Utilization review nurses

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.

Thank-you so much for the information. I am ready for something that is different but important. I'm excited to do something else for a change. I'll start making calls tomorrow!
Eileen

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?

How do I get started in this? I have over 20 years in nursing in many areas. I have applied for an internal position also.

Hi - I'm not sure that I have any valuable information but I went to a local site for jobs, found one that was looking for nurse reviewers, and applied. I got a call the next day and will let you know what I find out, ok?

I started in the managed care arena about 20 years ago. I started at the biggest insurance company in Pittsburgh. That would be the best thing to do. Ask around people you know what insurance do you have. And find the biggest in your area. The biggest companies are not necessarily looking for past experience, they expect to train you.
I have moved around through almost every company in Pittsburgh. I worked UM, case management, population management, on site reviews, telephonic reviews. I did some prior auth and had some experience with TPA's and self funded companies which is a little more challenging.
The company I work for now is associated with one of the largest universities in pennsylvania. They have a medicaid product which is the department I wok in now. (I always look for new experiences). I left the hospital after burning out and almost losing my sanity! (see nursing ghost thread)
I don't regret leaving floor nursing. I hated evening and night shifts and working weekends and holidays. Once you get some experience you can make some good money in this arena.

This seems something to very interesting, thanks for posting itMartRN