Utilization review nurses

Hey,
You would probably be good working for an insurance company with your many years of varied experience. There are different jobs you can do working for an insurance company i.e. medical necessity reviews, pre-certification of hospitalizations, case management of patients with catastrophic diagnosis such as cancer, wellness coaching, disease management of chronic disease such as diabetes, CHF, CAD, COPD. If you currently work at a hospital, you could ask your case management/utilization review dept. if they know of any insurance companies looking for nurses. Sometimes you can work from your home. Usually the hospital case management/utilization review nurses speak to insurance company nurses everyday. You could also call the big insurance companies Cigna, Aetna or others in your area and see if they have any positions or you could just send them your resume. I have been working for an insurance company doing utilization review for the past 18 years and I don't miss direct patient care one bit. I love the Monday to Friday 9 to 5 hours. Good luck!

Hi - I know this isn't an answer to your question but I am interested in looking into insurance companies. How do you even start to look for a job? I have 30 years in nursing (9 as LPN) in varied settings: palliative care, med/surg, long term care as medicare nurse, ADON and DON. Could you tell me what it entails? Do you work in an office? A clinic? At home? Thanks in advance for anything you can tell me.

I went online last night and went to an employment site in my area of Mass. I posted a resume and sent it to a company called UNIVAL. I was quite surprised when there was a message on my answering machine from them regarding my application. Ever hear of them?

Hello,

Does anyone know of any companies that have home-based telephonic review or disease/case management? I have been a nurse for 33 years and have extensive CM/UR/HMO experience. I just took McKesson's CPHC exam. I am a Director of Case Mangement, but I am tierd of the management end.

Thanks! Star