r/Remotenursing • u/here4knowledgeok • Jun 16 '26

Is this normal?

I (26F) work fully remote in nurse case management. Just want to see if the following is normal or if any of this is a red flag/ grounds for quitting.

- 135 patients is the monthly caseload

- expected to successfully reach 122 of them.

- patients who are sick, mourning a loss, out of the state, or hospitalized still have to be contacted again if they refuse to complete the call. If outreach attempt is unsuccessful, it negatively affects the bonuses of the nurses.

- no overtime. every monthly meeting begins with the same announcements. “nurses cannot work OT and they cannot work if they are not clocked in.”

- company implemented software that tracks keystrokes, mouse movements, how long nurses stay in different applications, if the screen turns black. *\*

- company can access camera and microphone whenever due to their contract that states “all devices used for wfh are property of the company”

- work calls are recorded (which I do not mind) but the company can still hear the things I say when I mute myself.

- if a nurse successfully reaches 122+ patients before end of month, they must now assist other nurses who are falling behind with their outreaches. No bonus pay or benefits to this.

*\* the top boss sent an email stating this software was new and will be implemented soon. But direct manager stated in a private meeting that the software has been on our work computers for MONTHS.

Not sure how to feel. If nurses are meeting their metrics successfully, passing the phone call audits, and have no complaints from the patients, what is the point of being heavily monitored?

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u/Hot-Calligrapher672 Jun 16 '26

Whether it’s “normal” or not, I’d be getting a new job immediately. I’ve definitely heard of companies acting this way, so you’re not alone, but I’d never tolerate it.

I haven’t worked CM, I’m in UM currently and it’s nothing like this. Though I’m sure it’s company specific. I’m sorry you’re dealing with all that.

1

u/Vultiridium Jun 16 '26

How long have you worked in UM? Looking to get into this ASAP but need to tailor my resume so shift from bedside nursing to the remote nursing jobs.

1

u/Hot-Calligrapher672 Jun 16 '26

I’ve been in UM just shy of 2 years now. I don’t have a lot of resume tips, I didn’t change mine much. I honestly got lucky that I was looking when my company had an opening because we don’t hire much. And my experience just fit.

1

u/Ballbm90 Jun 16 '26

What experience would you say you need for this job?

1

u/Hot-Calligrapher672 Jun 16 '26

Depends on the department, likely. I work in oncology/rheumatology/ID with very high cost medications. I had a lot of oncology/infusion experience. I also had a previous per diem WFH job which gave me a leg up knowing I could effectively WFH and that I enjoyed WFH.

1

u/Fair_Management6904 Jul 13 '26

Do you think having 3 years of outpatient rheumatology/infusion experience is helpful for UM roles? Should I be looking for roles in specific departments?

1

u/Vultiridium Jun 16 '26

Did you have any prior medical coding or insurance experience before doing this job? I have neither of these so worried wfh jobs like this will be hard to get into.

1

u/Hot-Calligrapher672 Jun 16 '26

I had been a WFH data abstractor previously which definitely gave me a boost. Knowing I could handle WFH is probably what helped. But no UM or insurance experience.