dria

You may consider asking if there is the option to work in the office full or part time, or exactly when you would transition home...some places may require 6 months in the office so that you have time to learn your job. And being able to listen to others on the phone is invaluable...always helpful to hear how a colleague phrases something, or the way s/he handles a given situation. I've worked from home either full or part time since 2009, and I love it! I've never felt isolated or off in space, the IMs and phone calls from colleagues prevented that....but it may be a matter of what you're used to. I've been known to IM a person sitting right across the aisle from me. Some pro's are the ability to work in your jammies til lunchtime, get out for a walk, or fold laundry, or start dinner on your lunch/break, NOT pay 4 bucks a gallon for gas or deal with the commute. The cons: I did find myself working longer hours when at home, no snow days...if the office is closed r/t weather, you will still be working. It can be hard to accomplish some things remotely, like showing someone how to do something. If your cable goes down, you may have to travel into the office to work or use PTO. Good luck!

i think she's been cheating on the residency requirement for some time now.

that sounds like a heck of a lot. it's comparing apples to oranges, but i work telephonic, and start to get a little nervous when my load exceeds 100. i guess it all boils down to the level of need for those 1800, and exactly what you are doing for them. the key that i see is that you are starting to feel overwhelmed.

well, i'll be interested to see what others have to say. i was lucky enough to land the first cm job i applied for. but what i am hearing is that finding a cm job can be a challenge. most cms enjoy their job, and the turnover seems to be less than in other areas of nursing.

1. i don't think there is a definite answer, other than the more the better. 2. again, the clinical experience required depends largely on the area of cm you want to get into. obviously, if you are interested in managing cancer pts, oncology experience is essential. if you are looking at something broader, i would agree with the other posters who suggested med/surg, critical care etc. i would also suggest that home health would help you to learn the needs of the client outside the hospital. 3. i have an asn with bsn pending. in my niche, msns are rare. i'm thinking of going mph personally. i cannot speak to the requirements of hospital cms, since i have no experience in that arena. i also live in the midwest. guess that wasn't really helpful was it, what you need depends largely on what you want to do. good luck!

as opposed to (per your other posts) being a new grad still on orientation?? i understand that you are (rightfully) proud of yourself for finishing school and passing your boards, but that doesn't instantly make your opinion and judgement better or more valid than anyone else's. as one of the other posters commented, this clinical scenario doesn't exactly require an rn license to know that there is room for improvement. even my fiance got it, and he's "just" an auto mechanic.

thanks for a very thought-provoking post. i get where you are coming from, but i can say (in my case at least) that the flexibility to switch to different areas of specialty is one of the factors that drew me to nursing in the first place (whoops, just looked back, you did address that. i blame the cold meds!) anyway, i'm not saying it's not a bad idea (and actually quite good) but how do you propose that this be accomplished considering the present nursing faculty shortage? would a better solution be to standardize the orientation programs across hospitals and specialties? (hey, if we're dreaming, let's dream big!)

the insurer i work for has a program specific to congenital heart disease. it's a blend of interaction with the patient (well, parents) and utilization review. there is the option of working from home. feel free to pm me for details. i don't really like to advertise where i work... previous poster was dead on re: ccm cert. you need the cm job first, then the certificate. regarding a master's in cm...i did some (very basic) research. didn't really seem to suit my needs, seemed to emphasize cm in rural populations. that seems to be a "newer" degree, it will be interesting to see how it progresses...

actually, i was being a little tongue in cheek. sorry that didn't come through. would carrying a gun with me make me feel more safe? no. do i feel less safe because my state does not allow concealed weapons no. we live in dangerous times....that's what makes me feel unsafe. there are inherent risks in everything that we do (unless we're talking about sitting in a padded room wrapped in bubble wrap....but wait...there's the suffocation risk with that too.) automobiles kill more people than guns do. perhaps we should talk about banning them too. the point i am trying to make is that yes, there are risks associated with gun ownership. i get that. but as i've mentioned before, there are inherent risks in just about everything we do. we can identify the risks, and take actions to mitigate them. it's simply impossible to protect us from everything that might happen.

if were as easy as ban guns, reduce crime, i'd be all for it (well, probably not, but i'd be less against it.) unfortunately, it's not that simple. to date there are no studies that indicate that gun bans reduce violent crimes, nor any studies that rink gun ownership to increased crime. i do think you are right tho, their societies are more peaceful than ours. but i think it has to do with a lot more than gun control laws...

only if i was part of that 95%....

aren't they?

so you have just been walking thru existing cases? are you not listening to live calls? how can you be expected to open a new case when you have not seen it done?? as a new cm, it's likely that all you will be doing for a little while is opening new cases! (i'm holding back my rant on this because you are getting such a raw deal it isn't even funny. at the insurer i work for, the clincal managers don't even have caseloads!!) maybe you can go back to the trainer who did the classroom portion? what a sticky situation you are in! mullahy's handbook is an excellent resource, i learned a lot from it. but (imho and i know i'm repeating myself) you just can't teach yourself case management! having mentored many new hires, the key is walking thru each case together and problem solving. "showing" someone some cases that have already been worked just won't isn't going to cut it. additionally, each insurance company has their own "flavor" of case management. please let us know how we can help you, and you may pm me at any time!

get a new preceptor. seriously, some people just aren't equipped to precept others. or it could just be a poor match between the two of you-maybe your brains don't work the same. truly, this is not something you can figure out on your own. there are so many possibilities, maybe you could ask more specific questions?