Fork in the road, need career advice, goal is to be case manager for insurance co

Specialties Case Management

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I have 2 job offers and need advice on which would be best. One is a Unit Manager for a skilled nursing facility and the other is Telephonic Case Manager (BUT NOT TRUE CM) for a specialty pharmacy. Basically the pharmacy job is calling members to do assessments on patients with chronic disease conditions like MS, RA, HEP C, etc. and providing side effect/disease management and arranging in home injection training, etc

I want to be a telephonic case manager one day but it is hard without the right experience. I have been an LPN for 10 years and just got my RN. My background is longterm care/subacute and I worked in an administrative role in hospice for 6.5 years coordinating admissions and a ton of other stuff. I also did the telephonic nurse thing for another specialty pharmacy before I went back for my RN.

NOW I am trying to figure out what direction to go in. I tried desperately to get hired at the hospital as I know acute care experience is needed to become a case manager, but was not able to get hired (need to hurry to the BSN), anyway, until then, does anyone have any advice on which job would be best if ultimately, I would like to be a case manager. Unit Manger for SNF or Telephonic Nurse? Please share any feedback and wisdom. What is the perception of Unit Managers at SNFS?

Thanks!

I have 2 job offers and need advice on which would be best. One is a Unit Manager for a skilled nursing facility and the other is Telephonic Case Manager (BUT NOT TRUE CM) for a specialty pharmacy. Basically the pharmacy job is calling members to do assessments on patients with chronic disease conditions like MS RA, HEP C, etc. and providing side effect/disease management and arranging in home injection training, etc I want to be a telephonic case manager one day but it is hard without the right experience. I have been an LPN for 10 years and just got my RN. My background is longterm care/subacute and I worked in an administrative role in hospice for 6.5 years coordinating admissions and a ton of other stuff. I also did the telephonic nurse thing for another specialty pharmacy before I went back for my RN. NOW I am trying to figure out what direction to go in. I tried desperately to get hired at the hospital as I know acute care experience is needed to become a case manager, but was not able to get hired (need to hurry to the BSN), anyway, until then, does anyone have any advice on which job would be best if ultimately, I would like to be a case manager. Unit Manger for SNF or Telephonic Nurse? Please share any feedback and wisdom. What is the perception of Unit Managers at SNFS? Thanks![/quote']

If you want to be a case manager for insurance then the experience as a telephonic case manager will take you further toward your goal. You will get the experience in dealing with patients, coordinating their care and assisting them to manage their disease. Once you have mastered that role you will more likely be hired for insurance case management. Especially if you are working under a CCM. Just my opinion.

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Specializes in nursing education.

The job you are describing sounds like disease management, which is a sub-set of case management. I really like disease management personally...but the literature shows that purely telephonic disease management is not as effective as a mix of telephone and face-to-face. Just something to consider.

More opportunities will open up for you if you are a CCM so you will want to see which jobs will lead you toward certification. Certification & Renewal | CCMC

Specializes in clinical pathways - ED, home infusion, IT, lab.

what did you decide to do?

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