service issues as we do not have social service dept. One night had 4 emergency psych placments (2 had to be EDO), other 2 had no insurance, we had psych beds at our facility-but no psychiatrsist on call that weekend.It was a nightmare-I was in the ED until 4 am and than had to work 12 hour day.I guess you could say I'm a little burned out.Work on average 50-60 hours a week- I think the floor nurses make more than we do in our dept.
Thank you for sharing your experiences..... it helped justified that it was not just me when I decided to quit that CM job in the hospital.The pay was very good , but when I got my first check my federal and state taxes doubled!...so the take home pay was not as much as I anticipated, even though I am the head of household , they still took a lot...it made me wonder if it is even worth putting up w/ the craziness and the disorganization in the facility. You do need social workers for placement issues, and this needs to be recognized even from the ED , so you can assign this part right away to the soc. worker. Like what I said before , if the hospital is big enough , one should be assigned only to one familiar unit , so you and the staff in that unit can function as one. I wish you a lot of luck and guidance.
Maybe you will need to think if this is where you want to stay or not? The floor nurses makes the overtime , but not the case managers since they are considered as admin.sometimes is takes as a couple of positions before we realized what and where do we want to be? blessings to you!
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I have worked both....but they are really different . The insurance company may be flaky to work with if their sources is vague , or medical director may be difficult to work with. the hospital scene may be chaotic, especially if a system is not in place. You need ownership in a unit so you get to know the people there and work as one, including the physician..otherwise it can be unnerving . but this is just me...you need to see where your comfort zone is. 
Maritessa
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