How to become a case manager

  1. 0 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 doing case management for a while before maybe going back to school to obtain my FNP. I am posting this asking for guidanes advice how other had done it and what would be the best way. I love working on the floor but I have to compromise at this point if I were to have another child. I am saying this because with my first one I was so sick in first trimester. I don't think ever making it through the day 12 shifts.
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    Visit  Born_2BRN profile page

    About Born_2BRN

    Joined Jun '12; Posts: 176; Likes: 55.

    16 Comments so far...

  4. Visit  MBARNBSN profile page
    1
    Talk to the hiring manager at the hospital where you work or a former nursing employer. Ask that person if there are openings, let him/her know of your interest, and ask how you would be considered for an entry level position. That is the best way to get into Case Management. Good luck.
    BOLOBUTT7 likes this.
  5. Visit  missladyrn profile page
    0
    Oh, the land of 9-5, how I would love to be part of theeeeeee! At my hospital the CM positions are extremely difficult to obtain but I keep putting in and hoping. I am actually in my first trimester now and have been sick as a dog. I am also really tired the 12 hour shifts are literally killing me. I am hoping the sickness passes soon, otherwise I am not going to make it 9 months on my current floor. I asked not to be scheduled 3 days in a row, but every schedule comes out and I am 3 in a row and have to beg people to swap.
  6. Visit  mtngrl profile page
    0
    You can always look at insurance companies, most have case managers that work from home. Where I work if someone doesn't have CM experience they at least like them to have home health experience (because we visit our members in their homes). If you are applying for telephonic case management then that might be even easier to get into.
  7. Visit  mclennan profile page
    9
    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!
    Crux1024, mbat3535, BOLOBUTT7, and 6 others like this.
  8. Visit  babynurse73 profile page
    0
    wow! it seems you need a lot of education and experience to become a case manager! I know a couple of ADN's that have become CM's and I was offered a job in CM/Home Health (which I decided not to accept). Is this a good way to gain the experience to get a hospital position without the BSN? I would love to get my BSN, but it is so costly and time consuming (I have taken a couple of on line classes toward it), and I just don't want to do it anymore! Currently, I am L&D nurse and looking to get into CM...
  9. Visit  brianrey profile page
    0
    You must know case management before trying to be case manager.Cm is really a great profile to work on.
  10. Visit  anne_marie_oregon profile page
    0
    Hello! I am considering moving into a Case Management position (I am moving to a new city and seeking a new job). I am a new RN, about 6 months of experience.

    (1) Is Utilization Review (UR) the same/similar to Case Management???

    I am currently working on my BSN program as well (I have had my ADN since June).

    (2) Is home health/case management a good place to start to get into hospital case management?

    There is a UR job at the VA in the city I am moving to that I would like to apply. I am trying to consider my 5 year plan and determine if this is a good step for me! I am currently a nurse in the ER and, as a new nurse, not entirely sure if I want to continue the 12-hour shifts of floor nursing or make a shift to the 9 to 5. I would LOVE to have weekends, holidays!!! I really enjoy the ER, but would love to have more flexibility in what I do! I used to work in marketing (non-health-care) and I really miss the office hours. I struggle a bit in the ER with CONSTANT distractions and not feeling like I am in touch at ALL with my patients needs! I believe I would REALLY enjoy following a patient through from beginning to end.

    (3) Is Case Management a good career field - lots of room for growth???

    Thank you for any replies!
  11. Visit  MBARNBSN profile page
    0
    Quote from anne_marie_oregon
    Hello! I am considering moving into a Case Management position (I am moving to a new city and seeking a new job). I am a new RN, about 6 months of experience.

    (1) Is Utilization Review (UR) the same/similar to Case Management???
    Utilization Review and Management (URM) is Case Management. Some nurses perform UR only or Discharge Planning/Chronic Management only, while others perform both.

    Quote from anne_marie_oregon
    (2) Is home health/case management a good place to start to get into hospital case management?
    Where you start and if it is a good fit depend on your personality and your opportunities. As for getting into the hospital setting, this will depend on employers. Most hiring managers in hospital settings prefer CMs with acute care backgrounds of 2-5 years by the bedside, a BSN, and at least 1 year of CM work experience in the hospital setting. However, it is not unheard of that Nurses with clinical backgrounds of several years outside of the hospital setting along with CM work experience of several years in other areas (HH, insurance, Workman's Comp, etc.) are recruited into the hospital setting as Nurse Case Managers.

    Quote from anne_marie_oregon
    There is a UR job at the VA in the city I am moving to that I would like to apply. I am trying to consider my 5 year plan and determine if this is a good step for me! I am currently a nurse in the ER and, as a new nurse, not entirely sure if I want to continue the 12-hour shifts of floor nursing or make a shift to the 9 to 5. I would LOVE to have weekends, holidays!!! I really enjoy the ER, but would love to have more flexibility in what I do! I used to work in marketing (non-health-care) and I really miss the office hours. I struggle a bit in the ER with CONSTANT distractions and not feeling like I am in touch at ALL with my patients needs! I believe I would REALLY enjoy following a patient through from beginning to end.
    Case Management is not stress free fun job for the most part. Also, CM jobs in the hospital setting are not always 9-5-M-F -no-weekends-or-Holidays jobs. In fact, my employers have NOC and PM shifts and we are required to work weekends and Holidays just like any other Nurse. Hospitals admit and discharge patients 24 hours a day 7 days a week.

    Quote from anne_marie_oregon
    (3) Is Case Management a good career field - lots of room for growth???
    Yes, lots of room for career growth. Most of the growth, however, will be laterally as oppose to upward. The reason being, as with any field there are not a lot of places where one can get promoted due to cut backs. On the other hand, you can move around to different settings, to different positions, and to different facilities with experience, education, and certifications. Good luck.
  12. Visit  paradiseboundRN profile page
    0
    I was hired as a telephonic case manager (for a large medical insurance company) after 2 years of med-surg and 6 years of home health care. I do know a lot of home care nurses that have transitioned to case manager (with insurance companies) without a BSN. Home health and case management have their similarities in that both are teaching the patient to manage their diseases and helping them with community resources, transportation to medical appointments, etc. Personally, I found telephonic case management to be extremely boring and left after a year.
  13. Visit  Joe NightingMale profile page
    0
    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.
  14. Visit  jenn1970 profile page
    0
    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.
  15. Visit  melissakc12 profile page
    0
    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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