RN BSN former CDMS wants to return to case management

[Deanayarnish]

I am an RN with 12 years experience in case management, with ICU/CCU in my early RN years. Also taught nursing for 3 years at a diploma school. I formerly held a CIRS (certified insurance rehabilitation specialist) certification , now the CDMS (certified disability management specialist). I have not worked in case management since late 1999. During my time away from formal employment I coordinated all of the care for my father-in-law, which included my recognition of Alzheimer's , coordination of home care. Finally, I was able to coordinate his admission to a nursing home after a crisis; he was admitted within 24 hours of that crisis. Following his admission I successfully coordinated a mental status exam This was all done from a distance of 1000 miles. I also case managed an aunt (more llike my mother) with lung cancer. Her physician never ordered hospice, despite her prognosis of 4-6 months to live. I was the one who asked him for the hospice order, and had to present him with information re: hospice criteria as he was afraid he would be audited for ordering it. (No joke). My entire time off has consisted of case managing relatives, friends, neighbors. I have diligently kept up my knowledge base, and have active RN licenses in two states. I did get one interview, but not the job. I do not want to return to hands-on nursing, but wish to utliize my knowledge base. I do far more than the mandatory CE units. Any advice, suggestions will be appreciated. And, Yes, I am no spring chicken, but do look 20 years younger than my chronological age.

[beckster]

Look at getting certified in case management. You probably have too much experience - they wanted to give this job to secretarial staff in my corporate-run hospital! The current case managers (RN's) strenuously objected, became union members and were retained in their current capacity, fortunately.