Published Apr 15, 2016
casey_chloe87
6 Posts
I am about to start as fulltime RN. I chose to apply to this position because of the hours. It allows me to put my kid to daycare while I work. But after reading all the negative reviews, I am nervous whether I did the right decision.
danarooo, BSN, RN
119 Posts
Your experience in your new job may depend on a few things. HH can be great if you live in or close to the territory you will be managing, your caseload (# of patients you have) and the office requirements. Even in the same company some things will and do vary from office to office as far as what is required (forms to fill out etc...). Management in the office also has a big impact, by this I mean are they really good, knowledgeable, ethical, do they go out into the field to help their team and keep their own understanding of case management sharp and current? All these things can influence your day, the time you spend working and your happiness with the job. If your new to HH the one thing I will say is that it can be very stressful, very hard and very frustrating. Give it at least 6 months to a year because their is a big learning curve. Once you get over the hump and have learned enough and feel more comfortable it gets easier.
One big thing that really helps is having great management. If they keep up to date on their understanding of what it's like to be out in the field TODAY (not 4 years ago) then hopefully they will be more realistic in expectations and supportive. Reading reviews can be informative but it's still important to get in their and decide for yourself how you feel about an HH company and how they do things. Every company has their good and bad and one person may love it and one may hate it. Just give any place you work a good enough chance before making up your mind.
Haddoa
30 Posts
I have worked for Amedisys for 7 months. I do straight HH as our location does not do hospice. I worked 6 years at the bedside with the last two in ICU. I had such severe burnout and boarder line ptsd from the job. I had a friend who did HH and I went right over. I was able to do a ride along and it was like the clouds parted and the sun shined down and the angels sang! I had no idea nursing could be so wonderful. fast forward 7 months...I still loooove it. I work for the best bosses ever like nothing will ever compare to them. And Amedisys has been a wonderful wonderful company to work for. I think I literally have 0 complaints. And if you would have seen me at the bedside you would know how huge that is!!!! Good luck and let me know if you have any questions!
OldDude
1 Article; 4,787 Posts
The above is good advice. Just keep in mind that there wouldn't be home health companies if Medicare didn't reimburse for the service by way of their rules and regulations; which are extensive and inflexible. I have known of HH companies who have allowed their staff to falsify documentation to comply with Medicare billing criteria. Just always remain ethical and professional and you won't have any trouble. Good luck!!
artsmom, BSN, LPN
168 Posts
It depends on the location and staff in the office. I was a CM for them- they overwork the nurses pretty bad.
Kklimited
What state u working in? The branch I am at the people I work with are great to work with . It does appear times that it numbershould driven. Part time and full time nurses are required to see at least 6 patients a day. Not bad if they aren't too far away each othet...however there times where u drive an hr or more to see patents...I find that I don't come out ahead when not clustered together. U don't get paid for drive time other then mileage. U are paid per visit and not very profitable if they aren't home or u have to be there more then an hr and or have a lot of charting to do on them.
Also... be sure to keep accurate record of time sheet and mileage...the paychecks are often off and it takes a while to get what they owe u.
This is absolutely true. It very much depends on which location. The management in the office can make your job out in the field great or a daily nightmare. I've experienced both, if you don't have good Clinical Managers they will work you into the ground without a second thought. This is an overly numbers driven company and that can greatly impact the care your able to provide. Numbers are a very big focus, so if you don't have good managers in the office it can be hell. Also, it can be extremely hard to get time off. We were told we have to provide coverage for our patients when we take leave which is not right. If you earn the vacation time then you take the vacation time without having it made as hard as possible to do so. You can always look on glassdoor.com and look at the company info/ratings as well.
EKUGRAD, BSN, MSN, RN, CNS
73 Posts
RN/BSN 41 years; ICU, E.R., Dialysis, Trauma, MedFlight, CCRN, Advanced Educator, etc. The last 23 years of that service has been in Psychiatric-Behavioral Health and Addictions Nursing.
I was with Amedisys for a 1 1/2 years in two different offices. The percs were great and most of the people I worked with were great. The problem I had was with the required workload and constantly being harangued by management about spending too much time with the patient and on documentation, not meeting my required "productivity" goals. Since Psych Home Health nurses are scarce as hen's teeth, I was the only Psych RN at each office. The other RN's covered different sections of our area. I had to cover the whole thing! My average travel was over 200 miles per day. This also turned out to mean that when I got a Psych referral, I usually got an elderly, medically frail, poorly educated or supported, economically impoverished individual who had used up family and other resources except for Medicare Psych. Oh yes, I did get paid more; regular RN visit, $28; PSYCH RN visit, $30.
On a "Regular" Psych Admit, I had all the OASIS and paper ("paperless EMR", HA!) forms everybody else did. BUT, I had basic Psych Assessment tools in addition; a total of seven different forms, unless there were specific Psych complaints which added more. I was allowed 1 hour in the home and 2 hours admin time (@ $18/hr.) to document. This did not include any medical history research and correlation, family interviews, teaching, training, writing the care plan or physician communication.
On regular daily Psych visits, almost every night I came home around 6:00 PM, ate, fed the dog then documented for 3-4 hours. I found out quickly that being "On Call" at Amedisys really means, you get to work after hours and 12 days straight instead of 5 on with a weekend off. Both offices used the On Call weekend and after hours person to see patients like a regular work day. Sometimes there were even more. One office did utilize an LVN/LPN for medical-procedural visits that really helped. God help you if you get an Admission or Re-certification on the weekend. It will be added on top of the other 7 - 10 patient you have to see each day. Remember, it's nothing like a facility where "seeing patients" means walking from room to room, getting supplies from a richly endowed supply room. On some weekends I would drive over 300 miles per day, in the mountains, in all kinds of weather.
Some innovative management techniques were used by my Directors. My favorite was passing around the productivity report during Case Conference every week for everybody to read and sign. Not just yours. Everybody's. And they were color-coded, too; green - doing good, yellow - better clean up your act, RED - what's you problem, anyway, slacker? No RN ever got out of the yellow. I always wondered how one of our Physical Therapists won the weekly High Productivity Award more often that not, making as many as 52 visits per week. CMS says they get 40 minutes per patient visit to assess, treat and document. That's minimum 6 1/2 hours per day, not including travel or mandatory lunch breaks. HHMMMMMM ?
I received my "90 day evaluation" after approx. 7 months and was rated mostly "Needs Improvement" which my Director and Clinical Manager said was expected of all new hires. My areas for immediate improvement were "making too many copies" and not taking lunch breaks. Not one word was said about my nursing practice, contributions to the staff product or any successes I may have accomplished.
My whole time at Amedisys this was the ONLY evaluation I received. When I moved to another office in an entirely different part of the state, the first day I was handed a visit list, a new home care bag, box of supplies and asked it I had GPS. I said I did and the Director said, "Well, see you later. Better get rolling".
Now, I have to be totally honest here; this all occurred in 2014 and 2015. I am so sure that these problems have been addressed and remedied by now (radically rolling eyes to the ceiling). Promises were made. Promises were broken. If you work for Amedisys you must remember that only YOU are responsible for YOUR Nursing Practice. If you cannot somehow make your own moral and ethical code fit into Amedisys corporate requirements, do yourself a favor. Find another job fast.
arainh20
5 Posts
What are your PPV rates? I just started too!
We are payed 45 for a regular
50 for ROC, recert, or Oasis DC (not enough)
72 for a SOC
our DOO is in the process of getting us increase pay for oasis visits.
BabaLouRN
137 Posts
Amedysis office closed in Ft Worth TX in 2012
eanderson914
1 Post
I work for Amedisys in Georgia and have been for 3 months. I really like it mostly because of HCHB documenting on a tablet is really easy in my opinion. That being said each care center is different. If your location is short staffed then it is going to be more stressful. We are a little short and the office loves my efficiency but I set limits and don't go past them. I'm almost always done before 4 and SOC take me about 1-1.5 hours total to do and I spend about 30-45 min with the actual patient. I do not tell my office that though I do about 35-40 units a week and while I could handle more I don't want more because I have built in my work/life balance myself and I don't go over that. No HH company is going to be amazing because they're for profit the key is finding one with people that know how to do their job and don't compromise on what is important to you.