Case Manager Pay

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The company that I work for pays RN Case Managers per visit. Unless the visit is to open a new client, we get paid for one and a quarter hours per visit. The Case Managers do the skilled visits and the supervision for Home Health Aides.

We do not get paid for mileage or paperwork time for Oasis recerts/485's etc. We get paid hourly for nurse's meetings and training, but for the most part our visit pay is supposed to cover everything that we do. We do have office staff that help with the paperwork, such as entering the Oasis into the computer and billing and typing/sending 485's, etc. Is this typical for home health? I would love to hear your feedback on how visiting Case Managers get paid at other companies.

Thanks, Pooksmom

cathrn64

115 Posts

The company I work for also pays per visit. We do get mileage reimbursement. We do get extra for SOC's (a little less than double) a little extra for ROC's and Recerts, but not discharges. We do get paid hourly for meetings, and vacation time. I guess it depends on where you live. I live in IL

Pooksmom1996

54 Posts

Specializes in Home Care,Psych, Long Term Care.
The company I work for also pays per visit. We do get mileage reimbursement. We do get extra for SOC's (a little less than double) a little extra for ROC's and Recerts, but not discharges. We do get paid hourly for meetings, and vacation time. I guess it depends on where you live. I live in IL

How does your visit pay compare to the hourly pay? Our company pays 1.25 hours per visit, compared to the hourly rate that they pay for meetings/vacation pay/private duty pay.

Thanks, Pooksmom

cathrn64

115 Posts

My visit rate is 1.44% of my hourly rate. (but I have been in home care for 18 yrs)

KateRN1

1,191 Posts

Specializes in COS-C, Risk Management. Has 20 years experience.

Our full time field nurses are salaried but are expected to do 30 visit points per week.

SOC = 3 points

Recert = 1.5 points

ROC = 2 points

Discharge = 1.5 points

Revisit = 1 point

We are in Northeast Florida.

Pooksmom1996

54 Posts

Specializes in Home Care,Psych, Long Term Care.

Thank you for the replies.

The nurses at the company that I work for are feeling that we get paid a lot less than other RN home health case managers in the Minneapolis area. We get $36.00 per visit and that is supposed to cover our visit time, office time, drive time and mileage. More is paid for SOC visits. We get a bit of extra pay for HHA sup time, and get paid hourly pay for meetings.

The visit pay is based on the idea that visits and everything related to it should take an average of an hour and 15 minutes(our hourly pay is $28.00). The company's client's are mostly on Medical Assistance, which means that the company gets less reimbursement from insurance than many other companies.

I love my job and don't want to see any more of my fellow case managers leave for other jobs, especially if our pay truly is fair. Please, if anyone else has any more feedback, please share!

Thanks,

Pooksmom

Kyasi

202 Posts

Have you ever figured out how many hours you actually work in a week and dividing that by your gross pay? I'd be curious as to how it works out per hours.

Many years ago, I got paid per visit plus mileage and for a while it worked out to decent pay. But as the paperwork increased, the visits took longer and longer, and the distances we traveled increased, I found that I wasn't making out so well. When they decided to drop their pension plan, I left and found a great job where I started as a case manager and am now the Nursing Supervisor of the agency. The agency that I worked for before still pays 'per visit' and the nurses are very unhappy and have been leaving for other jobs. (I know because I've hired 4 of their nurses as case managers over the past 18 mos.

The agency I work for now pays it's Case Managers an hourly wage, mileage, and full benefits. I'm in the Midwest where I know the pay is less (as is the cost of living) The Case Managers are making $25.00- 27.00 /hour, work 8 am to 5pm, Mon-Fri. w/no weekends or holidays. It doesn't matter if they do visits or not. On days where there are no supervisory visits or recerts due, they may do paperwork only...OASIS, writing Prior Authorizations for Medicaid etc. They are all much happier with an hourly wage and set hours.

Kyasi

Pooksmom1996

54 Posts

Specializes in Home Care,Psych, Long Term Care.
Have you ever figured out how many hours you actually work in a week and dividing that by your gross pay? I'd be curious as to how it works out per hours.

Kyasi

Oooh, that is the 64 million dollar question! It is is difficult to figure that out, what with doing work in bits and pieces at home too. I will ask some of the other nurses what they think.

Just as a rough estimate, I would guess that I spend about 2 hours of work time per visit. $36.00 divided by 2=$18.00.

I drive about 17 miles per visit on average, counting drives to the office. I do not get mileage, so if I were to subtract 50 cents a mile from my pay, that would bring it down to about $9.50 an hour!

Not bad for an RN. :rolleyes:

Kyasi

202 Posts

Pooksmom,

I think I'd be looking for another job. At the very least, you should be paid mileage and you shouldn't be taking work home. Our charting has to be to be triple locked each night and having paperwork in nurses homes would concern me from a management standpoint. Privacy issues, loss of records etc. Plus, you need time for family, to recharge your battery, and basically to have a life. Maybe all your coworkers can do some number crunching and submit it to your boss to show how things really shake out when all is said and done. Each of you sould keep track of your exact hours logged, mileage, and do the math for a few weeks or a month, whichever you think would be the most appropriate. Divide your hours by your gross pay and subtract your mileage expenses. Our agency pays .38/mile (not the state standard but better than nothing) The 'powers that be' need a reality check. Does this agency have a rapid turnover of nurses? If so, I would think they would want to do something to improve worker satisfaction. Whenever I have a new nurse, it disrupts the office flow for many months for everyone while we all try to train her. Keeping my case managers happy and content is a priority. It makes my job so much easier.

Good luck and let me know how it goes if you decide to try this.

Kyasi

twinpumpkin

67 Posts

Specializes in Med/Tele, Home Health, Case Management.

I work for a small HHA that only accepts Medicare patients. There are only 2 R.N.s, the DON and me. The rest are LVNs (6-7). The only one who is salaried is the DON and she must see patients. My agency pays per visit: SOC $75, Recert $55, ROC $60, Regular visit $35, D/C $40. We get paid $5 per visit for mileage. That's great if you have more than one patient in a house/facility.

erroridiot

266 Posts

Your situation sounds horrible.

The company you work for deserves a severe nursing shortage and you deserve a better job.

Pooksmom1996

54 Posts

Specializes in Home Care,Psych, Long Term Care.
Your situation sounds horrible.

The company you work for deserves a severe nursing shortage and you deserve a better job.

I think, after doing a few calculations, that the company is probably paying us the best that it can. That sounds crazy, but the company's clients are almost all MA. In our state, MA pays the company $70.00 per visit. The company pays us $38 per visit plus benefits. They try hard to minimize the nurses' workload by having a LOT of office support staff, who work their tails off for us. Adding in the cost of the benefits, plus support staff plus rent for office space etc...I doubt that they make much profit. They are trying to branch out as far as payer sources go so that they get better reimbursement rates.

I do appreciate the feedback, though. I love my job and my patients and will stay with the company for now and hope that they can indeed switch to having a lesser percentage of MA clients. It has been helpful to learn how other companies pay, in case I decide to look elsewhere in the future. Thanks to everyone for your input.

Pooksmom