Most dialysis jobs are the same.
Case management varies widely, not all CM jobs are the same. I am a CM and LOVE it. After 6 years in other areas of nursing I've finally found my niche! And no, I don't deal with billing or insurance companies or any of that. I manage patients who are post-surgical discharge. I meet them & their families in the hospital at d/c to review their post d/c treatment plan, meds, DME, f/u appts, home health plan, and whatever needs they will have once they leave the hospital.
Then I call them at home anywhere from 2-6 times over the next month to check on them, conducting a short interview, chatting and answering questions. I serve as their go-to person for any issues they're having. If they need an appointment I can get one for them, if they have symptoms or complications I make sure they get seen, I straighten out their meds, communicate with the docs, make sure everyone is on the same page, make referrals, and whatever else it takes to make sure they heal up, recover well and don't go back to the hospital. My company has social workers, home health, and specialists available as resources and clerical workers do all the insurance stuff.
I'm salaried, M-F, 9-5. I have a cute little office with a desk and computer, a company cell phone
and I wear business clothes. When I meet patients face to face (in one of our clinics) I wear a white coat. I work on my own for the most part, which I love (soooooo done with the whole "teamwork!" thing) but have a cool boss and other CMs I can always ask questions.
Keep in mind positions like these might require 2-5 years experience in some sort of population-based nursing like Public Health, or in ambulatory nursing, following patients with chronic conditions. You HAVE to be good on the phone and have a bubbly, yet assertive personality. It takes being outgoing, fearless and a little obnoxious to really work the "system" in order to advocate for your patients! But I love being that resource for them, they love having someone who will help them and fight for them if needed.
Also, you have to be fast and down with technology. We use an EMR and iPads and smartphones every day. Lots of CMs have big caseloads and you will have to be quick, nimble and efficient to get what your patients need so you can move to the next one.
This kind of case management nursing is NOT for introverts, slow people who are scared of technology, shy mumblers, bitter ex bedside nurses or new grads.
Pay varies. I have BSN, 2 ANCC Board Certifications, (in ambulatory and CM) a previous BA in an unrelated field, 6 years experience in I.T. before I was a nurse, 6 years experience in Public Health, ambulatory clinic and home health nursing, and I'm working on my MSN. I make around $50/hr and have potential to move up.
Case management is going to be a HUGE thing as the medical system tries to save $ and move more toward a preventative medicine model.
And yes hospice/HH CM is a different game entirely.
Good luck to you!!!!