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C Roll 5

C Roll 5 RN

Case management, rehabilitation, newborn nursery
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C Roll 5 is a RN and specializes in Case management, rehabilitation, newborn nursery.

Long time RN. Currently working from home.

C Roll 5's Latest Activity

  1. I did have CM experience. I was working as a CM in a hospital and wanted to work from home for an insurance company. I was able to get it after only 1 yr because my manager had a CCM. Normally, you would need 2 yrs experience.
  2. C Roll 5

    CM initial test for certification

    Congratulations!
  3. C Roll 5

    CM initial test for certification

    I did CCM a few years ago and had used a lot of different books that I had purchased. I passed. I felt that I wasted money on some of the books especially the ones with " retired" questions. As I remember the CCM site had general material to review so make sure to know that. It seemed that most of the questions came from that. Also, don't over think the questions.
  4. C Roll 5

    American Health Holding (Aetna)

    At AHH we were required to bill 45 hours of billing a week. It sounds like a lot but if your caseload is busy the billing comes naturally. You bill for things like reports, entering clinical information, and talking to patients, doctors or facilities in the phone.
  5. C Roll 5

    American Health Holding (Aetna)

    I left earlier this year mostly because I wasn't as busy. There was a push to lower caseloads and I found it hard to get my billing. I really liked the company and my supervisor was great. Good luck!
  6. C Roll 5

    CM options for work at home

    Agree with above. I have had 2 different WAH CM positions and there should be no household noises that might identify you as being in your house. No dog barking, kids crying, etc. Metrics are challenging to meet, so you are tied to your phone and can't care for children or parents.
  7. C Roll 5

    Aetna CM Training

    Will you be working for Aetna or American Health Holding? I worked for AHH and training was onsite for 2 weeks in Ohio. My friend worked on the Aetna side and her training was completely at home. Mine was pretty thorough. She said hers was a little harder as she was in her home and alone. She eventually picked it up and was there for about 4-5 yrs.
  8. C Roll 5

    telephonic home CM jobs?

    Another thing about companies to look at. After I was hired for my current WAY position, I was contacted by Medtronic for a case management job. I had sent them my resume earlier. There are a lot of companies that hire WAH. I also looked into other insurance companies like The Hartford, Travelers, and Liberty Mutual. Pharmacy companies also hire nurses for some of their med programs too. Especially if you have oncology experience. I just kept trying to think outside of the box while I was looking.
  9. C Roll 5

    Humana Montage Phone Interview

    I know. But if this doesn't work out, keep throwing the applications out there. New positions keep opening up!
  10. C Roll 5

    Humana Montage Phone Interview

    Well good luck with this one!
  11. C Roll 5

    Humana Montage Phone Interview

    Yeah I said I would get it also, but I wondered if they found someone that already had it. I also didn't have experience with military programs. I had hospital CM, home health care transition mostly with Medicare and managed care. It took about 10-11 days to hear back.
  12. C Roll 5

    Humana Montage Phone Interview

    The interview went well but I wasn't selected for that position possibly because I don't have government clearance ( that was required for that role) and it takes awhile to get. I ended up getting a similar position with another company.
  13. C Roll 5

    telephonic home CM jobs?

    I have worked at home as an insurance CM for about 4 years. I sent out a lot of applications before I was hired. I think what made the difference was getting my CCM certification. I had been working as a CM in the hospital before that. Things that I think companies look for are oncology, transplant, or behavioral health experience and compact or multiple nursing licenses. Many of the big insurers are requiring CMs to get multiple licenses which is a huge pain. In my position I can only work from home due to internet security reasons. Some companies want you to be within an hours drive from an office, not sure why.
  14. C Roll 5

    Humana Montage Phone Interview

    I just saw your post. How did it go? I did one of these in May.
  15. C Roll 5

    Hospital Case Manager vs. RN Nurse Liaison

    Yes, I was eligible for bonus as a liaison.
  16. C Roll 5

    Hospital Case Manager vs. RN Nurse Liaison

    Agree. I have also done both roles. The liaison position was a sales/marketing type role. You will work to build relationships with the referral sources, so that you bring in business. I had to continually meet my metrics ( certain # of contacts with my referral sources and # of referrals brought in). I liked relationship building but it was also a lot of meetings about business results and who are you going to see today? In the hospital case manager role, I met all the new admissions to my floors, figured out their needs and discharge plans. Also set up services such as home health, O2, dialysis if they hopefully had coverage.
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