Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Case Management Nursing /

What exactly does a case management nurse do?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,131 members! Join today to network with other nurses, laugh, share, and much more.

Mar 16, 2009 09:39 PM

What exactly does a case management nurse do?

by Ladii_T

My cousin just got a job as a case management nurse at an insurance company. I am in nursing school and I want to know what this job entails..How is the pay/benefits...I am going for my associates degree in nursing...Do you have to have a 4 year degreee to do this...


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
1 Comment
No. 1
Old Mar 20, 2009, 06:43 PM

Default Re: What exactly does a case management nurse do?
It depends upon where you are working... CM's work in a variety of locations. Insurance companies, Work Comp, hospitals (acute care), etc. My hospital requires a Master's for us to be CM's. I do dismissal planning, which requires an assessment on the front end of support systems, current equipment owned, where pt lives, if they live alone, etc. I also do concurrent review with 3rd party payors. We chart using computer, with a program purchased by our hospital for CM's only. It has beena blessing and a bane. We also are required to see our patients daily, and document the ongoing dc plan of care. I also provide info to Work Comp providers, and set up OP follow-up such as home health, hospice, or therapies.
Top
 
Reply




Thread Tools


Who's Online
253 members
2,292 guests
2,545

6

California Imposes Stricter Rules Regarding Drug Abuse In...

18

Are older nurses being forced out of the profession?

2

An outlook in California?

8

Australian surgeons successfully separate conjoined twins

41

Disruptive behavior by doctors, nurses persists a year...

31

Woman sues after police tackle her in ER during premature...

5

Beyond The Last Lecture -For Randy & Jai Pausch nurses...

18

WHO: Give at-risk groups anti-flu drugs early

21

Nursing, medical schools should work together, experts say

6

Army nurse honored after 100th birthday






Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: