new insurance co. case manager

Specialties Case Management

Published

I just got offered a case manager job at an insurance company thru a recruiter and the pay is great, so much so I am a little suspicious even! Its a contract to hire position for 4 months, maybe that's why?I was told they liked my experience at skilled nursing facilities/home.What would a case manager do at a nursing home, visit patients on their medicare/medicaid plans? how do they benefit? There's been such an increase for this role due to the Affordable care Act, it seems.

What tips advice does anyone have for a new case manager? Do I need to brush upon my knowledge of various diseases, etc, and bring out my 300 page nursing books from eons ago? I want to make sure I do very well so that after 4 months they hire me perm.

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Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.

Ah, you have a SNF background, which means you have the clinical background that they are looking for and know about the treatment plans and course of medical care within that environment (that is important, more so than your nursing books from "eons ago"). My tips to you are as follows: Have good references on hand and read up on Case Management as it relates to Medicaid and Medicare, End of Life, and LTC.

Specifically, use the federal government's website and your local state's website for resources regarding Medicare and Medicaid as it pertains to your local population. Plus, talk to your social worker at the facility regarding commonly used local resources. Have books such as those that GrnTea provided in another post onhand: https://allnurses.com/case-management-nursing/help-im-over-938895.html#post8043235. Last but not least, be sure to join your local chapter of Case Management Society of America (Case Management Society of America > Home), so that you are not isolated in your job and have access to other important resources. Good luck.

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Can you plse list the federal and state website that you referred to? Also, what are some good references to have on hand, as you also mentioned? Thanks so much!

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Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.
Can you plse list the federal and state website that you referred to? Also, what are some good references to have on hand, as you also mentioned? Thanks so much!

Medicare.gov and Healthcare.gov are the federal websites. The books are listed in the thread I posted.... and other resources can be found on your local county and state's websites. Local resources also can be found via meeting and getting to know local Case Managers and using your facility's social worker.

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