What did I get myself into??!! I'm scared!!! - page 3

So I recently got hired at a HH agency as a Case Manager RN. Yesterday I went and took a pre employment test and I met a nurse that has been working there since 2008. I introduced myself and she was... Read More

  1. Visit  MomRN0913 profile page
    0
    Quote from suanniam4
    I agree with everything she said. The paperwork is overwhelming and cuts deeply into your home life.
    I've been charting nightly till 7-8pm and I'm part time. HH is a whole different animal, usually you love
    it or hate it.
    me too. I ended up in the hospital due to skyrocketed blood pressure do to job stress and my doctor wants to put me out on disability.

    I work before work, like a dog during work and after work. I'm a single mom to a 5 year old. It's awful. I was even working when I off on disability doing charting. My life is gone.

    I also took it to have more family life and structure and it is the total opposite.

    I am sorry to break it to you
  2. Visit  RN_Mommy_2_3 profile page
    0
    Quote from MomRN0913

    me too. I ended up in the hospital due to skyrocketed blood pressure do to job stress and my doctor wants to put me out on disability.

    I work before work, like a dog during work and after work. I'm a single mom to a 5 year old. It's awful. I was even working when I off on disability doing charting. My life is gone.

    I also took it to have more family life and structure and it is the total opposite.

    I am sorry to break it to you
    Oh no! So sorry to hear! I just hope and pray my experience is not like this :/
  3. Visit  MomRN0913 profile page
    0
    I not mean to scare you.... I just wish I truly understood what people were telling me. I hope your experience is way better than mine. Btw, I didn't go out on stress disability. I had my gall bladder removed a few months back. I couldn't even heal from that in peace without phone calls regarding work.Keep your other job per diem, I agree. I wish I kept my per diem status from my icu job I loved 2 years ago. Cause I would have had something to fall back on. I would have eft.I wish you the best of luck, I do.
  4. Visit  paradiseboundRN profile page
    0
    After being in home care for 10+ years, I can tell you that a lot of your satisfaction will be based on what agency that you work for. You want to work for an agency that has many patients that live close by (not excessive driving) and has a solid referral source. You will get to know the area and the doctors which makes life easier. And try to get paid by the hour! FYI- one of the home care companies in Metro Detroit was named "Best small company to work for". These awards were given by the Detroit Free Press after surveying hundreds of employees in all fields. So, there are good home care companies to work for and many satisfied employees. You just have to find them!
  5. Visit  AnnemRN profile page
    0
    It really does depend on the agency and what their expectations are for you as far as caseload. The agencies I've worked have had patient's in 2 different counties which meant I could go anywhere. I'm not new to home care either, I started in 1994.
    I also strongly agree that being paid hourly is the best way to go that way, if you encounter problems you will be paid for your time. Too many nurses unfortunately end up giving away their time by being paid per visit.
  6. Visit  mclennan profile page
    0
    I tried RN case management for a HHA for 4 months. I have a low BS tolerance, I'm almost 40 and had been a Public Health nurse for 5 years when I tried this. It was a supposedly "reputable" agency several prominent hospitals referred patients to. After the 2nd week it QUICKLY became apparent to me they were pretty much a Medicare rip-off outfit. They paid by the visit and no mileage. The office staff was all the owner's daughters. They would request authorizations for TONS of unnecessary DME. Complete SOC's were due within 24 hours of the visit, if you had more than one in a day, forget it. Paychecks had a strange company name that didn't match the actual name of the company. The hugely obese owner drive a huge BMW sedan and was dripping with expensive wigs, designer clothes and jewelry.

    They'd send me to these huge, sprawling rich people's houses (Beverly Hills/Bel-Air area) where patients already had 24 hour caregivers and staff, where I'd be treated like a servant by the patient (usually ancient, affluent widows) and couldn't communicate with the staff who would pretend to not speak English. Or, they would send me to scary neighborhoods in South Central LA where I dodged cockroach herds and pitbulls in people's houses.

    Over the 4 months I actually LOST money working for them. I used ALL my own phone and data minutes calling and charting and they would not reimburse. They also did not pay me if the patient did not answer the door and again DID NOT PAY MILEAGE. It was just stupid.

    I left that job after getting in a shouting match with one of the owner's daughters who gave me a wrong address - across town, not even close, -and caused me to then called me a ***** when I complained to her mother. I was going to report them to Medicare and make a big stink about it but decided it wouldn't make a darn bit of difference. You have been warned.
  7. Visit  francissek profile page
    2
    I work for a hospital affiliated home care. I am salaried and expected to see 5-6 patients per day. Anything over that is extra visit pay plus get paid mileage. Yes charting can get involved and go into the evening and the phone does drive you nuts when it goes off on your day off but just shut it off and check voicemail in the evening. That way you can semi relax on your day off. My agency also reimburses mileage. If you find your agency is taking advantage look for another one. Homecare can be very rewarding if you work for the right company and having the one on one time with your patients and families is very rewarding.
    TrueAtHart and grneyes8 like this.
  8. Visit  AnnemRN profile page
    1
    Quote from mclennan
    I tried RN case management for a HHA for 4 months. I have a low BS tolerance, I'm almost 40 and had been a Public Health nurse for 5 years when I tried this. It was a supposedly "reputable" agency several prominent hospitals referred patients to. After the 2nd week it QUICKLY became apparent to me they were pretty much a Medicare rip-off outfit. They paid by the visit and no mileage. The office staff was all the owner's daughters. They would request authorizations for TONS of unnecessary DME. Complete SOC's were due within 24 hours of the visit, if you had more than one in a day, forget it. Paychecks had a strange company name that didn't match the actual name of the company. The hugely obese owner drive a huge BMW sedan and was dripping with expensive wigs, designer clothes and jewelry.

    They'd send me to these huge, sprawling rich people's houses (Beverly Hills/Bel-Air area) where patients already had 24 hour caregivers and staff, where I'd be treated like a servant by the patient (usually ancient, affluent widows) and couldn't communicate with the staff who would pretend to not speak English. Or, they would send me to scary neighborhoods in South Central LA where I dodged cockroach herds and pitbulls in people's houses.

    Over the 4 months I actually LOST money working for them. I used ALL my own phone and data minutes calling and charting and they would not reimburse. They also did not pay me if the patient did not answer the door and again DID NOT PAY MILEAGE. It was just stupid.

    I left that job after getting in a shouting match with one of the owner's daughters who gave me a wrong address - across town, not even close, -and caused me to then called me a ***** when I complained to her mother. I was going to report them to Medicare and make a big stink about it but decided it wouldn't make a darn bit of difference. You have been warned.
    Wow, sorry you had such a bad experience. I wish you had reported them to Medicare they sound like a nightmare.
    You might find the following article enlightening.
    USDOJ: Medicare Fraud Strike Force Charges 91 Individuals for Approximately $430 Million in False Billing
    TrueAtHart likes this.
  9. Visit  NJORN profile page
    0
    Hi... I was wondering how your job is going? I am in the exact same position as you; however haven't accepted the job yet. The job is salary $60k with mileage compensation. I currently am a .8 at a local hospital and only have to drive 8 miles to work everyday. But I am not in love with the hospital hrs.or drama. I work lots of 12 hr shifts and evenings. Every 4th wknd which is great, but I feel like I am gone a lot at night. I was hoping to that HHC would be flexible enough where I could pop in to have lunch with my son at school and drop him off every morning. The bummer is that I currently work 3-4 days a week right now on my rotation, and the thought of 5 days is kinda what is holding me back. Just wanting to get some routine in our lives.
    So, please tell me how is everything going right now.
    thanks
  10. Visit  RN_Mommy_2_3 profile page
    0
    Quote from NJORN
    Hi... I was wondering how your job is going? I am in the exact same position as you; however haven't accepted the job yet. The job is salary $60k with mileage compensation. I currently am a .8 at a local hospital and only have to drive 8 miles to work everyday. But I am not in love with the hospital hrs.or drama. I work lots of 12 hr shifts and evenings. Every 4th wknd which is great, but I feel like I am gone a lot at night. I was hoping to that HHC would be flexible enough where I could pop in to have lunch with my son at school and drop him off every morning. The bummer is that I currently work 3-4 days a week right now on my rotation, and the thought of 5 days is kinda what is holding me back. Just wanting to get some routine in our lives.
    So, please tell me how is everything going right now.
    thanks
    Njorn, I haven't started yet, I start on Wednesday!!!! I will definitely let you know how it goes although I will be training and doing a lot of computer training for about a month from what I'm told but I'll definitely update
  11. Visit  grneyes8 profile page
    2
    Home care is a very good job and very flexible once you figure it out.
    The company I work for pays salary and we are to do a set amount of points (6.5) every day. A visit is 1 point, IV visit 1.5points, Recert 1.5pts, ROC 2 pts, SOC 2.75 pts and SOC IV 3 pts. We are also payed mileage. Anything over 6.5 points is payed in a bonus check every month. I've never had a bonus check under $700 and that was on a month I didn' feel like doing much. For 2012 I made over $120,000. I do only SOCs and ROCs and have large amounts of paperwork I mostly do in the home-I do 3-5 a day and sometimes work a Saturday, have to work every 6th weekend. I am usually home by 5 and done with paperwork by 8 or 9-once home I code and type an admit note. I start work at 9am. I never carry any paperwork over to the next day, everything is locked before I go to bed. If I only do the 3 I'm done much earlier.
    My kids are grown so I don't have anything pulling me in a million different directions. I date, I go out when I want to, I see my family and grandkids. I have just learned how to organize and manage so that I can do everything I want/need to.
    Don't let anyone scare you, this job is what you make it. I am very laid back and don't get frazzled, I think that may be key. :-)
    TrueAtHart and corky1272RN like this.
  12. Visit  QTBabyNurse profile page
    0
    Quote from grneyes8
    Home care is a very good job and very flexible once you figure it out.
    The company I work for pays salary and we are to do a set amount of points (6.5) every day. A visit is 1 point, IV visit 1.5points, Recert 1.5pts, ROC 2 pts, SOC 2.75 pts and SOC IV 3 pts. We are also payed mileage. Anything over 6.5 points is payed in a bonus check every month. I've never had a bonus check under $700 and that was on a month I didn' feel like doing much. For 2012 I made over $120,000. I do only SOCs and ROCs and have large amounts of paperwork I mostly do in the home-I do 3-5 a day and sometimes work a Saturday, have to work every 6th weekend. I am usually home by 5 and done with paperwork by 8 or 9-once home I code and type an admit note. I start work at 9am. I never carry any paperwork over to the next day, everything is locked before I go to bed. If I only do the 3 I'm done much earlier.
    My kids are grown so I don't have anything pulling me in a million different directions. I date, I go out when I want to, I see my family and grandkids. I have just learned how to organize and manage so that I can do everything I want/need to.
    Don't let anyone scare you, this job is what you make it. I am very laid back and don't get frazzled, I think that may be key. :-)
    Can I ask what state you work in? Would you be willing to share the name of the agency? You seem to have such a great attitude and that is key!
  13. Visit  Jess_Missouri_RN profile page
    1
    I worked 2.5 years on a med-surg floor, while I loved med-surg I did not like floor nursing. I have been doing HH for 5 months now and I like it. I like that I can go to work at 7am, 9am or whenever, however I chose to go in early so I can be done early. I make around $15,000 more a year than floor nursing (averages about $300 more a week!! and less stress!!). No holidays, one weekend every 6 or so weeks. Tomorrow is ice and snow so I made sure to rearrrange my schedule and now I do not have to go out in the ice and snow, which is nice too. I just recently accepted a supervisor position that places me in charge of 3 LPN's. These 3 LPN's work in buildings and I have to do all the oasis and sup visits... not bad. The company increased my trip pay, increased my oasis visit pay and now I get an hourly pay rate for time I spend in the buildings doing sup visits, etc. I no longer make regular visits, just openings, recerts, resumptions and discharges. So far so good, I find I am very busy now and before would finish charting before coming home, but with oasis charting this is not always an option so I do chart at home sometimes. The other day I had to leave one building and head to another building because the LPN could not insert a foley, I inserted the foley and left the building. Thankfully the buildings are only about 15 minutes from each other. I am also in school for my BSN so I accepted this new position for some experience with supervising and training nurses. We shall see, I put in for my vacation today and now I am counting down the days!!

    I like HH because I make more money, have flex schedule, no holidays, and I love the geriatric population
    frodo-dog likes this.


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