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Discussion

Interested in Case Management--lost as to where to start

Hi all! I am an RN in FLA with 24 years of clinical experience. I have decided, after much debate, to pursue case management. I'm lost as to where to start . I understand that you have to have 1 year of experience in the field to sit for the exam,but don't understand where to get the experience. I spoke with the Director of Case Management in my facility, and even interviewed for a position that required no experience. I was not given the position, and asked for feedback, but no response.:sniff: I feel my current manager might have had something to do with this. I currently work on a "nightmare" PCU unit. Our patient/staff ratios are ridiculous,we work frequently with 5 complete care patients, and are always short a tech, so we are expected to "do it all". The "uppers" seem to take extreme pleasure in finding the one thing that wasn't completed than looking at the fact that nothing catastrophic happened in a 12 1/2 hour shift with no break. We are reprimanded for clocking in 1 minute early, while nothing is said about consistently having to stay late to complete charting. There are just 5 hospitals in the immediate area, unfortunately, 3 are owned by the corporation I work for. There is a large metropolitan area approx. 1-1/2 hour away with many more larger hospitals. What can I do to make myself more marketable for a beginning CM position? I would greatly appreciate any and all advice ! Thanks in advance !:loveya:

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First of all... sorry nobody has replied yet to your query... as for me, I'm often not home early enough to get to my 'puter to login. I work in Hospital based Case Management for a large tertiary health system in the midwest. I do the Level 1 and 2 trauma patients. I love my job, it is very interesting, challenging, always changing, but yes can be stressful. Soooo.. if you are looking for stress free, CM is not necessarily going to be your best bet. I think, a minimum of 10 years of clinical experience is a minimum, with a variety of clinical areas of interest. For example, I've got a Master's in Psych, but my other clinical areas are OB, OR, Med Surg, and of course,Psych. I couldn't tell from your post if you have a BSN or RN Diploma program or what... Some employers want the BSN, my boss requires the Master's. Broad based clinical experience, good with people, critical thinking, good at strategic planning ( predicting the pt.s eventual dismissal needs out of the gate), experience with Medicare Medicaid criteria for Home Health, rehab, etc., knowledge base in Milliman/Interqual and concurrent insurance review data would be some of the job requirements.

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Thanks so much for your reply! You answered alot of the specifics I needed to know.:loveya:

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