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Discussion

RN case manager?

A friend at work is leaving bedside to be an RN case manager and she says it's a huge pay increase, normal business hours, etc. Anyone do this? What's it like? What are the drawbacks? I admit I'm intrigued.

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Thanks!

I haven't actually done case management but was interested in it at one time. Even though the hours are day shift, no weekends, normal hours, there is usually an on-call requirement. When I applied the pay was not that much better than working on a normal nursing unit. The case manager is usually responsible for making sure the pt is ready for discharge and has a plan of care in place for home health or family providing care, sometimes it goes so far as for the nurse to make sure follow-up appts. with the PCP are scheduled. It has become a more seeked after position as hospitals are being fined for over-stay patients and patients with frequent re-admissions.

Any nurse who discharges a patient at my hospital has to make the follow-up appts for the patient. (Makes it a rush to do it before the doctor offices close.) We no longer have social workers, but we now have RN case managers who do the discharges to nursing homes. To each his own, I guess. I like actual bedside nursing myself. I sat at a desk all day in my previous life; not so interested in that again.

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