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utilization review/case management recommendations

Does anyone currently work remotely in utilization review or case management for a company they enjoy working for, feel you have a manageable workload, and are not super micromanaged? I currently work in utilization review for a large company in prior authorization and the position is great. I've been there for about 3 years and although I really enjoy it, I would love to do something maybe like concurrent review, something reviewing hospital type records, or case management. Our company does not have any of these positions as remote, mainly the prior auth positions. I would be so hesitant to leave, as I know many remote positions have extremely long hours and poor work/life balance from what I have heard, so just wondering what may be out there.

SummerGarden, ADN, BSN, MSN, RN

Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.

There are several insurance companies with remote/home work. Look into the large ones that provide insurance coverage in your area. It is easier to get your foot into the door if you network with other CMs in your area or you pick up work through a nursing agency or as a traveler for the company. Good luck!


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