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Discussion

Case Management/Utilization Review Help

Hi there,

RN here who is interested in case management or utilization review. I have done two and a half years on med-surg, and am done with acute care. LTC didn't work out for me (lasted a month as a new grad). Looking for a steady weekday job, NO MORE NIGHTS, no holidays, maybe not today but hopefully some day SOON. Just curious--how does one gain experience in this field? I have been looking, and there ARE positions out there, but most say 3-5 years experience in nursing and experience in either case management or utilization review. I'm wondering if home health may be my next step?

Did I mention I'm done with acute care? The pay and benefits are NOT enough to keep me there. :no: Any advice greatly appreciated! :yes:

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    • Featured Replies

    Visiting nurse is a good next step especially for inpatient CM. MCOs are also a way to get off the floor. Go to their websites to look for open positions, there has been a lot of hiring lately for Medicaid Ltc CM

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    My career has primarily been home care, it opened a door to UR. It was a great job but I went back to home care.

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    • Expert

    I secured employment as a work-at-home CM with a major MCO approximately two months ago. The position required no CM experience and they provided training.

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    MCO? I'm new to this area of nursing and wondering about the abbreviations. Also--where is the best place to look for job postings? Indeed? Private websites? Networking?

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    • Expert
    MCO? I'm new to this area of nursing and wondering about the abbreviations.
    MCO = Managed Care Organization
    Also--where is the best place to look for job postings? Indeed? Private websites? Networking?
    A friend helped me get the job I currently have. However, openings are listed on the career section of the websites of the major insurers.
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