Independent Nurses providing medical care? - page 5

by rachel h

This may be a dumb question, but how can a nurse be an independent care provider as so much of what we do depends on physician orders (IVF, meds, certain procedures, etc.)? Do you collaborate with a physician, which would then... Read More


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    [size=4]hello to all!!!

    i'm a newbie to this forum and find this knowledge very valuable. thanks, for "your" sharing. i've worked as a neonatal nurse for the past 15 years and feel that it's time to rise to another level. how to became an "independent nusre contractor", is my highest prioity now. i look forward to sharing my insight as well !!!

    shirley
    neonatallove
    Last edit by NeonatalLOVE on Aug 20, '05
    nattycatt likes this.
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    learning to live outside the box
    Last edit by NeonatalLOVE on Aug 20, '05
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    How do you go about becoming an independent nurse provider for medi-cal? Can you do it if you are only an LVN? Do you contact Medi-Cal directly? Does anyone have contact numbers for them? How much do they pay? I have been researching this online and found very little information. I would appreciate any help I could get.:spin:
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    Quote from JNJ
    Rachel:
    In many states, the Medicaid program uses the term "independent nurse provider" (INP) to designate a nurse who is self-employed. I am an INP for Medi-Cal in CA.

    INP means that I provide nursing care independent of employee status with a healthcare organization.

    I obtain an order signed by my patients' physician(s) which legitimizes the administration of medications, treatments, and other procedures by an RN. I practice nursing within the CA Nurse Practice Act by maintaining MD orders on my activities.

    I think the terminology "independent" may have come from the IRS which uses the term "independent contractor" (IC) along with their rules and regs. for self-employed people of any profession.

    The National Association of Independent Nurses (NAIN) at independentrn.com defines "independent" as self-employed.

    I hope this clarifies the independent RN situation for you.
    How do i go abt this please help me with more information. my email address is mnansim@gmail.com i am intrested in getting the INP.
    lindarn likes this.
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    I am a CNA in the Oregon area. I am incorporated and have been working as an independent contractor for over 15 years. I have been working in-home care - longterm and hospice, an in na pools for nursing homes, and in Oregon there is one agency that works only with independent contractors (nurses, CNA's, etc) to help staff hospitals in the area. This has been a great experience for me save one thing.

    With recent changes in the economy in the last 2-3 years it has been harder to keep the company income coming in with steady work and off set the costs of accounting, etc. It has become increasingly harder to find families in need and for us to find them. At one point I was making $1200-1500 a week. Now, I am making 1/3 that. The clients that were willing to pay $20 an hour around the clock are no longer readily available.

    There are many new agencies saturating the market and soaking up all the work we had been getting. Some of us who found ourselves working together became an unofficial network of caregivers to support eachother. No one person, no matter how hungry, can work 24/7 to cover an in-home case if it lasts more than 3 days.

    Recently, I let my company become inactive while I accepted a job that with good benefits that will make it possible for me to finish school and get my RN. I am likely to return to independent contracting, even if only part time. Keeping my business means I can take side jobs for extra money. It kind of messes up the in tax benefit of doing extra work, but it may allow me some flexibility to fall back on. It is a wonderful thing if you have skills that can bring home the bacon. I really believe that I am at the top of my CNA career, and it's time to increase my skills and education. Thanks for reading and best wishes.
    lindarn and NedRN like this.
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    Great post! Becoming an RN may triple or better your bill rate. I do travel contracts and the last three and I have not worked for less than 60 since incorporating 8 years ago. If you decide to specialize in something other than home health or LTC after gaining your RN, you will need to work a real job for a couple years before contracting yourself out. Since you have significant experience as a CNA, you may find that becoming an RN will enhance your ability to place other CNA's with RN oversight and build your agency's business.
    lindarn likes this.
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    This could be my post exactly. Same job,years, Goal. Would appreciate any info you have or find along the way. Very motivated.

    02/16/2012
    Last edit by nattycatt on Feb 16, '12 : Reason: 02-16-2012
    lindarn likes this.


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