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What are your thoughts about care management vs hospital?

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Calling all nurses,

I have been a nurse for 1.5 years. My first job as a nurse was working full time as a field nurse for six months because the company that I was working for went out of business. Shortly after I got hired at a small hospital working in ambulatory care. I still have the job but it's per diem. The hospital is not currently hiring full time. Some weeks are really good and I work everyday and other weeks are dreadful. It is currently my only job and I have been working there for 9 months, I work all shifts.

I have been applying to full time positions In hospital jobs but no one seems to want to hire me because I don't have too much RN experience.

Just recently a friend who works in care management spoke to her boss about me and they are offering me a full time position with great benefits but it's not in a hospital. I am afraid I would lose my clinical skills.

Also, my husband (currently unemployed and on disability) and I are thinking of starting a family next year. I am not that young, late thirties.There is so much to consider. What to do? Any advice would be highly appreciated.

Nervous Nelly Nurse

I can't speak for either because I'm a new grad and my first job is in home health. My opinion, Take what works best for you. In the mean time, you can keep applying for jobs and/or continue to work per diem.

I have a friend who worked in case management, from what I got... It was a lot of work.

I heard that too. I wonder if it would open the possibility of finally getting my foot in a hospital.

HouTx, BSN, MSN, EdD

Specializes in Critical Care, Education. Has 35 years experience.

Get started on that baby - LOL! Unlike job searching, fertility DOES have an end-date & the best job in the world would not make up for missing that deadline. Nursing is so much more than hospitals. Please don't feel as though you're not a 'real' nurse even if you don't ever work in one. Hospital work environments are becoming more difficult and stressful as time goes on.... maybe not very compatible with starting a family.

Best of luck on your ongoing efforts.

macfar28

Has 20 years experience.

I assume as per diem you don't have health insurance? For me, I would want that in place before becoming pregnant. Unless you think you'd hate case management, it sounds like a good move. Good luck to you!

Calling all nurses,I have been a nurse for 1.5 years. My first job as a nurse was working full time as a field nurse for six months because the company that I was working for went out of business. Shortly after I got hired at a small hospital working in ambulatory care. I still have the job but it's per diem. The hospital is not currently hiring full time. Some weeks are really good and I work everyday and other weeks are dreadful. It is currently my only job and I have been working there for 9 months, I work all shifts.I have been applying to full time positions In hospital jobs but no one seems to want to hire me because I don't have too much RN experience.Just recently a friend who works in care management spoke to her boss about me and they are offering me a full time position with great benefits but it's not in a hospital. I am afraid I would lose my clinical skills.Also, my husband (currently unemployed and on disability) and I are thinking of starting a family next year. I am not that young, late thirties.There is so much to consider. What to do? Any advice would be highly appreciated.Nervous Nelly Nurse
I decided to keep my per diem job. It is a risky move but by doing so I am adding time to seniority while I keep my clinical skills. I really love my per diem job, the differences I make in people's lives and my co workers. I get to float around different units too. There might be a few FT positions opening up in the future which I plan to pursue when they become available. I am going with my heart on this one, the health insurance part-I still need to figure out.

Been there,done that, ASN, RN

Has 33 years experience.

You have been offered a full time hospital position with benefits.. and you turned it down.

Because you are afraid of losing your nursing skills. What skills, exactly are you referring to?

Do you understand this particular case management job description? Case managers are involved in the planning and implementation of the patient's health care from admission to discharge. If that's not "making a difference" , I can't imagine what is.

It's not in a hospital, it's working for a nursing home company as a care manager.