Are you glad you chose case management?

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I'm at a crossroads in my life/career & feel ready to make a change from being a med-surg floor nurse (often charge with full assignment) to a career that affords me a better quality of life. Thinking about case management. Any insight? Pros/cons? What are the major issues dealing with worker's compensation & disability? Do you feel you are able to be your patient's advocate in your position? Stress level? Was it a good choice for you? Why?

Thanks for your input.

Hi,

I am ready to make a transition from pt contact to case management or something similar. I would like to be able to work from home on my computer. Any ideas or companies that hire RNs for home-based work?

Would really appreciate it?

onthegoRN

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OnthegoRN, insurance companies do exactly that. There's telephonic case management and then field case management (where you work from home and visit clients who can't be managed telephonically).

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I did case management for 10 years. I am now back into hospital floor nursing. I was tired of working 40+++++++ hours a week just to get it all done. When they pay you a salary they tend to expect more work. At least in the hospital I just work 3 days a week/36 hours unless I choose to work more.

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Specializes in Nephrology, Cardiology, ER, ICU.

I do hospital (ER) case management. I do utilization review, discharge planning and case management. However, I am bored with it and will be glad to move on when I finish school. At least for my job - I spend 2-3 hours per day just sitting in front of a computer and I can't stand it! I also am salaried and work rotating day/evening shifts plus every third weekend, plus call another weekend or two (and no, we don't get paid for call). Those are the downsides to what I do. I do feel that I have an impact with patients and families but miss the clinical connection.

To the OP - you might want to shadow a case manager so you can get an idea of what they do on a daily basis. Good luck.

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I'm in my 6th year of case management and I love it. I've done it both on the hospital side and the insurance side. Great use of nursing knowledge, communication skills, and plain old common sense.

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I did case management for 10 years. I am now back into hospital floor nursing. I was tired of working 40+++++++ hours a week just to get it all done. When they pay you a salary they tend to expect more work. At least in the hospital I just work 3 days a week/36 hours unless I choose to work more.

Would you mind sharing what type of company this was? hospital, insurance? if insurance what company?

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I do hospital (ER) case management. I do utilization review, discharge planning and case management. However, I am bored with it and will be glad to move on when I finish school. At least for my job - I spend 2-3 hours per day just sitting in front of a computer and I can't stand it! I also am salaried and work rotating day/evening shifts plus every third weekend, plus call another weekend or two (and no, we don't get paid for call). Those are the downsides to what I do. I do feel that I have an impact with patients and families but miss the clinical connection.

To the OP - you might want to shadow a case manager so you can get an idea of what they do on a daily basis. Good luck.

Around where are you from in the MW? I have done telephone nursing for the last 9 years and love it. Looking to move into case management.

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I'm at a crossroads in my life/career & feel ready to make a change from being a med-surg floor nurse (often charge with full assignment) to a career that affords me a better quality of life. Thinking about case management. Any insight? Pros/cons? What are the major issues dealing with worker's compensation & disability? Do you feel you are able to be your patient's advocate in your position? Stress level? Was it a good choice for you? Why?

Thanks for your input.

Hello, I am just making a change into case management, have started doing cases for Medi-Cal waiver program as a home based busijness. Is anyone out there doing any of this kind of management? Am looking to pick some brains and network too. Virginia

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I just started doing case management as a home based business with the Department of Health Medi-Cal Waiver program. Strictly paperwork, no hands on. It is a change, but after 25 years of doing home health nursing, it's a welcome change, but I am not quitting the day job yet! Is anyone else doing this kind of cases? The waiver program case management is a bit different from regular case management from hospitals or for that matter insurance agencies. I would like to pick someones brains if they have started doing these cases and also to network. Virginia

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