Confused about case management, please help

[Guest716906]

Hello,

I was just wondering. I was a med surg tele nurse for 4 years, and I have been a hospice case management nurse for 8 mos now. I do a ton of wound care, incontinence care, foley insertions, enemas, heavy lifting, etc. I am totally burned out. I want a nursing job requiring little to no hands on patient care, non bedside. However when I ask other people what I should look for, they say case management. My question is, how is my case management job different from other cm jobs? Should I apply for another cm job, since I already have 8 mos experience under my belt? Thanks!

[CharleeFoxtrot, BSN, RN]

14 hours ago, Katie82 said:

...Can be a bit challenging from time to time, but there is no other job I would rather do. I had ten years of Public Health prior to that, and while I never considered myself a CM, I found that many of the tasks I routinely performed were, in fact, case management.

Me too, I really like what I do for a living. Nothing better than getting the "lightbulb" moment when patients realize they have a lot of control over what happens to their health. Self efficacy is going to be key in future containment of health care costs, IMO.

[vool]

Home care “RN case manager” here. I do a lot of hands on care for the patients. However, my duties also include getting appropriate disciplines at start of care, arranging pcp appointments, med rec through pcp office and pharmacy,  talking to dialysis clinic SW to make sure patient has transportation. If patient had infusion, I draw the labs and follow up with them to make sure labs send it to infectious disease doctors. I have to update care plan if and when patient is ready for outpatient therapy according to PT/OT. If patient is a candidate for hospice, I gotta call pcp to see if they agree and make sure they send orders to us so I can involve hospice nurse. If patient is hospitalized, I have to call the CM at the office for appropriate transfers. For home health at least, case manager title really isn’t misleading because almost half of your work is outside of your hands on skills.