SierraMoon

What sort of insurance job do you want? Case manager, utilization review, payment integrity? I had six years of inpatient before I went to UR. After two years of that, I’m now doing code auditing. Got the first UR job without even a BSN. The field is full of companies so the smaller ones can be a good place to start. You doesn’t have to start at a big place like Humana or Aetna. Temping can also help you get in ( check healthcare staffing agencies in your area).

What in particular are you trying to get into? If you have your full year of medsurg, then check out places like Humana, Anthem, Aetna, United for utilization review type jobs. You might have to go temp to perm. There are always smaller companies that are subcontractors, too. Just plug in utilization review and/or case management for your area into Indeed. You'll probably have to be persistent.

I had three patients; handed one off. That shift all three coded and two died. It was freaking awful. People spent years talking about it, too. Not in a negative way about me, just as a legendary bad shift.

Research programs and get some apps out. Your GPA won't reset with nursing school but I had ver similar stats 3.6 prereq 3.2 overall. Got into a good ADN program that only looked at prereq gpa. You haven't failed until you try.

I was never a temp; I work for a company that has various contracts to provide services to different entities, so not directly for an insurance company. I'm sure there are other companies out there, so don't limit yourself to the big names.

I tried the big ones but finally got hired on by a smaller contractor. Had no experience and no BSN. Just scour Indeed for anything that looks promising. My position can be work at home after training and it was not mentioned in the ad that remote was possible.

I like my job but I do UM, too.

That sounds like a strange and terrible way to start nursing. I'd quit before they fired me and find a place with a more traditional orientation. I learned so much from the other nurses I worked with, even though I wasn't precepting with them. This is just bad, it's not you.

I'm three weeks into my new desk job in utilization management and I kind of love it. I also needed a change after six years of nursing, 4.5 in SICU. It's been so nice having a regular schedule and I actually get to use my clinical judgment a good bit. I never really minded the charting so all the computer work doesn't bother me. I might be nuts in a year from not having any days off during the week, but I think I'll adjust. I'm already so much happier.

They used to put out a pretty thorough guide for that exam. I don't know what average is but my school requires a minimum of 55th percentile for any possibility of admission ( I had to go check) and the year I started, everyone was over the 80th percentile. I hope you can take it again.

You mean get paid? Not very likely. Small possibility if he's homebound and eligible for medicaid or the VA.

I've always gotten a second nurse to confirm and have been the confirmation as well. I think it was the policy even.

No, ask after an offer has been made. The best thing would be to make your start date after the vacation. Missing that much time during a residency could be a no-go.

Find a manager who consistently gets their staff promoted and transfer. Seriously, I talked to people who planned to do just that when they were up for it. I guess some managers fight harder? I'm not at the VA anymore as it wasn't for me.

You'll be lucky not to have to sign an agreement to get a BSN, much less get paid extra for a non-nursing degree. Pay rates generally go by time under that license. I would definitely try to negotiate but would not expect much.

If kids are the most important thing to you, then ditch school, get a full-time job for a year (for insurance and FMLA reasons) and start trying. Work as a staff nurse until the baby starts school and at that time you'll have more experience for NP school.

I think I'd rather have a med-surg nurse cover peds than a L&D nurse. I don't have kids or work with them but adult med-surg seems at least closer to peds type problems.

The only problem I see is that hospitals may give priority to their own transfers for training. I transferred from Surgical Tele to ICU after 1 year and got a nice orientation with good training. I do not remember training any nurses from outside the hospital to the unit except new grads. I'd apply to any opening that doesn't require previous ICU experience, see what happens, and be prepared to take a med-surg job and then apply for a transfer when allowed.

What skills are you having trouble with? At least some of the people you work with are trying to be supportive and encouraging so that's something.

A BSN is a Bachelor of Science in nursing. I'm guessing you have a degree in accounting or finance? Anyway, I'd stick to the better paying job for now and switch to hospital work part time while in school. The hours can suck. It depends on where you end up.

It's ok to be interested in being a CRNA but keep it quiet. It rubs people the wrong way because it seems like every pre-everything student everywhere is planning to be one without even understanding what it means to be a nurse. CA and CO are pretty competitive nursing markets so you might not get ICU as a new grad. You need ICU for CRNA school. I don't think it matters to licensing where you go to school as long as you graduate from an accredited program.

I feel the same way. I loved ICU but I've got raging fiery burn out. I'm switching to OR. There are call requirements for inpatient, though. The hospitals around my area seem to hire OR nurses to train around school graduation dates, so maybe start looking early spring for the June-ish starts, if you can wait that long.

Yeah, it's time to bounce. Even if the patient was stable, there's no need to beat you up about calling a rapid response. It's so counterproductive.

I felt tele was overwhelming in a way that ICU never is, even when my patients are train wrecks. Maybe you could shadow at your facility?

Since you literally just started this month, I would wait to put it on your resume.