I work for a Medicaid waiver program where we go out and visit clients in their homes. We arrange services for them to prevent them from entering a nursing facility. I was TOLD that my case load would be about 60, and per the state guidelines, that is were it is suppose to be. However, I have 80 clients right now. We have to visit them in their homes, not MD offices, etc because it is their homes that we have to make sure have the HME's they need to be safe and fuction to their capacity. Also to evalute their support systems and needs based on where THEY live.
We all use outlook to organize our follow up calls and Excel to organize our caseload visits. I have to see every consumer once every 3 months unless they are on 24 hour supervision or require more frequent monitoring (frequent hospitalizations, disconnected family situations, etc). Those clients we see monthly. I have approximately 35 visits per month and about 5-6 reassessments (done annualy for each client) a month. It is tough to get all of the work in, along with case managing every client monthly, but the job is extremely flexible on time and working from home never ends at 4 pm....there are days I work until 11 pm getting documentation done.
Working in the field can be challenging at times. My husband was furious when I started and tried to convince me not to take this job because of the location of the field work I would be doing. I work in some of the worst parts of a major metropolitain area. Every other house on some of the streets I visit is borded up. Gangs flock at the corners and MANY of my clients and/or their families have criminal records. However, I have to admit, there have only been a handful of cases that I did not feel comfortable walking into a home. Generally, the people know you are there to help them and provide them with services and they watch out for you. We have the option of taking security with us. I have never used them and most of my co-workers don't either. We have never had any problems.....and the few times I did feel uncomfortable, I left and finished the visit on the phone the next day. You will learn which homes to go early in the morning before the drug deals happen on the corner and which ones to avoid after school lets out. Honestly, it is not the crime that I worry as much about as bringing roaches and bed bugs back home with me!
But I have to admit.....I love my job. There are definitaly challanges to it, but the flexibility of working at home and making my own schedule is all well worth it. And for the record, I have NEVER had anyone come out and check my office at home or check up on me in the field. Just make sure your work is done and you won't have any problems. Working at home does not mean working in your pajamas (well, some days it does) or working less. You will find you usually are working more, but you are at home!!!