I have been LVN for 8 years, last 4 years I was working in Hospice and Home Health. I was hoping to continue working in my home health agency as RN, but they told me that they can not employ me as RN. There is a certain Medicare regulation, that RN in home health supposed to have 1 year of experience at the facility (acute or subacute). I am very frustrated. I love home health, and it is incredibly hard to find a hospital job for a new RN grad in California. I worked at hospitals at LVN and do not like it at all. I do not mind "paying my dues" and work at the hospital for one year, but how am I supposed to get this job??? So far, I continue working in home health as LVN. On the other hand, I keep hearing about new grads hired by home health elsewhere. How does this work? Are there are any loopholes in this Medicare regulation?