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Career Story: Nurse Case Manager For An Insurance Company

Nurse Case Manager For An Insurance Company

Job Title: Nurse Case Manager

Type of Company: Provides disability management for workers compensation cases for covered municipalities in the state of New York.

Education: BS, Nursing

Previous Experience: Staff nurse: surgery unit x 6 months US Army: surgical unit, recovery room, Head Nurse female medicine, evening night supervisor x 5 years US Army Reserve x 7 years Head Nurse Neuro ICU x 7 years Staff Nurse ICU x 1 year Medical Case Manager x 20 years

Job Tasks: I do telephonic case management, making contact with injured workers to ascertain their problems and expedite authorizations for treatment. I discuss people's disabilities and their options for treatment. I communicate with physicians. I negotiate pricing for items and attempt to cut costs. I provide support to injured workers and their families and assist employers to organize wellness fairs and participate in blood pressure/ BMI screenings.

Best and Worst Parts of the Job: The thing I like best about my job is its flexibility. I work as a team member, but have an independent voice and there is excellent computer support.

The worst aspect of my job is its sedentary nature and commuting an hour each way. I'm an active person, so all the sitting is tedious. I don't get to meet any of my claimants face to face, so I have to develop a relationship by phone, which can be challenging.

Job Tips:
1. You never know where a job will lead you, so always try to do your best in all subjects. Math, science, English composition and computer skills are essential. You may think you're going to be clinically employed, but other options may present themselves.

2. Learn to manage your time and be efficient.

3. Try to do a summer employment or shadowing to see if the job is something you are really interested in pursuing.

4. Go for the most education you can achieve. A BSN is essential; in more competitive fields, a Master's is required.

5. Consider the military. They offer scholarships, develop you as a leader and provide a great experience with highly-motivated people.

Additional Thoughts: I would have more strongly considered the military for a career. Retirement on half-pay after twenty years sounds very good about now, and time goes by quicker than you anticipate it will! Again, they help you develop as a leader and will provide you with educational opportunities to advance your career. And you are supporting those combatants who have given of themselves for their country.

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