How to break into case management nursing and utilization review....Register Today!
This is a discussion on How to break into case management nursing and utilization review.... in Case Management Nursing, part of Nursing Specialties ... I have roughly 4 years of clinical nursing experience, with some indirect case management,...by imperialsugar Jun 4, '12I have roughly 4 years of clinical nursing experience, with some indirect case management, insurance verification and discharge experience. I applied and interviewed for a job which said ,"ENTRY LEVEL CASE MANAGEMENT" but upon arriving they said they would prefer that I had some case management experience.
1)I'm so confused about this, but that's a different story entirely.
2) How do I break into case management?
3) How do I break into utilization review?
4) Is there some place on the internet, perhaps even on this forum, that gives a good run down of UR and CM, such as steps involved and what not?
I appreciate any and all help you can give me!
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- Jun 5, '12 by NickiLaughsThis isn't a very active forum I've noticed. From what I've seen, it seems like you almost have to know someone or be working somewhere that will let you switch to a case management position and train you. It's not very easy to break into.
- Jun 5, '12 by imperialsugarThank you for your insight, and I have noticed the same thing. Can't give up though!!!!
- Jun 5, '12 by MBARNBSNQuote from NickiLaughsThis is how I did it!!! I switched using connections in the hospital where I worked as a Staff RN. I ended up taking a cut in pay to do it but it was worth every cent! Now I have CM work experience and I had no trouble getting another better paying CM job and I am in the process of landing a good paying Per Diem CM job to boot! Good Luck!From what I've seen, it seems like you almost have to know someone or be working somewhere that will let you switch to a case management position and train you.
- Jun 6, '12 by judywagHi there , from what i have heard , you should look up all medical insurance companies ex: united.Frequently i see them advertise for will train then can telecommute and they appear to offer good packages. Hope that helps,
- Jun 8, '12 by GrnTeacheck out the case management society of america (cmsa) and hook up with your local chapter. if you are anywhere near san francisco, that's where this year's annual conference is-- see if you can go, june 19-22, moscone center. the website will tell you about how to become a member and where next year's conference is. do plan to go to that one. check out the requirements to become certified in case mgmt (ccm) and start working on it.
one of the best things to do for yourself as a beginning cm is to get some good mentoring. i was fortunate to have wonderful ones when i was starting out. you will also hear of job openings before they're posted and make some friends who can recommend you as a newbie. dress like a professional-- business or business casual. you'll be dealing with people who are more business than medicine-- culture change!
you do not have to be an in-house cm-- as a matter of fact, i recommend starting elsewhere. i had been a critical care specialist when i began in work comp cm and knew just about nothing about it; i learned to love occ med. they hire you for your brains, your ability to read medical stuff and understand it, your ability to work independently and to be comfortable seeking new ways to learn, and they'll teach you the ropes as you go.
i was devastated to lose my critical care clin spec job in a reorg, but in retrospect it was the best thing that ever happened to me. it got me where i am today.
- Jun 8, '12 by emilysmom,RNI am a RN case manager for a home health company. I also do home care visits.
- Jun 12, '12 by Are-En-FlaI would eventually like to get into case management as well. I am finding that working on the floor, when seeing the case managers, I let them know what is going on with my patients. They seem to like that I have interest in what they are doing and seek me out now instead of me seeking them out. I was even offered a part time position but I don't want to take it right now since I am not even through with my 6 month orientation period! I feel that I need more patient care experience to tackle this stressful position. So, I would have to say that it is probably true that you have to shmooze with the case managers on your floor to get your foot in.
- Jun 13, '12 by BahaMamamaRNLol at your reference to "schmoozing the case managers on the floor" laughing but good advice for those seeking a position. I find everyone we have hired are from CM recommending floor nurses or other known experienced case managers who knows someone experienced or not. Good luck in your search.
- Jun 19, '12 by MArdt1I know Wellcare in Tampa is hiring Telephonic Case Managers, if they don't have Case Mgmt exp, an ICU background will do. 9-6 Shift, Competitive Salary, and manageable work load. You should check out their website. Hope this helps! Have a wonderful Day! ~ Melissa