Quote from RLDARN
Sorry. I am weighing CM position with insurance company vs. bedside care.. Afraid of getting bored sitting in a cubical I'm do use to the hustle and bustle of floor nursing but the 12 hr shifts are not good for single parenting.
I work as a UR Nurse and I work a Case Manager in a Combo UR/DC planning role within hospital settings. For some idea of how fast paced a hospital Case Management job can be, where one is a UR/DC planner, please check out my response to the following thread: https://allnurses.com/case-managemen...de-813128.html
As for being a UR nurse only, the job can be stressful and fast paced in the sense that you will need to perform X number of reviews in a shift, get back to insurance companies in a timely manner, and you will need to understand various insurance criteria and medical criteria that justifies medical care like the-back-of-your-hand. In addition, you will also need to speak with patients and health care team providers at times because charts can miss information. The only problems I found in only being a UR Nurse is that people and health care team providers think you only care about your company getting paid, thus they can lash out at you for asking questions or attempting to address concerns. Plus, at times you will need to forward or send an insurance denial letter to a patient, which of course makes their family and the patient angry.
As for a job as a Case Manager for a specific insurance company, another CM will have to answer your question. Personally, I believe the most fast-paced-non-sit-down jobs in Case Management are jobs within the Home Health, Public Health, Hospice, and Hospitals settings, where the Nurse CM collaborates in direct patient care.