insurance companies?

[lolly1123]

: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 for CM work am I qualified without taking more education? Do most places want you to have CCM? Will they do much training? Is that the best place to start out? I just really need a career change!!!! I love being a nurse but getting to hate my job.

[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

[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.

[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!

[Rntr]

thekid .... do you mind telling me who you work for... i am interested in cm and find alot of doors closed. thanks

[UWRN07]

CM for Olympia/Sterling Ins co.? I'm going in for my 2nd interview today with this co. and and have never done CM in this setting before. I have been an RN for 15 years and worked home health doing CM for 10 of those years. Am curious about working in a cubicle all day long and for an ins. co. Anyone out there with first hand knowledge? Thanks, grammel

I too was a nurse case manager for home health before going to work for an insurance company doing diabetes case management. It is VERY different and was difficult for me to get used to at first but now I love it. The slower pace makes the days feel longer, which I don't like. In home health I saw 6-7 patients per day and now I'm lucky if I get a hold of 2-3 people per day on the phone. I also spend a fair amount of time doing program development, speaking with employer groups and attending outside meetings. As long as you don't mind a snails pace compared to home health, I think you will like it. WAIT, I JUST REALIZED THIS WAS POSTED ALMOST 4 YRS AGO! Well it might help someone else make a decision.