Should I get into the business or not?

  1. hello! i am a newbie. i am considering applying for a job as case manager in a large well known institution. i have been an nurse supervisor for 6 years and am ready to be done with it. i have done some legal nurse consulting on the side and love it but need the benefit of insurance.

    should i take the plug. what is the job like? it will be for medical surigal cases and i have not idea wht to expect. thanks for any advice in advance...
    knitnut5
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  2. 4 Comments

  3. by   renerian
    Are you meaning your like a discharge planner? I know for some institutions they have case managers who coordinate referrals, DR visits and both in and outpatient care across the health care spectrum of services.

    renerian
  4. by   URnurse1988
    I am a UR nurse for an insurance company. I speak to hospital case managers all the time on the phone and I have worked with nurses who were case managers in the hospital. Being a hospital case manager usually involves discharge planning, arranging home healthcare or transfer to a SNF or rehab facility and calling insurance companys and giving them clinical information to certify the medical necessity of hospitalization. Hope that helps.
  5. by   wincha
    Quote from URnurse1988
    I am a UR nurse for an insurance company. I speak to hospital case managers all the time on the phone and I have worked with nurses who were case managers in the hospital. Being a hospital case manager usually involves discharge planning, arranging home healthcare or transfer to a SNF or rehab facility and calling insurance companys and giving them clinical information to certify the medical necessity of hospitalization. Hope that helps.
    Do you know what they are looking for to get a job like this in the hospital?
  6. by   URnurse1988
    The ideal candidate would have a varied background of UR, CM, acute care and home health. They will probably take someone with several years of med-surg background. I know of one nurse who got a CM position right out of nursing school but that is extremely rare.

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