I'm starting to wonder. I work for a major insurance company that manages a state Medicaid program. It's my first CM job, and I have to say, I hope the whole field isn't like this.
Our members are hard to find, the majority of them have mental illness, oftentimes very serious. We only have telephonic contact, which is good as I've been shouted at and cursed and even had to call the police when an deranged member threatened to come to the office and kill me. And did I mention...I have no mental health experience? I'm all med-surg and cardiac ICU.
Doctors seem to dislike us, finding specialists for our members is next to impossible, as is home health, and I can never seem to get accurate information about who our in-network providers are.
Things are highly disorganized, with heavy turnover and frequent changes to policies and procedures and poor interdepartmental cooperation.
I never seem to use my nursing skills, mostly what I'm doing is finding doctors for people and helping get medications and medical equipment. And also assisting with getting procedures authorized, that's big. Which is funny because here UM is completely separate from CM. So authorizations shouldn't even involve me.
Really, a social worker assisted by a secretary could do my job. I'm not using my clinical skills at all or my teaching skills all that much.
Is this just the company I work for, or is it just managed Medicaid, or is this kind of thing found everywhere and it's just the luck of the draw depending upon the position?
