I currently work for MCO but there has been a lot of restructing in the past year and a half and it is starting to become overwhelming. I am thinking of trying hospital cm but dont want to go from bad to worst . My co-workers with previous experience say its a lot more stressful. I was new to MC CM when I took the position and agree with others when they say it is a large learning curve but I think it would better with good orientation which I didn't have. For people who are case managers and have worked in both settings can you tell me pros and cons?Does it make a difference if hospital is in and urban setting vs. suburbs?