insurance companies?

  1. :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.
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  2. 40 Comments

  3. by   LasVegasRN
    Hi Laura! It depends on the insurance company. Some are looking to train their case managers on how they do things, others want you to come in hitting the ground running. The only way you'll really know is to go on some interviews and ask questions! Some companies do not require a CCM to start. My previous employer paid for me to obtain a CCM after being there for a certain amount of time.

    I believe that working in the private sector will help increase your knowledge of the whole health care continuum. It also helps to work bankers hours for a change!
  4. by   lolly1123
    Thanks for the input. I have been looking at everything "case management" I can get my hands on. Including online CEU's and ordered a book from Barnes and Nobles. I think it sounds very interesting, complex but interesting and the pay is much more than I make at the Health Department. It seems that nurses who go into CM really enjoy and stay with it.
  5. by   LasVegasRN
    I've been doing it for a little over 10 years. LOVE IT.
  6. by   Nana RN
    How do you find out about the insurance companies that hire CM's? I live in a rural setting and do home office type work. I was also interested in if anyone knew if physicians (specialists) hired in-houseCM's or legal nurse consultants?
  7. by   TELEpathicRN
    I also would like to learn more about opportunities for Case Managers that could work out of their home. I live in Alabama. All help will be appreciated.
  8. by   ryaninmtv
    I work in case management (worker's comp) from my home. I love the job but it's a lot more work than I initially had planned. For instance, you never get away from the work so you tend to actually put in more hours than when you work in an office. As far as Alabama, I know the large national companies employ home based case managers in AL. Actually worked with one that was pretty good. If you are serious about a career in case management, start investigating the CCM credential. While not mandatory, it carries significant weight with many employers. Good Luck!!
  9. by   nurseT
    Dear ryaninmtv, Please name some of the national ins co's that hire independent nurses. I too work out of an office in my home and just signed a contract with a company that does health assessments for long term care ins claims, however the volume is very low and I need more business, gotta buy groceries. Please. nurseT:kiss
  10. by   ryaninmtv
    Concentra, Intracorp (which I think is part of Cigna), and Genex come to mind as large national case management vendors. I have worked with all of these companies as a customer and they seem to do pretty good work. I can't speak to how they are as employers. Good Luck.
  11. by   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
  12. by   Grammel
    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
  13. by   wincha
    Quote from 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.
    Yes you can. Just get your foot in the door and alot of insurance companies will train you. Where do you live? What insurance companies are in your area?
  14. by   wincha
    Sounds like you have home health experience with CM. You will be fine. You will develop more telephonic skills. I sit in a cube all day and talk to my coworkers who sit near me. We work and have fun at work also.

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