After 8 years of psych, peds and peds icu nursing i became a case manager for a large PA health insurance company. The pay is $10 more an hour than my best paying job. A lot of it is telephonic...boring...but better than running on the floor. My office is in the dr office in a rural farming community. My clients are the 650 members the insurance company has at the practice. I deal with chronic care members (DM, CAD) and high utilizers of the ED. My issue is that i am supposed to contact them by phone but most people don't answer or the call goes to voice mail. I send letters - about 300 so far and only one person called me. I am gettingpaid a lot of money and at times I have nothing to do. I told my boss that i have trouble engaging anyone but she is very busy and says "give it time." Also, when i do see members at ther practice NO ONE wants case management from me! No one wants help to change their poor health habits! I am feeling very ineffective here....any advice?