ROLL CALL - Case Managers!!!

Specialties Case Management

Published

Time for a roll-call for the Case Managers on the board!!

I'm here in Vegas, got my CCM in 1999, Medical & Disability Case manager for PPO network & Utilization Management company.

Congrats BahaMama and so nice to see all of the other Case Managers here.

I'm work in NY and have been in case management for the past 5 years. I've worked in telephonic case management in managed Medicaid, then moved onto disease management, where I assessed my clients face to face as well as telephonically. Now I am working in managed care case management in a certified home health agency and I really enjoy it.

I will be taking the CCM exam later this year. Best of wishes to all of you that will also be taking it.

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I took the Discharge Planning Utilization Review job last year, March 2007. The job also includes Infection Control and Employee health. I had been assisting the DP/UR nurse for a couple of years so she could attend classes, meetings, and time off for good behavior. So I had a little background in what the job involved. Don't know if CCM is in the future or not. ICP is in the future plans for 2009, that will be 2 yrs in the field. Being in a small hospital (

So between the 4 roles, I am on the average, a few days behind in my jobs. The CNO says that I need better time management. The CEO, CFO, HIM, and Business Manager say I need a second person to assist me. Any advice would be welcomed. BTW for a hospital of :banghead:

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Specializes in ICU,HOME HEALTH, HOSPICE, HEALTH ED.

I have been a Hospice Case Manager for 6 years and, before that, for another hospital, a Home Health Case Manager from 1987-1999. Neither agency required nor encouraged CCM or a Bachelors!

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Is anyone planning to take new computerized CCM this fall/winter? I've completed all the steps to apply. Now, just waiting (& trying to study!) for confirmation that I can sit for the test.

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Hello from Houston, TX!

I am a Patient Access Services RN. My background before coming to Case Management on the hospital side was in Utilization Review in an IPA, then in two insurance companies. I learned a lot and was delighted when I made the change back to the hospital side of things with all the pearls I learned in Utilization Review.

We provide the clinical and Pre D's to insurance CM and UR nurses to obtain auth for cancer tx, most of which is outpatient services. We obtain auth for inpt admissions, but our inpt CM's do concurrent review. It is a real team effort. While insurance companies get a bad wrap at times, we have a real appreciation for working with sharp insurance CM's and UR RN's who are patient advocates like we are. We know that nurses do the best they can to help us help patients and sometimes, it is a simple matter of insurance benefits or lack of. Always a nurse first! I love what I do. Patient Access is a pretty new specialty and requires insurance nursing experience. I have done it long enough now to have seen a lot of growth and change. Pretty exciting area and I work 8-5, no free ot is expected of me anymore. The patient contact is really nice. It is very rewarding and the salary is nice. Anyone else in Patient Access?

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Hi, just joined this group and trying to figure it out!! I'm waiting to hear also, if my application is accepted for the Dec. exam. I think we're suppose to know by Sept 30th.

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Specializes in OR - Telemetry - HBPC.

I have just joined an interdisciplinary team as a RN/case manager for home based primary care. This is a fairly new program started by the VA about a year ago. I am now working on a BSN and will probably work on a certification afterwards. I could use any words of wisdom from veteran case managers. :nurse:

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Well, I did it--took CCM Exam on Monday, the 8th of December. It states in the new info that results should be here by "late December". Wish me luck!

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Good luck to you; I hope we hear soon.

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Hi, I am not a case manager but seeing alot of job opportunities for this. What does it entail to become a nurse case manager? Do you need a masters or do you have to take a certification class or what? I can't quite figure it out. I have many years of experience in all areas and am a CLNC. Any answers please, I really don't want to resort to online universities calling me day and night. :banghead:

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Specializes in HH clinical mgmt, med-surg, GI.

resNY-

I think it may depend on location or facility as far as job requirements. I know that the job I just got as a case manager requires 5 years nursing experience, a BSN, and you must become a CCM within 2 years. I had no experience as a case manager, and they hired me with no problems. I have 11 years nursing experience in 3 different areas, and did have 3 years Clinical Management exp. in home health. Good luck!

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Thanks, that was what I felt when reading the requirements. You've been very helpful.

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