Considering Nurse Review position

Specialties Case Management

Published

with an insurance company....can anyone give me some insight on a position like this. Looks like I would be doing medical chart review essentially. Also, wondering what an expected salary might be....don't wanna short change myself in that department if I would get offered the job. Want to know what is within a respectable range before interview.

Thanks for any help you can provide.

Specializes in Pediatrics, PICU, CM, DM.

Most insurance company positions are either concurrent utilization review or pre-certification, some are retrospective reviews. It's not clear from your comments which you were considering, but since the concurrent review is most common, will deal with that. The pay is very comparable to what you will receive in the hospital, it's unlikely that you will change much, in either direction, from what you are receiving now-expect this to be a lateral move, unless you are interviewing for a management position. What is likely to change is that most of these positions are salaried, not hourly (as in the hospital.) Some insurance companies do staff for off-shift hours, going to 8-9p so if you are looking at one of those positions, make sure that the salary reflects a reasonable differential for working non-office hours.

Nurse Review positions can also involve what is called "Onsite Review" which means you have your case load and you go to the hospital to review these patients' charts and if necessary speak with applicable and related healthcare professionals on each case - including the hosp cm. This can be a very interesting job - you have the ability to truly help with discharge planning - and evaluate each patient from a more holistic perspective.

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