RN to Case Manager

mystory, BSN, RN · Aug 4, 2016

I would jump at any non-clinical opportunity to be quite honest. I think CM will broaden your resume and skill base-you may even find a system you want to tweak with your informatics skills. Good luck either way!

TheCommuter, BSN, RN · Aug 5, 2016

I transitioned to case management nursing approximately 8 months ago. I had 10 years of experience as a floor nurse in long term care and post-acute rehab at the time I made the change.

HemaMalini · Aug 5, 2016

How do you like the transition so far? I was reading a couple other similar post and many people had said it was a very boring yet stressful workload.

TheCommuter, BSN, RN · Aug 5, 2016

How do you like the transition so far? I was reading a couple other similar post and many people had said it was a very boring yet stressful workload.

In my case, it has been a dream come true although I do not want to speak too soon. The workload is manageable and I work from home.

jasminesguillory · Aug 18, 2016

My dream is to work from home.

I have been following companies such as Anthem, Aetna, Humana, United HealthCare, WellCare, WellPoint, and Florida Blue. I live in Tampa, FL and these companies have Case Management jobs.

Best of luck with your search.

CandyGyrl · Sep 21, 2016

Hi, I have been an RN since 2009. I started off on a Neuro step progressive care unit and did that for 3 years, then started working at another hospital on the Nursing Resource team aka Float pool. The upside they hired with FT benefits and a competitive flex bonus. I initially took the position as a short cut to helping me decide what unit I would like to make my home-- Cardiac, Oncology, Labor/Del I was ready to find my niche. I also needed more flexibility with my hours and shifts and usually when you work in the flex pool you can make (not suggest) your own schedule. I knew I eventually wanted to work ICU but wasn't sure if I wanted Medical, Surgical or Neuro. Anyways after doing that for 2 years-- I think I came to understand that the hospital life and hours weren't for me. I hated working weekends although it was only 1 a month. I hated working holidays-- the day before or the day after. NO MATTER WHICH ONE. If I worked days-- I couldn't get my kids off to school in the morning or pick them up on the days I worked which sucked. Nights allowed me greater flexibility with my day and I could at least pick them up after school and not have to worry about snow days 1/2 days etc BUUUT because they are really active I could not always make it to games, recitals, and family functions etc. Switching schedules can be a pain and it was getting old.

I had a friend who had taken a position as a case mgr for a major insurance co in our area. In 6 months she was working from home. No weekends no holidays. They offered flex time, she was available to her kids to get them off to school in the am and pick them up in the afternoons. She was usually done by 4 or 5 and when she was off guess what-- her house was clean, laundry done and dinner cooked. She scheduled her clients around her day. When her husband got home from work she could pretty much take off and go to the gym, meet up with friends and was never tired. I realized at that moment what was important to me. So I followed suit.

I am a Certified case manager. I love my job. I don't work from home-- our site does not offer but I could easily transfer if I really wanted to. I like coming into the office it's really laid back. I love the people I work with. We dress casually and can wear jeans everyday-- but in a casual Friday way. They will allow us to wear spirit wear if our local teams are having a big game, and we have company t shirts that we can wear to support our company goals and initiatives. I provide telephonic case mgmt. to Oncology patients. We have an expectation of having 50 active cases but it's a difficult mark to hit and not many people do or can maintain that. We come close and always hit our department goals. Yes it can be boring but in a very relaxed way. For example I schedule myself to call 8 members a day. I may only reach 3 of them. I may pull some members from another day and see if I can reach them. If not, I'll just use that time to organize my calendar, check emails, go for a walk, whatever-- trust me I'm never short of things to do. They are always doing fun things like health and wellness challenges, they bring exercise to you-- I'll be taking hustle and line dance every Thursday after work. They also offer Cardio kick and tone as well as Zumba. For a dept meeting they treated us to an afternoon at the apple orchard filled with fun activities and free cider and donuts. They let us leave around 3 so we wouldn't get stuck in traffic. I feel more valued as an employee and ADULT than the hospital ever made me feel. For nurses week they spoil us! I won't even start. We get yearly bonuses and merit raises. I could go on and on but I won't.

I will be taking my OCN in 2017 and they are allowing me days off for my review class, reimbursing me for it and the OCN. Once I get my OCN I am considering transferring to Utilization review just to see another side of things however case mgmt. was a nice transition from the hospital setting. I still interact with patients, provide teaching, education, resources, care coordination and ongoing follow up. And besides with my CCM I can always go back to the hospital as a case mgr if I choose to. However-- Once I get my Utilization experience I will apply for contingent positions in utilization review and pick up a couple days a month. In the meanwhile-- living the dream... Its not all roses there are things I don't agree with but the benefits outweigh ANYTHING I experienced working as a staff nurse. I don't miss it... Now I would go back to the hospital but I wouldn't work there full time again.

Tclamp · Oct 3, 2016

Hi! Jumping in here...Thank you for sharing your story CandyGyrl. Would you reveal which company you are working for? I am also considering a switch from contingent bedside (that $ tho!) to utilization/case management with an HMO... I had an interview on Thursday, am waiting to hear back, but am getting cold feet in the meantime. I currently make my own schedule with a great hourly rate. But that's it. I am no longer satisfied with bedside nursing. But then are horror stories about some of these WAH positions and the company I interviewed with does not have great glass door reviews. However, I am remaining positive and trying to plan for the future by embracing any new opportunity. Uggg! Feeling stressed. I suppose I should wait and see if I am even offered the jobí ½í¸

msslim · May 30, 2017

Hello, THE COMMUTER, If I give you my email address will you tell me what company you work for? I am currently looking for this type of position. I have applied to one of the large, well known companies.

msslim · May 30, 2017

In my case, it has been a dream come true although I do not want to speak too soon. The workload is manageable and I work from home.

Hello, TheCommuter, If I give you my email address will you tell me what company you work for? I am currently looking for this type of position. I have applied to one of the large, well known companies.

notsosupernurse · Aug 4, 2017

@candygyrl Hey there .Thanks for such a detailed post. I am also looking for a job that allows flex time in the case management field. I would like to know that name of your company .My current company doesn't offer this . I will PM you thanks .

SummerGarden, BSN, MSN, RN · Aug 8, 2017

https://allnurses.com/case-management-nursing/case-manager-in-1041340.html

In addition to the good posts in this thread, the above is a link to others that asked and answered your question. Hopefully these will be helpful too. :) Welcome to our specialty.