Home Health RN Case Management info help

[addison365]

Current or previous Home Health RN case managers- I'd like to know more about it Home Health Case Management. What to expect in a position like this. My first impression of it was having pts to visit and assessing the patient and their home and any concerns with them at home. I thinking of applying for this position and want to make sure I know what to expect.

What are the pros and cons? Just want to make sure this is the right kind of nursing for me. I have acute care, long term care experience and cardiac experience.

I have a phone interview soon and would love some advice.

Thanks for your help :c)

[SummerGarden, BSN, MSN, RN]

OP, I am asking the powers-that-be to move your post to the Home Health Nursing forum. Home Health nurses many times are in positions that are called "Case Manager", but they perform a job that can be very different from the job most of the Nurse Case Managers on this forum perform.

On the Home Health forum you will find a lot of information related to your new position. You will also find nurses that can readily answer your questons: Home Health Nursing

[kiszi, RN]

I was a case manager in home health. My experience may differ from what you are asked to do, but in a nutshell:

I scheduled visits for a caseload of around 25 patients and did most of those visits myself. We also had LPNs to help out with some of the visits. Most patients were recent hospital discharges and required anything from post-op asessment/teaching, complex wound care, IV therapy, disease process/med teaching... you name it. The typical patient required 2 or 3 visits weekly, with some daily visits and monthly foley changes thrown in.

I found the job to require excellent organizational and time management skills. I was responsible for ordering and maintaining my own supplies, computer charting, mileage sheets, lab requisitions to fill out, daily communication with doctors' offices... I worked hard to maintain a work/life separation, which can be difficult when the doctor may return calls at dinnertime.

I wish you luck in your interview, just be sure to ask good questions to get a clear picture of what the job will entail.

[Been there,done that, ASN, RN]

There are HUNDREDS of home care agencies vying for nurses to fill home care positions.

In other words..big Medicare bucks coming their way.

They can only make money if an RN provides care. They have gotten "creative" in the job description to lure nurses to their particular agency. In most cases, you will be providing patient care with a "title" of case manager.

I see it as a scam.

[mclennan, BSN, RN]

There are HUNDREDS of home care agencies vying for nurses to fill home care positions.

In other words..big Medicare bucks coming their way.

They can only make money if an RN provides care. They have gotten "creative" in the job description to lure nurses to their particular agency. In most cases, you will be providing patient care with a "title" of case manager.

I see it as a scam.

Yes yes yes. Be verrrrry careful when working for these agencies. It's all about checking the boxes that give them the highest reimbursement....fudging OASIS forms.....using vague language......I think at least 2/3 of these agencies are scams!!!

[chadrn65]

Totally agree!

[TechnoRN]

my experience is pretty much the same as kiszi, must the visits were made my myself, some supervision of home health aides for in-home care. RNs equal big bucks for that oasis form :)