Telephonic Case Management

jaqs96 · Dec 1, 2011

Hi Christdied4us310,

We have about the same years of nursing experience. I have not been in nursing too long but set out to pursue working in a professional office nursing environment and I did it. Most of the CM positions I see whether its office or home based require about 3 yrs nursing experience and prefers CM experience. I worked less than a yr as a home health CM before applying to ins companies and then I started getting calls from Aetna, Liberty Mutual, and others for interviews. A little exposure to any type of CM wouldn't hurt. I would definitely try applying for positions at this point... I just saw a Behavioral Health RN CM position posted and it did ask for at least 4 yrs of experience and your almost there. Don't forget to look into CM Workers Comp or Disability positions as well. Again, just look out for high case loads! APS Healthcare and Coventry Healthcare are also hiring... if they are in your area. What's nice is if you get into a CM position and don't like it, you can transfer around positions w/in the company. Aetna asks that you don't leave them but move internally to what is a better fit.

Take care and good luck!

christdied4us310 · Dec 2, 2011

Thank you for your prompt and helpful reply. I wish you all the best and I know that I will be a great case manager!

christdied4us310 · Dec 2, 2011

Jaqs96, how do u like CM? Do you do it from home and does it pay well? I am trying to get all my info firsthand so I can better see if this is a fit for me. Though I lack CM experience, I will still apply and hope that they are willing to train a new case manager.

jaqs96 · Dec 2, 2011

I love CM... there are many different areas you can go into. Salary depends on what area you live but it's about 60,000 - 80,000. Several positions here on the West Coast post salaries about 80,000. Kaiser Permanente just posted a CM salary $88,000-111,000!... I work from home and they set up a home office for the CM. Not all CM's with Aetna are home office though but many have potential to transition to home.

christdied4us310 · Dec 3, 2011

Do you think that Aetna would hire a nurse without previous CM experience? I am so excited to start applying but nervous at the same time because of my lack of experience.

Does Aetna also train you in office first then let you work from home?

blondietlc1196 · Dec 11, 2011

I am wanting to get into working at home, have read alot of comments on it and am very interested, anyone know how or where to go to start. I have 22 yrs experience and have worked in L&D, Nursery, NICU, Peds and womens floor, oncology, med surg floors,, post op. home health for 5 yrs. I am an RN, in school for BSN and MSN and when I get done I will have my Certificate for teaching.

exnavygirl-RN · Dec 14, 2011

I'm very interested in working case management. There doesn't seem to be a lot of openings in Mississippi. I've checked a couple of insurance company websites and applied to one. Will wait and see.

Nurse4life09 · Dec 15, 2011

Try 3rd party companies (contract with health insurance companies and large corporations) That's how I landed my job with no prior CM experience, just home health. PM me for more specifics. :)

MomRN0913 · Jan 6, 2012

CM jobs are very difficult to come by in the hospital. It's what i really, really wanted to do. I did interview in the hospital for a position in CM. They never had intentions of hiring me without experience, they interviewed me as a favor to my uncle......

They did give me good tips though. Take a CM course at a local college. Also, getting a position as a CM with an insurance company is the best route to go and they do hire without CM experience. I am in the middle of the interview process with a a large insurance company (chose not to say until all is done) and they said the job IS stressful and busy, but on a whole different level and you will not be bored it's very interesting and forever changing. This position is for Worker's comp claims.

I interviewed with HBCBS myself. The worst interview ever. I was interviwed by 2 non-clinical people. No clue about nursing. They only asked me an hour of internet generated general interview questions that were just plain stupid in my opinion. A few to understand how I would handle certain situations, sure..... I get that. But nothing about my skills and knowledge as a nurse. So poo to them.

This is an office based telephonic nursing position, but I hear there are plenty from home.

clahoney7 · May 15, 2012

I know this thread is old, but, I started in an ins company doing UR and moved to CM. I am now looking to move on from that as I have been doing this for 6 years and I am one that likes constant challenge and learning new things. Not to say CM is not challenging but you can get good at it and not have that same edge of excitement to it.

Insurance companies do hire w/o CM experience as I know plenty who have been hired to CM in the two companies I have worked for over the past 6yrs.

Superme0101 · May 23, 2012

Hey,clahoney..I find it interesting for you to move away from CM--im thinking the same way---but dont know where to go..any ideas?

aka1908nurse · Jun 15, 2012

I currently work as a telephonic nurse case manager. I work for an insurance company. From what I've seen and encountered telephonic CM are typically employed by the insurance company and onsite CM are employed by the hospitals.