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

by Mommy_2_2

7,881 Unique Views | 25 Comments

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 extremely friendly. She asked... Read More


  1. 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.
  2. 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
  3. 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
  4. 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.
  5. 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!
  6. 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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