A typical day as telecommuting CM

GRounded1 · Oct 20, 2015

Log on to computer, check emails, check calendar to see if you have any meetings. Check call list see who needs D/C follow up call, Lab review, First time contact. Make calls depending on the level of productivity you have to have. Send letters to patients which may be prewritten, chart on each patient after each call. This usually takes 8 hours.

nur18 · Oct 22, 2015

Log on to computer, check emails, check calendar to see if you have any meetings. Check call list see who needs D/C follow up call, Lab review, First time contact. Make calls depending on the level of productivity you have to have. Send letters to patients which may be prewritten, chart on each patient after each call. This usually takes 8 hours.

On average how many call do you make a day and the length. I know each day and call would be different.

gonzoRN, MSN, RN · Oct 24, 2015

Check email and calendar. Pull census, download into excel, mark up. Call assistant, give her list of reviews needed, update on any other needs. Open call file, start making east coast calls (I do CM/UM for out of state/out of plan). Pull faxes, start reviews. Admits start coming in--if local out of plan hospitals, call discharge planners and start repatriation back to our system. More reviews. More phone calls, mostly related to discharge planning, transitions to lower levels of care. Approve LTACH, SNF, Acute Rehab prior auth requests. More reviews. Start west coast calls. Set up air ambulance flights to out of state hospitals. Reviews. Phone calls. Touch base with assistant throughout day, and send her list of discharges at the end. I work an average of 9-10 hours a day, and I love, love, love what I do!

GRounded1 · Oct 25, 2015

I would do a lot of call because you have to reach so many members. basically at the desk all day, not for a person who likes to move around. sometime isolating

thekid · Nov 4, 2015

Are there companies that have CM positions that are strictly telephonic, and the CM can work in any state? This sounds appealing .

SummerGarden, BSN, MSN, RN · Nov 9, 2015

Are there companies that have CM positions that are strictly telephonic, and the CM can work in any state? This sounds appealing .

Within the United States of America, you need a license to practice nursing in every state in which you work as a nurse. Thus, my understanding is that you can only talk to patients over the phone that are located in the states you are licensed. On the other hand, the air transport arrangements noted by another poster may be considered differently since one does not have to directly speak with the patient located outside of the state or affect the medical model of care when making such arrangements?

rncm2010 · Feb 8, 2016

I work from home as a CM for an insurance company in the Pacific NW. My days are 10 hours long, 4 days per week. I have the option of working 7 am till 5pm or 8 am till 6pm. I usually start by reading 100 emails that came in overnight from the other departments. Most of them I can delete and don't pertain to me. I get cc'd on tons of irrelevant stuff. I listen to voicemails. Then I follow up on my current client list. I have 28 clients now and am trying to build up this list. It is all over the phone. I make calls to clients to follow up. I ask how they are doing. I find out if they have new needs I can help with. Sometimes I listen to them vent about their situation. I also review and authorize or deny anything that comes in for them (i.e. pre auth requests). I am always having to verify eligibility first. We create care plans and update them as the member meets goals. The thing I do the most is call people, talk to them and document our conversations. It is a great job, tedious at times to do so much documentation. The part I like the least is all the requests I get from other departments like negotiating rates, etc. It is not my job to do this but sometimes it takes many emails to get everyone on the same page. Also, I work in 5 different programs using two computer screens. There is a lot of logging in and out of programs and searching for emails.