PLEASE HELP!!!!!!! I have been hired for 2 FT jobs.

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I have been hired for 2 FT jobs. One with aetna as a UM nurse and the other with Walter Reed Military Hospital. Both jobs pay the same amount. Aetna's hours are Mon-Fri 830-5p. Walter Reed is 7-7. I have the choice of days or nights. I don't have my schedule just yet but I'll be able to chose what days I want to work. Am I crazy to want and try to work both? Neither job has OT, both come with benefits although I don't need them since I'm under my husband. Both are the same commute time, 15-30 min depending in traffic. I would want to work nights at Walter reed but am open to days. HELP!!!!!!

See how you value your license when you are the one that has to tell pt's that their insurance is not going to cover a procedure, or this isn't covered, etc...however, if that is something you plan to discover, not knocking it...it's not for me, and they are NOT without issues...:no: if you feel jaded now from nursing, NOTHING compares to getting one jaded than working at an insurance company IMO...depending on the person...

I didn't get into nursing for the bottom line and refusing care for individuals, especially if they are the most vulnerable population-the elderly, or medically fragile children. I got into nursing to empower individuals for living to their maximum potential, DESPITE their challenges. It felt as though going through chart reviews and picking line by line, if something was missed to deny the claim altogether ...ugh!!! I was preventing them from having that chance.

I'd take direct patient care ANY day than insurance...unless it was the nurse hotline or coaching; but then I would miss that in person human contact, but that's me. :)

This is why EVERY nurse is different. Some enjoy working directly with patients in more "positive" situations while others prefer paperwork that may not be so positive. I am a Public Health nurse and still have to tell patients crushing information in direct patient care settings, "your Medicaid will not cover" ect. Floor nursing isn't all sunshine & lollipops, that's for sure.

You do have to prepare yourself in any area of nursing for negative situations. ;)

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Specializes in 4.

I did not like insurance "nursing". What the above posters are telling you is correct. Except you also are strapped to a desk, on production & you have big brother watching every key stroke. I hated the non-activity & answering to a no licensed person wasn't fair game. Hospital nursing isn't easy but it's where I feel my home is. Only you know what you can handle. Don't be afraid of hospital nursing. Do your best, get malpractice coverage & have confidence that you can get the job done.

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Specializes in Pediatrics, Emergency, Trauma.
I did not like insurance "nursing". What the above posters are telling you is correct. Except you also are strapped to a desk on production & you have big brother watching every key stroke. I hated the non-activity & answering to a no licensed person wasn't fair game. Hospital nursing isn't easy but it's where I feel my home is. Only you know what you can handle. *Don't be afraid of hospital nursing. Do your best, get malpractice coverage & have confidence that you can get the job done.*[/quote']

*I second THIS!!! :yes:

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Specializes in Pedi.
I really want to work at Walter Reed. I don't have any hospital experience so this is a great opportunity for me and I'm former military so I'd be around my military family again. Aetna would be strictly for the money....sad to say. I know I'd learn the insurance part. I'm not interested in the job at all. If Walter Reed allowed for overtime, I'd just stick w/that. Nights work better for the family so my hubby is ok with it. I love hearing all your responses. It's nice to have a place to go to help you "talk" or bounce around ideas with other nurses.

It sounds like you have made your decision. It would not be possible to do both. Go with what your heart is telling you.

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Specializes in FNP, ONP.

I don't know how the insurance people even sleep at night, frankly.

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Specializes in Pedi.
I don't know how the insurance people even sleep at night, frankly.

I think that often after getting off the phone with them. I usually want to go bang my head against a wall when I hang up because I can't get them to see that it's beneficial for EVERYONE if they would just authorize visits for a nurse to go into the home and do a child's central line care rather than trying to teach the parents how to perform a sterile procedure or forcing the child to make unnecessary trips to the clinic where he will be exposed to God knows what... and then they'll be paying for the line replacement, the hospitalizations for sepsis, the clinic fees which are easily 5x what it costs for a nurse visit, etc.

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Specializes in 4.

As a nurse who did "insurance nursing" I will tell you a nurse LVN or RN can not legally deny claims as not medically necessary. We can only provide the documentation & give what we have received, to a matching specialty Dr on staff. Only those MD's could legally deny claims. We (nurses) could request additional information to support the claim but not deny the claim as not medically necessary. I was opposite & worked hard to get claims processed as I have over a 15 year background in coding/medical billing/claims. Some of these office personnel have no clue what ICD9/CPT books are. Legally I could not tell them how to bill and so many times I just wanted to tell them how to fix it.

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Specializes in Pedi.
As a nurse who did "insurance nursing" I will tell you a nurse LVN or RN can not legally deny claims as not medically necessary. We can only provide the documentation & give what we have received, to a matching specialty Dr on staff. Only those MD's could legally deny claims. We (nurses) could request additional information to support the claim but not deny the claim as not medically necessary. I was opposite & worked hard to get claims processed as I have over a 15 year background in coding/medical billing/claims. Some of these office personnel have no clue what ICD9/CPT books are. Legally I could not tell them how to bill and so many times I just wanted to tell them how to fix it.

Hmmm... that's interesting because I definitely once had a nurse case manager for an insurance company tell me that she was denying our request for home nursing visits for a child- who still had visits available on her plan- as "not medically necessary" because the child's mom should be able to draw her blood herself and perform her sterile central line dressing changes. The child had previously been approved for visits for this exact reason and when the Mom asked why she was able to get visits before if they weren't medically necessary, this nurse told her "because I wasn't the one managing her case before." We ending up winning our appeal on this case but it definitely didn't go to the medical director before it was denied by a nurse. Other insurance companies, I've seen the nurses huff and puff and say "well I have to send it to the medical director but it's going to be denied"... and the majority of the time it was approved by said medical director.

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Specializes in 4.

Whichever insurance company that was well I hope they have excellent lawyers on staff. That's just ridiculous. How could the patients mother be responsible to do that kind of care? A lot of claims examiners at the insurance companies have zero medical background so claims are denied erroneously. When it gets to a nurse for review, is when it's a different story. Sometimes I did know when the Dr would deny a claim but I would call the provider & ask for additional documentation to support their claim. Sometimes that worked. If documentation is lacking to support the need, then you can bet to have denied claims.

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