Breaking into Case Management

Specialties Case Management

Published

There was a question asked, "how do I get an employer to look at me for a case management position?". If you haven't done case management before and are looking to get in, I have a few pointers.

When I used to interview nurses who were interested in getting into case management for the first time, there where quite a few things I needed to feel comfortable with in order to give them consideration (not listed in order of importance). Please feel free to add to this post if anyone else has things they look for also.

1. The ability to use a computer - essential in the setting I worked in. 98% of our work was entered into a program. It was also essential that they knew the basics of maneuvering in Windows and operating systems.

2. The ability to show creative thinking - during the interview, I would give case scenarios. There were no specific answers I was looking for, I wanted to see what their thought process was: how they set priorities, what was of most importance, what things they focused on.

Here's an example of one of my case scenarios (I used to give 5 or 6):

You have a 16 year old illegal immigrant who has just lost 3 fingers on his dominant hand. After completion of the surgery to try and reattach the fingers, we find out he is a diabetic - previously untreated. What would be you main concerns as his newly assigned case manager?

3. Background - I liked my case managers to have background in home health and some utilization review. Psych was a plus, as that can be a major component in case management. They had to have at least 5 years med-surg experience.

4. Communication skills - I looked at how they presented themselves at the interview. Did they communicate their thoughts clearly? How was their attitude during the interview? Did they seem confident?

5. Question answering - I didn't ask the "tell me your strengths and weaknesses" questions. Those didn't do anything for me. I'd ask "Tell me about a time where you had a disagreement with a physician. What did you do to resolve the situation?"..."Tell me about a time where you had a non-compliant patient. How did you handle the situation and what did you do to resolve it?"..."Describe to me what traits a good case manager should have in order to get positive outcomes"...

Those are the points I can think of that were important to me as a supervisor looking to hire a new case manager who did not have previous experience.

Originally posted by ryaninmtv

Renerian, I see you're in Ohio. Lots of demand for case managers here.

No wonder my Dad keeps asking me about moving back there. I should pull up the Plain Dealer and Toledo Blade classifieds just to see what's out there...

LVRN, If you'll move back here and be with us, I'll be happy to send you the Blade!!!

Specializes in MS Home Health.

Ryan I thought I had a pretty good chance. Done home health case management 11 years, worked acute and SNF. Love computers, have four of them, love the care coordination aspect, your right I run into people who do not fit into any clinical pathways due to socio-ecomonic issues or otherwise and I think I interveiw well. Looks like the call the manager told me I would get tonight is not coming. I don't know if that is good or bad. I am thinking bad. Hubby says no news is good news......

gulp,

renerian

Hey Las Vegas Rn .......You know everytime you post on this area I am reading it........those were very much appreciated pointers and I will make sure I evaluate myself for those particular pointers when I am ready....which will be a while as I have a minute to go before I get my undergraduate degree....I still have to find out my state board results.....LOL..........

Specializes in MS Home Health.

Exotic just wanted to say hello! I LOVE THE MAGNIFICANT MILE! Used to go every year. Missed the last two years as we were so busy at work we could not take alot of time off in the summer.

I wanted to move to Naperville.

renerian

Specializes in MS Home Health.

I got a job working at a SNF in the work 30 hours get paid for 40 hours as long as you don't clock in late or call off. I also got a big sign on bonus. Great benies and close to home. Can't complain and I am happy.

renerian

Congrats on the new job, renerian!

Specializes in MS Home Health.

Thanks Vegas! I was getting so bored here! I did get alot of stuff done for my graduate program though so I guess it was not wasted time!

renerian

Specializes in Case Management, Life Care Planning.

Congrats on the new job renerian!!

Vegas, five years ago they instituted managed care into workers' compensation. Since then, it's been insane. The competetion for RN's here is cutthroat so while recruiting is rough, retention can be a real bear. The good thing is that, as an RN, I also have a variety of employers hunting me. If you ever decide to leave Sin City, come back to Ohio.

Besides that, there are actually leaves starting to change...

Thanks, Ryan. The last time I had checked (which was about 6 years ago), Ohio was still monopolistic and someone had to practically die before you could get in with the State. How many MCO's did they settle on? When Nevada was doing it, there were 3 that employers could choose from. None of the big companies like Aetna, Travellers, or Intracorp got in, it was all local MCO's.

That's good to hear, if I need to move back home, there are more options open!

Specializes in Case Management, Life Care Planning.

There were initially 56 MCOs. Now we're down to about 30. Largely, local but a few national players. Corvel and Concentra were the two big names that came in with full scale MCOs with mixed success. The biggest benefit, IMHO, to having the MCO is that it feeds cases to your field staff. At my MCO (which shall remain anonymous) we feed a ton of cases to our field company which is captively held. Not to say that we don't use other companies (Genex, Corvel, Intracorp,etc.) but it makes business sense to keep the referrals in house. Ohio is still monopolistic but premiums are going to increase about 300% next year due to the elimination of a 75% premium credit. This is causing some serious growth in my area, self-insurance. The state's surplus fund has taken a beating with the stock market hence, the elimination of the premium credit.

If you come back home give me a call. I'll have you working in a week. :)

Specializes in MS Home Health.

Ryan I live in central ohio!!!!!!!!

renerian

Ryan I am trying to organize and ohio get together. Check out that thread.....

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