For nurses who work from home

It is a fallacy that when you work from home you "set your own hours". In fact you will probably work more than your scheduled hours, especially if you are salaried. They have many ways to monitor when you are supposed to be working, right down to your keys strokes and mouse movements or lack of those. Some employers records all calls and then they are listened to by the supervisors to produce a monthly audit score that is used as part of your yearly performance review. If you have small children you must have somebody take care of them while you are working and on the phone.

Some positions will let you set your time in 3 or 4 hour blocks, as long as you meet a set quota of cases. My productivity is monitored by the number of cases I process.

I work three 12 hour shifts as a utilization management coordinator. My salary is comparable to hospital pay, the benefits are a little better.

Your employer expects you to be working, not caring for children. I do know that some of my colleagues must have little angels, because they do manage to have them at home while they work.

Thank you, that was helpful- I didn't realize 12-hour shifts could be done from home. Do you have a set time for breaks?

Your break time will depend on your employer's requirements.

I work at home doing case mgmt/telephone triage, working a set 8 hour shift, with 40 hours scheduled each week. I didn't pick the 8 hours that I work - my employer did, based on coverage needs. I hired on with a flex schedule, which means my employer can alter the time frame that I work those 8 hours. I'm not sure how my pay compares to hospital wages, but I think it might be very similar.

Been there, done that...Do you work for a hospital or for insurance? I'm just curious if the 12 hour shifts are available with the insurance companies like Aetna? Thanks

Mmlils30, I know of some CM doing 10 hr shifts at AHH and Meritain which are part of Aetna. Reality is that since it is salaried position many scheduled to work 8 hrs are working 12-14 days and some weekends. Case load is 50% higher than what is told on interview. Aetna 'proper' many be different with shifts, it never hurts to ask! Aetna 'proper' does not work on the billable hour model like the other two do. With billable hr. A nurse schld to work an 8 hr shift is required to bill 9 hrs. Does not work out well since many things the nurse does is categorized as non billable time by the company. On the yearly review you are marked down if you are not billing over 103%! So, be clear and make the recruiter put specifics like shift and case load in writing.

I work for an insurance company.My employer needs 24/7 coverage and I am happy to provide that. As far as other insurance companies, I cannot speak.

I worked from home, and It is not easy. Will never do it again. I felt micro-managed. Confined, and felt I was "always working". Not a fit for me. High case loads, conference calls 2xwk @ 1 hr....I could go on. Not a fit for me. All the company I was employed by was metrics, metrics, metrics....

I currently work at home for an insurance company and it hasn't been that easy. I work more hours than I did in the office and I'm salaried. This was my first case management job, so after working in the office for awhile, I was excited about coming home. But now I'm considering looking for case management jobs in the hospital. I personally make more now than when I worked at the bedside. Any advice on how case management is in the hospital?

I have friends who do and even if they manage their time well they often end up working a lot of hours.

This would not be bad for folks who want overtime but often CM is salaried.

My friends tell me that it is expected that they have a certain amount of cases completed per day. Period. Irregardless of how long it takes.