I work for a large insurance company in FL as a CM, and I actually *just* got my CCM certification in August. I was hired into the position without my CCM but with the plan to obtain it within 2 years of hire. And I started working from home about 6 months into my position, after training was done and I felt secure in what I was doing. It's all telephonic, too. You're in FL too, right? I think I remember seeing that on another thread. We have a lot of disease case managers here as well, and all the managers are great. And I know a handful of former CMs from here who have gone to school while working, at least one who did ARNP/MSN. That's what I am planning to do as well :-) Working from home has been a huge blessing. I have two kids, and while I certainly can't have them around during the day while I'm working (they are 5 and 3), not having a commute and the flexibility of already being at home while working - HUGE. My husband has a stressful job that often has unpredictable hours, and my employer is super understanding about being flexible with start/stop times during the day. PM me if you want any more specifics! Best of luck to you.