LVN Case Managers

  1. 0
    Hello,
    I'm an LVN and currently work as a case manager for a skilled nursing facility. I'd like to pursue a career in case managing. Does anyone know how I would go about getting a job at an insurance company as a case manager? Would I have to be an RN first in order to work for an insurance company? Thanks in advance!

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  2. 10 Comments...

  3. 0
    depends on the insurance company...i know some do....at least in ct...hope this helps
  4. 0
    Depends on the company as the previous poster mentioned. Why not polish your resume, market yourself with applicable buzz words in the job requirements that are posted that you may already be performing & submit. Some companies only want BSN's or a bachelors in a health related field and others will accept associates, diploma, LPN etc.. Best of luck to you!
  5. 0
    I am a Certified Case Manager. Most Health Plans, IPA's, Medical Groups, and hospitals prefer RNs but if you have experience they will consider LVNs.
    Ive been working as a Case Manager since 2008. I got my start as an Admissions Coordinator at a Skilled Nursing Facility. I had absolutely no experience, but I had a friend in management who helped me obtain the position.
    Nursing in L.A is very competitive and you have to network. If you work at a hospital talk to the Case Managers and D/C planners on the floor, and becoming certified always looks good on your resume.
  6. 0
    Most CM jobs prefer or require case management certification or progress towards it. The two that are available are the CCM (Commission on Case Management Certification, CCMC) or RN-BC (ANCC).

    The CCM requires a four-year degree in a health field, among other criteria; the RN-BC, obviously, requires RN.
  7. 0
    Quote from GrnTea
    Most CM jobs prefer or require case management certification or progress towards it. The two that are available are the CCM (Commission on Case Management Certification, CCMC) or RN-BC (ANCC).

    The CCM requires a four-year degree in a health field, among other criteria; the RN-BC, obviously, requires RN.
    I am an associate degree RN. I got my CCM in January. Did not need a BSN.
  8. 0
    Quote from fosterrn
    I am an associate degree RN. I got my CCM in January. Did not need a BSN.
    No longer possible. From the CCMC website, Certification & Renewal | CCMC

    The CCM® exam is currently administered 3 times per year, in April, August and December. Starting March 1, The Commission updated the eligibility criteria for taking the CCM exam in two key areas: qualifications and employment experience.

    The qualifications now include individuals who have a four-year degree in a health or human services area as eligible to apply1. The individuals must have completed supervised field experience in case management, health, or behavioral health as part of the degree requirements as well. This approach reflects many of the changes happening in health care today.
    Experience must focus primarily on case management practice. The revised criteria spell out that applicants for the exam must perform the core components of case management. Within each core component, case managers must perform all the essential activities with direct client. Services must be provided across the care continuum, and the case manager must be responsible for interacting with others in the system. This experience must be achieved within the past five years.
    Please download and read the Certification Guide for complete eligibility requirements and information on how to apply for the CCM exam.
    To download a copy of the Attestation of Degree Form, click here. Please also view the yearly schedule of CCM exams and notification dates on the CCM Exam Application Window and Notification Timeline.
    Payment for the CCM exam has been approved by the U.S. Department of Veterans Affairs (VA) as reimbursable under the GI Bill for licensing and certification. Click here for more information.
    Please note, Internet Explorer has known incompatibilities with the functionality of the My CCM Dashboard site. Please begin your exam application with current versions of Google Chrome or Mozilla Firefox for the best experience.
    For those already approved to test, download and read the Exam Guide.
    Click here for information about Testing Centers.
    1 As per the definition of said degree program stated in the Case Management Society of America (CMSA) Standards of Practice for Case Management.
  9. 0
    Actually RN's with AAS OR BSN can apply, it's on their qualification sheet as follows below. I also called to confirm this...it's an either/or to also include social workers and other health and human services workers, not just RN's...
    SECTION 4: Qualifications
    To be eligible for the CCM Exam, you must hold a:

    1. Current, active, and unrestricted licensure or certification in a health or human services
    discipline that within its scope of practice allows the professional to conduct an assessment
    independently
    .


    OR

    2. Baccalaureate or graduate degree in social work, nursing, or another health or human services
    field that promotes the physical, psychosocial, and/or vocational well-being of the persons being
    served.

    The degree must be from an institution that is fully accredited by a nationally recognized
    educational accreditation organization, and the individual must have completed a supervised field
    experience in case management, health, or behavioral health as part of the degree
    requirements.1


    DEFINITIONS
    Licensure:
    CCMC considers licensure to be a process by which a government agency within the United
    States grants permission to an individual to engage in a given occupation, provided that person
    possesses the minimum degree of competency required to reasonably protect public health,

    1
    Case Management Society of America (CMSA) Standards of Practice for Case Management

    6
    safety, and welfare. To meet CCMC’s requirements, an applicant’s license must be current and
    active in the state in which he or she practices, and the holder classified as being in good
    standing by the state. If an applicant has successfully obtained licensure through the state,
    CCMC recognizes each state’s criteria for licensure as fulfilling the licensure requirement.

    Certification:
    CCMC considers certification to be a process by which a government or non-government agency
    within the United States grants recognition to an individual who has met certain predetermined
    qualifications set by a credentialing body. To meet CCMC’s requirements, an applicant’s
    certification must be current and active in the state in which he or she practices, and the
    holder classified as being in good standing by the credentialing body. The certification
    awarded upon completion of the educational program MUST have been obtained by the applicant
    having taken an examination in his or her area of specialization.
    Among other conditions which result in the denial of eligibility to an individual are the following:
    • Licenses or certifications granted by countries outside of the United States
    • Individuals who practice case management in countries other than the United States
    • Individuals who practice case management in a state other than that for which they
    are licensed or certified and for which there is not multistate agreement

    SECTION 5: Employment Experience
    Employment experience requirements must be fully satisfied before at the time the application
    is SUBMITTED. To be eligible for the CCM Exam, you must qualify within one of these
    categories:

    Category 1: 12 months of acceptable full-time case management employment experience
    supervised by a board-certified case manager (CCM). Supervision is defined as the
    systematic and periodic evaluation of the quality of the delivery of the applicant’s case
    management services.

    or

    Category 2: 24 months of acceptable full-time case management employment experience.
    (Supervision by a CCM is not required under this category).

    or

    Category 3: 12 months of acceptable full-time case management employment experience as a
    supervisor of individuals who provide case management services.

    Acceptable employment experience MUST meet the following conditions:
    1. Focus primarily on case management practice.
    2. Perform at least five of the six core components of case management. Within each of the
    five of the six core components, you must:
    Perform all 8 Essential Activities with direct client contact
    Provide services across a continuum of care, beyond a single episode of care that
    addresses the ongoing needs of the individual being served.
    Be responsible for interacting with other relevant parties within the client’s healthcare
    system.

    All employment experience, within the past 5 years, may be considered by CCMC in determining
    your eligibility for certification but you do not need to enter 5 years worth of employment into the
    application
    Last edit by TashaLPN2006RN2012 on Oct 30, '13 : Reason: forgot to add a line
  10. 0
  11. 0
    It's that "conduct an assessment independently" that stops the LPN/LVN.


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