Nurse CM Reality Check

Hello all,

I've been about 6 months at my job in an outpatient clinic as a nurse case manager and it seems a much different role than that of the hospital cm.

First, I work as part of a clinical team of several MDs and mid-level providers, and all total the patient panel I serve as sole primary Nurse totals over 1800.

I am starting to feel spread too thin- and with so much to do for so many people, its simply impossible to meet all my patient's needs and expectations for follow up calls and care coordination.

Could anyone with a similar position or experience compare notes with me? Is this situation standard? Also, are there any standards of care regarding patient panel size for outpatient CM's? I cannot find any.

Thanks!
-Spread like bean dip in Beantown....