@joanski, I'm still a newbie at my job but so far it's going well. My job required a minimum of 3 years of home care experience as a nurse case manager and experience with chronic disease management (CHF, COPD, cancers, etc). Honestly I was surprised to find that I had those qualifications...and for a job in the insurance industry, no less. I didn't have any preauthorization or utilization management experience, but am learning to do those tasks.
At this time I am still working in the office, working 8a-5p, and on occasion, 9a-6p when I am scheduled to work late since some of our states are in a different time zone. I get an hour for lunch, which is nice, since I'm not used to having time devoted to lunch! Working from home can start as early as 8 months after being hired, or as late as 1-1.5 years. It depends on a lot of factors (whether or not there's been a flood of others going home, if I get good scores on audits or can keep up with the pace of the caseloads, etc). Until I get to start working from home, I feel like I'm at school, all over again! Though I have an hour for lunch and can run out to run errands or meet someone for lunch, or get a hair cut. But considering I live an hour away from the office, I have to factor in what's nearby, travel time, parking logistics. Like in nursing school, it's just easier to stay on campus and grab a sandwich! LOL
Keep your eyes peeled on sites like CareerBuilder. There are always jobs posted for insurance companies and since managed care is needed more now than ever, you might find something that you can do with your ER background. As far as your experience, you never know...if your app and resume catches a recruiter's attention, you can always explain your experiences and assets for the job at hand. Good luck!!