#10 Your First 90 Days — Surviving and Thriving in the Transition
Week two, and a nurse with fifteen years of experience calls her manager and says, "I think I made a terrible mistake." She hadn't. She was simply inside the most disorienting stretch of a genuine professional transition, with no map for what that disorientation was supposed to look like.This book is that map.Your first ninety days in managed care case management aren't like any transition you've made before. The onboarding is compressed, the productivity pressure arrives before fluency does, and the platforms slow you down even when the clinical judgment underneath is sound. None of that means you're failing. It means you're building a second set of skills to sit alongside the clinical expertise you already have — and that takes deliberate practice, not just time.Inside, you'll find the twelve-week arc of felt incompetence and why it's structural rather than a verdict on your ability, a system for building platform fluency faster than formal training provides, a strategy for using your monthly one-on-ones as real development conversations instead of check-ins, guidance on when and how to ask for help without it reading as a performance gap, and a framework for walking into your first performance review with your own data and narrative already built.This closes out the Getting In Bundle — the first ten books, which take you from curiosity about the field through the interview, the offer, and now the work of actually staying in it. It stands completely on its own if this is where you are right now.Book 10 of 20.K.C. Hanson, MPH, BSN, RN, CCM, built and led telephonic case management teams at one of the top three regional health plans and has sat across the table for more performance conversations — at day thirty, sixty, and ninety — than she can count.
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