I have been an RN for 30 years, 12 years ago I took a prn Case managerment Utilization review job for $35 an hour to get my foot in the door. I now work for a Washington DC hospital from my home in Ohio for $130k a year in my jammies. At this hospital my job is basically cutting and pasting 5-6 hours a day ( I pace myself as its an 8 hour a day job)For 10 years I worked as a traveler for all different kinds of hospitals all over the country to get my Utilization Reviews skills sharpened. I am SO HAPPY ! Floor nursing is Terrible in my opinion. I worked like a dog putting my health at risk for half the pay I could make by cleaning houses !
@@MSCHOPP1 some home care experience is the quick way to get some exposure as a CHHA field nurse...so you know if it's a good fit...then start looking for more administrative roles...you'll basically want to build up case management skills...the clinical we probably all have years of that...time for a career pivot!
I just left bed side nursing. I was working 12 hours noc shift. Now I am a case manager for a home health. I have the weekend and holidays off. I can work from home and work overtime. It’s a mental challenge but I like it.
Agree ! Im in nursing school, and i already know bed side isnt for me.😅 i have my clinical l next week. We're gonna see how that goes, but idef love the nontraditional nursing jobs like aesthetic nursing , school nurse , flight nurse, etc
Did this and hated it. I felt like a telemarketer cold-calling patients who did not know or want you to call. Then asking them 150 probing questions. Unrealistic case loads, also.
9:30 - In school they harped on how we're autonomous professionals! What your boss says is all good and well but you have a scope of practice and your license depends on the application of your personal clinical judgement. You can change the system from the inside! Here's a 3rd grade homework assignment to write your representatives! Post 2008: The MBA in the manager's office doesn't believe in therapeutic communication - stop wasting time. Make sure you ask them again if they are smoking and tell them to stop smoking because it's a metric we'll be DINGED for! I wrote my representatives and the VA black listed my home health agency.
@@firstlady7749 i realized it wasnt for me and recently went back to my OR position. Coming from an OR background there was alot of customer service I just wasnt use to and the workload expectations were alot. Definitely worth a try if your interested
Thanks for the video. I did bedside for 14yrs. I did 2yrs at SNF and the rest on med surg. Now I am burned the hell out. I want to switch to case management but it seems like in California you need to know someone who can pull you in.
Your presentation is extremely helpful and provides a different perspective. Typically, post hospital discharge patients are ordered Home Health and they perform wound care, medication management, intravenous infusions, etc. You indicated that your monthly entail asking the same routine questions. Is there any reason telephonic case managers aren't allowed more autonomy? I assume that there are some calls that only require 15-20 minutes, but with the more elderly population, it might take longer. If they feel rushed, one might not learn valuable information that could prevent rehospitalization. As a telephonic case manager, were you allowed to make suggestions that could achieve cost containment, decrease the perceived need for micromanagement which ultimately leads to decreased hospitalization? It is most unfortunate that this insurance company lost someone so personable, knowledgeable and dynamic as you. I wish you the best as you pursue your goal to become a CRNA.
Ugh I’m taking my NCLEX next month and just want to do case management but they want bedside experience 😢and I don’t want to do beside. Only thing I can think is applying for psych jobs, would do public health but the pay is not great. Your advice would be great!
yes its typically a requirement to have inpatient experience. some positions may only require clinical experience, so you can definitely try to work in an outpatient setting, home health, or public health as you said!
@Nichole Perhaps consider external nurse case management. You are likely to find what you are looking for with this type of case management. It has it's pros and cons like any other job. However, I think I like the making my own schedule, choosing my caseload, working from home and in the field scheduled as I like it, not working on call (like you would with internal case management) etc. You can create your opportunity since the pandemic also. Do a little self help. Teach yoursekf a few things with a few certifications and show up with your best foot forward. There is something out here for you. You will find it😉
I did psych for 15 years. I woke up one day too emotionally healthy to keep doing that kind of work. I did my 2 years Inpatient bedside so that I could be more marketable in something outside psych. I have been in Case Management for 12 years now. Doing bedside for the first time after YEARS in psych was very difficult, but i did it.
employers dont look down upon a nurse resume that switches specialties or hospitals every year? Im very interested in several departments and specialties and can see myself going from med surg, travel nurse, aesthetic injector, gyno, and now case manager
I say go for it. I feel you add more value when you work in different specialties and learn different skills. If you have several interests in nursing, you shouldn’t be stuck in one place just to have one job on your resume!
To keep up with inflation, you should be switching jobs every 2-5 years. Those 2-3% raises will have you making less than a new grad within a couple of years.
I think it depends… like start with one specialty and if you quickly find out it isn’t something you like I would switch but use maybe that year to find your niche. I also recommend having a per diem hospital job so in case you hate case management you can easily go back
You just gained a new subscriber 🤗 I’m also a case manager but I’m a field nurse working for an insurance company. If you don’t mind me asking a few questions 1. What was your work life balance. Did you clock out at 7, or did you end up working late/ catching up on the weekends? Did you work 4 days a week? 2. Do you feel like you received proper training? 3. If you’re comfortable answering, what was the name of the company you worked for? Thanks so much!
I'm not her but I'm currently working at home as a full time telephonic case manager for Cigna. Doing pretty much exactly what she described. Currently looking to go back to bedside or ER internship. My particular position is M-F 9-5.30 I sign on early every day (if I don't get on early, my day will suck) and I leave on time about half the time. Every week there is at least a couple days where I have to stay late a couple hours to catch up on all the charting & back end stuff that I couldn't do while on calls all day. Salary position, so no overtime. I used to work on the weekends to catch up but after 6 mo or so my soul couldn't handle doing it even on the weekends anymore. Working from home does help balance it out in terms of work-life balance- like being in my own kitchen on my lunch break, etc. The company I work for Cigna definitely trains us well & makes sure you're 100% good to go before you're on your own. 12-15 week training w a preceptor. Bc it's very micromanaged & metrics based so they will train you well in the beginning so you dont pull down the team metrics from being undertrained. I can definitely attest to the micromanaged part. It didn't bother me at first but after about a year of doing it, my patience has run thin. You're micromanaged to the point where you can't use your RN autonomy and nursing decisions at ALL. They want you to have clinical nursing experience but micromanage to the point where nothing you do is actually your decision based on your own clinical judgement.
Personally I had a pretty great work life balance. I always got the days I wanted off and they gave an additional 4 hours of PTO per month to go to apts or come into office late. My hours were 9A-7P, so 4 10 hour shifts which I loved. We were salary so I refused to work outside of those hours lol I do feel like there was enough training to get the job done. Although it was/is a great company to work for, I won't disclose. I don't feel comfortable disclosing any company names that I've worked for
@@bluesprucedew I'm not sure why they are so heavy on the micromanagement with telephonic case management. I understand they try to adhere to their version of Joint Commission, but they strip the very skills they hired us for. Makes me feel more like a robot then a RN lol
@@bluesprucedew thanks for the response! It’s super helpful. I’m a case manager, but it’s not telephonic. I guess I just really want a job where I do less work and have better work life balance. I’d even take a pay cut at this point.
I have over 5 years of doing MDS assessments and creating care plans for a health insurance company. Do you think I could qualify for a utilization management?
For years I struggled with outstanding debts, bills and my children's school fees. I am a nurse earning $6,136 monthly. However I am starting travel nursing towards the end of summer. I was at a point where I wanted to give up. I came across every RUclips channel about how to make and multiply your income through passive income. Fortunately, I had saved some money and decided to start up and join the program Now I have bought my second house already, earn on a monthly through passive income and got 4 out of 5 goals, just hope it encourages someone that doesn't believe in investing..
investing requires higher knowledge. I invest across the top markets but not by myself tho. i follow the guidelines of VIRGINIA HUDSON. you might have heard of her.. I can correctly say she's worth her salt as a investment advisor as her diversification skills are top notch/ I say because i see that in her results as my portfolio grows by averages of 30 to 50% on a monthly basis, unlike i can say for my IRA which has just been trudging along. my portfolio just mirrors what her place and not just on some particular industries of my choosing.
Kelsey I have had the intentions of starting investing. But I always thought it was late and I think I need to stop procrastinating. I will definitely join Virginia and see what she can advise .Thanks a lot. This was of so much help to me .
Tnx for this info, I just looked up your investment professional and found her page. Her experience is pretty impressive. I wrote her and I'm waiting on her reply.
Hi, Is there usually an academic requirement to apply as a case manager or just a bedside experience? I am looking for a less stressful job environment
you would need to be a registered nurse. most companies prefer if you have bedside experience as an RN. you don't necessary need to get a specific certification to be a case manager
I have an Assoc in Nursing and make $130k a year. I paid $10k to get my degree from a Community College in 1994. I have worked along side nursing who make the same amount of money as me doing the same job that have Masters and even Doctorates in Nursing. If you like spending a hundred grand to take classes to do the same job as me because it makes you feel good about yourself, that is nice. I feel GREAT about myself and my abilities in my specialty.
Maybe healthcare systems are asking way to much of their nurses. I just quit a Tele PCU job, before I killed someone! 4-5 patients, that actually belong in the ICU is ridiculous.
The thing is long term bedside is NOT sustainable. You are destroying your body especially as you get older. I have friends who were body builders, athletes, top shape and they even had to quit bedside because as the years went on their body would be aching and sore to the point they didn’t have the energy to workout anymore.
I’m in Care coordination / UR review , they are phasing out the UR side and focusing on discharge planning for CM / CC. How can I get into remote nursing for CM? Any tips ? I did remote before during covid and can’t land another remote job . And I need it for my POTS condition
Hi great video very informative. Was wondering if you had an email where I could ask a few questions about remote jobs and case management? I am thinking about exploring my options in that field. Thank you
What are you going to NP school for, like specialty ? Will you still do nursing jobs? What do you think about the hours of NPs work ? Is it better then RN flexibility or no? Tha k you
I’m doing FNP. I plan to start my career in internal medicine, but my ultimate goal is to be an Aesthetic NP. I think 12 hour shifts offers the best flexibility. I’m not a big fan of working Mon-Fri, but most NPs work that schedule. I highly doubt I’ll work as an RN when I become an NP, but you never know!
90% of nurses at all degree levels....want to do at least a hybrid scenario...after working; traveling to and fro" one venue or traveling over the road. Yes....I would think one gets used to the 10 or 15 different Dx that one would be dealing with on a daily basis. I've applied to a "such a job as this"...and hope to get it soon. If not...I'm retiring from nursing and going to drive again CDL-A. I like autonomy. When one works in a building with others...half the time we're working the job of 2-4 people; and our licenses are constantly on the "proverbial chopping block'. Not sustainable.
I have been an RN for 30 years, 12 years ago I took a prn Case managerment Utilization review job for $35 an hour to get my foot in the door. I now work for a Washington DC hospital from my home in Ohio for $130k a year in my jammies. At this hospital my job is basically cutting and pasting 5-6 hours a day ( I pace myself as its an 8 hour a day job)For 10 years I worked as a traveler for all different kinds of hospitals all over the country to get my Utilization Reviews skills sharpened. I am SO HAPPY ! Floor nursing is Terrible in my opinion. I worked like a dog putting my health at risk for half the pay I could make by cleaning houses !
Nice!! I just started a similar hybrid position as RN UAS Assessment...no complaints with a 13 foot commute to my office!
@@MSCHOPP1 some home care experience is the quick way to get some exposure as a CHHA field nurse...so you know if it's a good fit...then start looking for more administrative roles...you'll basically want to build up case management skills...the clinical we probably all have years of that...time for a career pivot!
can you tell me what do you think helped you land that job and what is the company called?
Can i do this as lpn ?
Are you in CM or UR? I’m a field CM from home but having trouble keeping up with all the files. RN 24 years.
Perfect an introverted nurse dream job!!! Sign me up!
I'd rather be a "bit bored,...then overwhelmed with no one to help carry the loads".
I get both the pros and cons but working from home seems better then having to drive to work ! ❤
It was so nice to roll out of bed 5 minutes before I had to clock in 🤣
I loved the way she went straight to the point of what she had to say. Thank you so much!
I just left bed side nursing. I was working 12 hours noc shift. Now I am a case manager for a home health. I have the weekend and holidays off. I can work from home and work overtime. It’s a mental challenge but I like it.
Could you please help to apply for this?
Agree ! Im in nursing school, and i already know bed side isnt for me.😅 i have my clinical l next week. We're gonna see how that goes, but idef love the nontraditional nursing jobs like aesthetic nursing , school nurse , flight nurse, etc
Did this and hated it. I felt like a telemarketer cold-calling patients who did not know or want you to call. Then asking them 150 probing questions. Unrealistic case loads, also.
9:30 - In school they harped on how we're autonomous professionals! What your boss says is all good and well but you have a scope of practice and your license depends on the application of your personal clinical judgement. You can change the system from the inside! Here's a 3rd grade homework assignment to write your representatives!
Post 2008: The MBA in the manager's office doesn't believe in therapeutic communication - stop wasting time. Make sure you ask them again if they are smoking and tell them to stop smoking because it's a metric we'll be DINGED for!
I wrote my representatives and the VA black listed my home health agency.
I'm starting a case management RN job on Monday and this was super helpful. Im happy you popped up on my feed lol..thank you so much!!
how are you liking it so far?
thanks for watching, good luck!
Is your job hiring
@@siarajorge7446 cigna insurance should be hiring
@@firstlady7749 i realized it wasnt for me and recently went back to my OR position. Coming from an OR background there was alot of customer service I just wasnt use to and the workload expectations were alot. Definitely worth a try if your interested
So good to see the different options you have as a nurse, can definitely relate to being on the phones and that is no fun!
Not at all! I don’t mind talking, but not all day 😵💫🫠
Thanks for the video. I did bedside for 14yrs. I did 2yrs at SNF and the rest on med surg. Now I am burned the hell out. I want to switch to case management but it seems like in California you need to know someone who can pull you in.
This was very informative and practical. I love that you share your real life experiences and opinions. Awesome video! ❤
As I get started on my journey I needed this video.... thank you.
This is a great video . Very informative and to the point.
I’m looking forward to the NICU video! I start in that specialty in a week.
Wonderful, good luck! It’s a big learning opportunity with the cutest little babes
Your presentation is extremely helpful and provides a different perspective. Typically, post hospital discharge patients are ordered Home Health and they perform wound care, medication management, intravenous infusions, etc. You indicated that your monthly entail asking the same routine questions. Is there any reason telephonic case managers aren't allowed more autonomy? I assume that there are some calls that only require 15-20 minutes, but with the more elderly population, it might take longer. If they feel rushed, one might not learn valuable information that could prevent rehospitalization. As a telephonic case manager, were you allowed to make suggestions that could achieve cost containment, decrease the perceived need for micromanagement which ultimately leads to decreased hospitalization?
It is most unfortunate that this insurance company lost someone so personable, knowledgeable and dynamic as you. I wish you the best as you pursue your goal to become a CRNA.
Up until you mentioned the cons, I was on board. I work call center for a health plan and totally relate 😭😂
Thank you for sharing this info. This is such a wonderful and helpful video. Thank you :)
glad to help, thanks for watching ☺️
I would love a lits of all nursing jobs that are remote pt care mgt . 23yrs nursing w/16 critical care.
Im freaking Done!!!!
I can’t imagine those years of stress, definitely time for a low maintenance job!!
Ugh I’m taking my NCLEX next month and just want to do case management but they want bedside experience 😢and I don’t want to do beside. Only thing I can think is applying for psych jobs, would do public health but the pay is not great. Your advice would be great!
yes its typically a requirement to have inpatient experience. some positions may only require clinical experience, so you can definitely try to work in an outpatient setting, home health, or public health as you said!
Nichole you definitely need patient care experience before doing anything else in nursing.
@Nichole Perhaps consider external nurse case management. You are likely to find what you are looking for with this type of case management. It has it's pros and cons like any other job. However, I think I like the making my own schedule, choosing my caseload, working from home and in the field scheduled as I like it, not working on call (like you would with internal case management) etc. You can create your opportunity since the pandemic also. Do a little self help. Teach yoursekf a few things with a few certifications and show up with your best foot forward.
There is something out here for you. You will find it😉
I did psych for 15 years. I woke up one day too emotionally healthy to keep doing that kind of work. I did my 2 years Inpatient bedside so that I could be more marketable in something outside psych. I have been in Case Management for 12 years now. Doing bedside for the first time after YEARS in psych was very difficult, but i did it.
I’m seeing this after accepting this same position… now I’m afraid I’m going to hate it. I don’t like being micromanaged
oh no! I'm the same way. hopefully you can feel it out and end up liking it. good luck!
I just accepted an offer in case management. How is it going?
this was helpful !
employers dont look down upon a nurse resume that switches specialties or hospitals every year? Im very interested in several departments and specialties and can see myself going from med surg, travel nurse, aesthetic injector, gyno, and now case manager
I say go for it. I feel you add more value when you work in different specialties and learn different skills. If you have several interests in nursing, you shouldn’t be stuck in one place just to have one job on your resume!
To keep up with inflation, you should be switching jobs every 2-5 years. Those 2-3% raises will have you making less than a new grad within a couple of years.
Yes! I like the way you think! 🥳
Don't forget to forgo the hiring bonus and negotiate a higher hourly rate.
I think it depends… like start with one specialty and if you quickly find out it isn’t something you like I would switch but use maybe that year to find your niche. I also recommend having a per diem hospital job so in case you hate case management you can easily go back
Was this for CenterWell/Humana??
Can I work from home as LPN?
You just gained a new subscriber 🤗
I’m also a case manager but I’m a field nurse working for an insurance company.
If you don’t mind me asking a few questions
1. What was your work life balance. Did you clock out at 7, or did you end up working late/ catching up on the weekends? Did you work 4 days a week?
2. Do you feel like you received proper training?
3. If you’re comfortable answering, what was the name of the company you worked for?
Thanks so much!
I'm not her but I'm currently working at home as a full time telephonic case manager for Cigna. Doing pretty much exactly what she described. Currently looking to go back to bedside or ER internship. My particular position is M-F 9-5.30 I sign on early every day (if I don't get on early, my day will suck) and I leave on time about half the time. Every week there is at least a couple days where I have to stay late a couple hours to catch up on all the charting & back end stuff that I couldn't do while on calls all day. Salary position, so no overtime. I used to work on the weekends to catch up but after 6 mo or so my soul couldn't handle doing it even on the weekends anymore. Working from home does help balance it out in terms of work-life balance- like being in my own kitchen on my lunch break, etc.
The company I work for Cigna definitely trains us well & makes sure you're 100% good to go before you're on your own. 12-15 week training w a preceptor. Bc it's very micromanaged & metrics based so they will train you well in the beginning so you dont pull down the team metrics from being undertrained.
I can definitely attest to the micromanaged part. It didn't bother me at first but after about a year of doing it, my patience has run thin. You're micromanaged to the point where you can't use your RN autonomy and nursing decisions at ALL. They want you to have clinical nursing experience but micromanage to the point where nothing you do is actually your decision based on your own clinical judgement.
Personally I had a pretty great work life balance. I always got the days I wanted off and they gave an additional 4 hours of PTO per month to go to apts or come into office late.
My hours were 9A-7P, so 4 10 hour shifts which I loved. We were salary so I refused to work outside of those hours lol
I do feel like there was enough training to get the job done.
Although it was/is a great company to work for, I won't disclose. I don't feel comfortable disclosing any company names that I've worked for
@@bluesprucedew I'm not sure why they are so heavy on the micromanagement with telephonic case management. I understand they try to adhere to their version of Joint Commission, but they strip the very skills they hired us for. Makes me feel more like a robot then a RN lol
@@bluesprucedew thanks for the response! It’s super helpful. I’m a case manager, but it’s not telephonic. I guess I just really want a job where I do less work and have better work life balance. I’d even take a pay cut at this point.
@@bluesprucedew I hope you find what you’re looking for! Wishing you the best
I have over 5 years of doing MDS assessments and creating care plans for a health insurance company. Do you think I could qualify for a utilization management?
For years I struggled with outstanding debts, bills and my children's school fees. I am a nurse earning $6,136 monthly. However I am starting travel nursing towards the end of summer. I was at a point where I wanted to give up. I came across every RUclips channel about how to make and multiply your income through passive income. Fortunately, I had saved some money and decided to start up and join the program Now I have bought my second house already, earn on a monthly through passive income and got 4 out of 5 goals, just hope it encourages someone that doesn't believe in investing..
investing requires higher knowledge. I invest across the top markets but not by myself tho. i follow the guidelines of VIRGINIA HUDSON. you might have heard of her.. I can correctly say she's worth her salt as a investment advisor as her diversification skills are top notch/ I say because i see that in her results as my portfolio grows by averages of 30 to 50% on a monthly basis, unlike i can say for my IRA which has just been trudging along. my portfolio just mirrors what her place and not just on some particular industries of my choosing.
Kelsey I have had the intentions of starting investing. But I always thought it was late and I think I need to stop procrastinating. I will definitely join Virginia and see what she can advise .Thanks a lot. This was of so much help to me .
Tnx for this info, I just looked up your investment professional and found her page. Her experience is pretty impressive. I wrote her and I'm waiting on her reply.
You can inbox her on WhatsApp directly too
I liked the video very informative.
How do u apply for the job? I am looking for a work from home nurse job. How did u get yours
Hi, Is there usually an academic requirement to apply as a case manager or just a bedside experience? I am looking for a less stressful job environment
you would need to be a registered nurse. most companies prefer if you have bedside experience as an RN. you don't necessary need to get a specific certification to be a case manager
@@safiyamarz thank you safiya💕
I have an Assoc in Nursing and make $130k a year. I paid $10k to get my degree from a Community College in 1994. I have worked along side nursing who make the same amount of money as me doing the same job that have Masters and even Doctorates in Nursing. If you like spending a hundred grand to take classes to do the same job as me because it makes you feel good about yourself, that is nice. I feel GREAT about myself and my abilities in my specialty.
Do you know of any job opportunities now as case manager from home ?
I would look into insurance companies like Aetna, UHC, Anthem, and Humana
Did you get certified as a case manager?
no I didn’t, if I wanted to stay in long term, I would have
Nursing is failing at preparing nurses for the current nursing needs within healthcare
100%
Maybe healthcare systems are asking way to much of their nurses. I just quit a Tele PCU job, before I killed someone! 4-5 patients, that actually belong in the ICU is ridiculous.
I feel this way now! This unsafe staffing costs people their lives.. and our license!
Nice Video. Amazing ❤👌
The thing is long term bedside is NOT sustainable. You are destroying your body especially as you get older. I have friends who were body builders, athletes, top shape and they even had to quit bedside because as the years went on their body would be aching and sore to the point they didn’t have the energy to workout anymore.
is care management different then case management?
I think some companies use the term interchangeably
Do u need to be a nurse I order to do this job
Good information thanks.
I plan on working 3 to 5 years at the bedside. Thank you.
that sounds like a great plan!
I’m in Care coordination / UR review , they are phasing out the UR side and focusing on discharge planning for CM / CC. How can I get into remote nursing for CM? Any tips ?
I did remote before during covid and can’t land another remote job . And I need it for my POTS condition
Hi great video very informative. Was wondering if you had an email where I could ask a few questions about remote jobs and case management? I am thinking about exploring my options in that field. Thank you
What are you going to NP school for, like specialty ? Will you still do nursing jobs? What do you think about the hours of NPs work ? Is it better then RN flexibility or no? Tha k you
I’m doing FNP. I plan to start my career in internal medicine, but my ultimate goal is to be an Aesthetic NP. I think 12 hour shifts offers the best flexibility. I’m not a big fan of working Mon-Fri, but most NPs work that schedule. I highly doubt I’ll work as an RN when I become an NP, but you never know!
90% of nurses at all degree levels....want to do at least a hybrid scenario...after working; traveling to and fro" one venue or traveling over the road.
Yes....I would think one gets used to the 10 or 15 different Dx that one would be dealing with on a daily basis. I've applied to a "such a job as this"...and hope to get it soon. If not...I'm retiring from nursing and going to drive again CDL-A. I like autonomy. When one works in a building with others...half the time we're working the job of 2-4 people; and our licenses are constantly on the "proverbial chopping block'. Not sustainable.
I should’ve been a nurse
😂😂😂 come join me
I’m not trying to go back to school sis !!
😂😂😂 Dr. Charlia rings a bell though