insurance companies? - page 3

:roll I have been an RN for 7 years. Worked sub-acute unit, charge nurse on tele/oncology at hosptial and now am at the health department. I was wondering if I look in the Insurance companies... Read More

  1. by   shortstuph0
    Quote from Erin RN
    I work as a worker's comp case manager for GENEX and I love it!!! GENEX is VERY good to their employees. My home branch is about 300 miles from me so I work out of my home.

    Erin
    Can I ask you what path you took to get to where you are now?
  2. by   anbreen
    Quote from m&ms mom
    Lizzy6------Just wondering if you could give me any ideas of how to find a work from home case management position, or what companies to look at......Thanks:spin:
    I worked for UnumProvident, Pacificare, and Aetna. Someobody here wrote that she works for Genex. They hire a lot, too. Zenith, all the Workers Comp companies. The Blues are supposed to be good to work for.

    Most of case management is like utilization review-just common sense, within guidelines!

    I did that for a LONG time. :-)
  3. by   nursemaryl
    I have been a WC case manager for about 10 years. Had more than 15 years in the hospital before that. I have done telephonic in an office and field from home. Telephonic is more 8 to 5 than field is but field has more flexibility. You can take an afternoon off if you want without taking PTO if you make up the time which is easy to do when you can write reports from home at night. The big WC insurers are ESIS, Sedgwick CMS, Gallagher Bassett and AIG. The big WC case management companies are Coventry health care (they bought out Concentra), Corvel, Genex and Intracorp. I love case management and the autonomy of not having anyone breathing down your neck all of the time. When I was working in the field my bosses were all at least 50 miles away and one of my bosses was almost 200 miles away. You can talk to them on the phone whenever you want but it is nice not having them right there. I now write life care plans for the catastrophically injured and love that but I do miss the people contact that I had in the field. Lots of luck.
  4. by   lyv33
    Quote from nursemaryl
    I have been a WC case manager for about 10 years. Had more than 15 years in the hospital before that. I have done telephonic in an office and field from home. Telephonic is more 8 to 5 than field is but field has more flexibility. You can take an afternoon off if you want without taking PTO if you make up the time which is easy to do when you can write reports from home at night. The big WC insurers are ESIS, Sedgwick CMS, Gallagher Bassett and AIG. The big WC case management companies are Coventry health care (they bought out Concentra), Corvel, Genex and Intracorp. I love case management and the autonomy of not having anyone breathing down your neck all of the time. When I was working in the field my bosses were all at least 50 miles away and one of my bosses was almost 200 miles away. You can talk to them on the phone whenever you want but it is nice not having them right there. I now write life care plans for the catastrophically injured and love that but I do miss the people contact that I had in the field. Lots of luck.
    Nursemaryl,

    It sounds like you work for or worked for Coventry formerly Concentra just by naming their jumbo accounts. Are you still with them? I was recently hired by them and would have been laid off except I went back to my former employer because I was not getting the referrals to keep up my full time hours.
  5. by   UR Nurse 1
    Quote from Erin RN
    I work as a worker's comp case manager for GENEX and I love it!!! GENEX is VERY good to their employees. My home branch is about 300 miles from me so I work out of my home.

    Erin
    Hi Erin,
    I too work for Genex!! I love it! I do some in-house case management, but mostly Utilization Review. When I have to miss going to the office, it is no problem... I can work from home.
    And you are absolutely right... Genex is a great company to work for.
  6. by   Katie82
    Case Management is going to be a wide-opem field a more agencies are realizing its value. I work for a non-profit that has been tasked by our state to manage Medicaid patients. I love it. I worked for a MCO before I moved here, doing the same thing. CMS is now pushing to put Medicare beneficiaries in Managed Care /Case management - they really need it. We are going to start phasing in the Medicare population and will have our hands full. A lot of the major insurance companies also have Medicaid MCOs in some states. Your health department should have some sort of Medicaid Coordinator who does Case Management. Lots of opportunities - just stay away from Disease Management.
  7. by   bakcmst2007
    Thank you...its funny that you say that..."stay away from disease management" because i just quit my job about my 4-5 months ago in disease management...at home telephonic...hated it...i like managing patients but not in that realm of nursing...
  8. by   wincha
    Quote from bakcmst2007
    Thank you...its funny that you say that..."stay away from disease management" because i just quit my job about my 4-5 months ago in disease management...at home telephonic...hated it...i like managing patients but not in that realm of nursing...
    What company did you work for? I work disease management with some case management and really like it. I don't think I would like working from home.
  9. by   bakcmst2007
    Worked for Mckesson...liked the company..just didnt care for dm...and didnt like being at home all the time, had to make so many calls a day...everything was so crituqued (?SP)...
  10. by   needlemary
    Hey out there;

    I have an interview with an ins. company for a disablity case manager on Wed. It would be my first case managment position. Any advice would be welcomed.

    Thanks.
  11. by   neicey59
    Question - do you all have 20% coinsurance and a healthcare deductible on your managed care plans like we do at other large insurance companies with UR and CM departments. I can remember 2 years ago when I worked at the hospital we paid our copay and walked out the door
  12. by   thekid
    I just started as a service coordinator with an insurance company, we do telephonic health assessments. I love the hours and my coworkers are awesome..there are busy times but I find it a lot less stressful than the hospital.

    Out of curiousity I checked in with my company's job openings (they will usually post internally first)..there are other positions open at my company such as UM, clinical review, concurrent, and field case manager.

    My company is willing to train so CM would be something I could potentially slip into at the right time..if you already work for a company and understand one role (in this case service coordinator), it looks favorable on a resume when an opening comes up. I am interested in field service coordinator

    check with insurance companies in your area and see what types of positions they have open, even if a CM job isn't open at the moment, you can possibly work into it, then get CM, then get the certification. I was hired by submitting a resume on careerbuilder.
  13. by   zem2002
    Are you still working for GENEX? I applied for a field case management position recently with them and I am really excited about the opportunity. The bad thing is you read a lot about putting in A LOT of extra hours to keep up with the case load from some companies. With 3 small children, working 50+ hours weekly is not going to work, even if it's out of my home, and would love to get some advice in case I am lucky enough to get an interview. Also, any other information about working for them would be apprecited. Thank you so much!

close