Tell me the bads about CM

[RNOCN2311]

I interviewed yesterday for a CM job at the hospital I work. I am next in line with seniority for the position and posses some of the skills needed, though it would be starting from the beginning.

I already work m-f, day shift, and the increase in pay is significant, but not a deciding factor for me to accept if offered the position. So what I need is to hear the difficult aspects of CM. How easy is it to get phyicians on board, staff members, pitfalls, headaches, etc?

I love problem solving, details, and getting to the heart of the matter with things I currently do get involved in. I'm an Oncology Charge Nurse of an outpatient infusion center, so I deal with many problems, though much different that of inpatient CM. Put it this way, I love my job now, but many times I've felt I'd like to get out of the clinical aspects of nursing and become more review based. This type of opportunity doesn't come along often in my hospital. They have just increased staffing in the Case Management/Care Coordinator department. I don't feel this is a glory job, but admit it probably has some perks as far as independent working (and no OT in my hospital, but can leave when the shift is over and follow up in am or be called at home).

I already do chart audits, am floored by mistakes I see and implement procedures and new chart revisions to prevent such mistakes. I already have to monitor drugs and useage to diagnosis and pre-certs for medications, diagnostic tests, etc., but insurance companies are very easy when it comes to cancer needs.

So any advice, suggestions of questions to ask, etc, would be greatly appreciated in having a pre-planned answer if I am indeed offered the position.

Thank in advance.