How to become a case manager - page 2

Hi all! I am currently working in med/surg but within the next year or two hubby and I planned having a second child. Thus with pregnancy working with heavy assignment and acute patient care is questionable. I am looking into... Read More

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    I'm doing telephonic CM right now. I have three years of med-surg and an MSN.

    But I think that's unusual. Most of my co-workers have experience in CM, or UM/UR, or mental health. But my company is kind of a mess, lots of turnover, so that's why I think I got hired with such a lack of experience.

    And I'd echo what some of the others have said, many times RNs leave after they find they miss face to face interactions and 3 12 hour shifts. So I'd think about how I'd like a business environment.

    Even for someone like myself, who likes this sort of field, I find that CM is probably not the best fit. I'd probably do better with less patient interaction and more clinical data, such as UM/UR or quality or provider services. But the good thing about this field is that there are many different positions available.

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    I was hired as a hospital based case manager at a large teaching hospital in the midwest. I am a diploma grad with 20 years of nursing experience at the bedside. I am not certified but need to be within 2 years. So sometimes experience can override the BSN requirement.
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    Yes I agree the CCM certification is pretty important and that it isn't as great as you might think, because you are working with lots of very high risk patients and you often don't see results, and I usually have to work evenings because that is when the people we call in my company are easiest to reach. But if it is a good fit, try to get a job in home care or something and work on your CCM and talk to LOTS of nurses who are doing the job. I work in an a big insurance company and we are always hiring and I think there are going to be more jobs. Maybe working in a big primary care practice, many of them are looking for case managers now. Good luck!
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    Where I live, no insurance or other CM jobs exist, except in hospitals, and they hire internally only. I don't like acute so that leaves me out of something that I think would be a great fit for me
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    There's a company known as the Kingstree Group. They train Case Managers and you can work from home. The website is
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    Quote from mclennan
    I am a case manager RN. I also have a good relationship with my hiring manager and know why she hired me so here ya go:

    1. BSN. Most medical groups, insurance co.s, hospitals get better reimbursement and accreditation if CMs have BSN.

    2. Some experience in Public Health, health teaching, discharge planning, chronic condition management or something along those lines. Lots of states offer PHN licensure to BSNs whose program curriculum included community/public health that meets requirements. If you can get it, get it. My hiring manager, and 3 or 4 other CMs in my department were PHNs for some years before becoming CMs - she says that pretty much nailed why they hired me. Highlight any nursing experience in which you developed therapeutic, long term relationships with patients and followed them through chronic illness. Any telephone triage expertise or training is valuable too.

    3. Get certified as a CM either by the Commission for Case Manager Certification or the ANCC Case Manager Board Certification. I cannot emphasize this enough.

    4. Be prepared to sit in a cubicle all day calling patients, to wear business clothes, to earn salary instead of hourly, and go to lots of meetings. It is a far cry from working the floor, the clinic, or 12 hours in scrubs. And it's not always better, it can be just as crazy busy, complicated, stressful and the grind of 9-5, M-F isn't the paradise you might think. We have had a couple of CMs who came straight from inpatient, bedside shift work nursing leave after 5 or 6 months because they missed working with patients and having those 3 or 4 days off a week. And, they missed overtime pay.

    5. On the upside, it's very autonomous, independent work that actually uses nursing theory heavily, and really sharpens your critical thinking skills. Docs love us. Patients love that they don't have to come to as many appointments and have a go-to advocate. Case management is gonna be a big thing, it saves everyone money and increases patient satisfaction scores big time. And, the pay is great IF you have the experience and certification!

    Hope that helps and good luck!
    Most of the certs require experience as a CM, don't they? Thanks for your reply above. It is informative and portrays both the downs and the ups. (LOL - I started to say "pups").
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    Quote from Kooky Korky
    Most of the certs require experience as a CM, don't they? (LOL - I started to say "pups").
    Yes, the OP means when you qualify, it is a good idea to get the cert.

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