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purpletzz purpletzz (Member)

CM for insurance vs. UM for hospital

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Hi everyone I am an RN CM for a Medicaid managed care company looking to move forward to a UM position in a hospital. Any pros and cons? Any advice would be helpful. Thank you.

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Having been on both sides of the desk (i.e. payer and provider,) I can tell you that there's not a lot of difference other than that you will be doing the same work from the opposite perspective. Historically, one of the advantages of the payer side was that the schedule is more family friendly, working M-F with weekends and holidays off where the facility side involved holidays and weekends (and sometimes nights) due to government payer requirements. The scheduling situation has changed somewhat as more and more payers are moving to cover weekends. I'd say just find the position that is most favorable in terms of location and hours, and a management team that seems cooperative. 

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