Quote from Joe NightingMale
I've been doing CM for an insurance company for a couple of months, handling Medicaid. Things are kind of crazy, but I like it much better than floor nursing.
But my co-workers tell me what we're doing really isn't true case management. I believe the phrase they use is "glorified customer service". Perhaps that's why our turnover has been so high, more than 40% since I started. They say we should be spending more time talking to members about health issues.
I'm curious to know if this is true, because I like what I do, I like coordinating providers and solving problems and finding resources. Even though according to my co-workers this isn't really what case management is supposed to be. And I'd like to keep doing it. But I don't want to take another CM position and find out that it's radically different from what I've been doing.
To decipher if what you are doing is Case Management, look at the official definition of case management. The Commission for Case Manager Certification defines Case Management as "... a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluated the options and services required to meet an individual's health needs. It uses communication and available resources to promote quality, cost-effective outcomes."
By the way, as the other poster pointed out, you are happy working there and performing your tasks. So, who cares what your co-workers think or if you may not be actually performing Case Management? You should do fine, especially if others come and go while you remain. Who knows? You may be in for a promotion sooner rather than later. Good luck!
Commission for Case Manager Certification. Code for Professional Conduct for Case Managers: with Standards, Rules, Procedures, and PEnaalties. Accessed 12/01/2012. <http://ccmcertification.org/sites/de...20Managers.pdf