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Hospice case management but less income

Hospice   (984 Views 6 Comments)
by rrrnurse rrrnurse (New Member) New Member

459 Visitors; 3 Posts

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Do you love hospice case management? Would you take less money from stressful position for hospice case management? Do this offer family work life balance?

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pmabraham has 3 years experience as a BSN, RN and works as a Hospice RN Case Manager.

5 Likes; 44,844 Visitors; 2,489 Posts

Hello:

1) Absolutely

2) Hmmm, I moved up from the hospital to Hospice (not backward)

3) Work-life balance comes and goes based on the census and staffing; still, see #1

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4 Likes; 1 Article; 14,227 Visitors; 1,509 Posts

Do you love hospice case management? Would you take less money from stressful position for hospice case management? Do this offer family work life balance?

I did hospice case management and now work in a hospital setting again. The stress level was not lower to be honest. The case load was always higher than what they told me when I interviewed for the job, they always expected me to see more pat per 8 h shift, I was driving a lot and out miles on my care and the documentation part was horrific. Also, my whole car trunk was full of hospice and home nursing supplies since you have to be on call for hospice and need to have all kind of stuff available from foley insertion kits to bedpans to pleurx drain kits and phlebotomy ... don't forget an extra folder for death certificates - nothing more annoying than arriving at a house at night to pronounce and not have a form in the car....

The per hour pay was less compared to hospital, the number of vacation days was much more and I liked community nursing. I did not like the constant expectation of taking on more pat or overtime - it did not add to my quality of life.

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1 Like; 149 Visitors; 7 Posts

You will end up with a larger case load than they tell you (I have worked for 3 hospice companies), they don't tell you about on call (which is a nightmare), and they will expand your service area to the point where you are so far away from home that you can't possibly get to patients within 30m. This is how most hospice companies are operated. They will bs you during the hiring process and then they will avalanche you with work. 

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Kaisu has 2 years experience and works as a Hospice.

8 Likes; 1,389 Visitors; 91 Posts

I am so sorry you have had such bad experiences.  It is so agency dependent.  I have been working hospice for a year after home health and a short stint on med/surg.  

I receive total support from my team including management.  If I feel overwhelmed they will adjust my schedule.  If I need backup, I got it.  My review was 3 months early and I received a substantial raise.  I now make 20% more for equivalent hours than when I was med/surg/telemetry.  

I get paid my hourly rate for travel time and 0.47 a mile.  It makes my car payment and pays for gas.

It can get very challenging, especially when multiple patients transition at the same time.  The documentation is a constant challenge.  It is the best job I have ever had and what I went to nursing school for. 

Please don't give up on the field if that is where your heart is.  Find a good agency. 

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pmabraham has 3 years experience as a BSN, RN and works as a Hospice RN Case Manager.

5 Likes; 44,844 Visitors; 2,489 Posts

22 hours ago, nursecranberry said:

 They will bs you during the hiring process and then they will avalanche you with work. 

 

I'm sorry for your bad experience.  I've been with the same company for almost a year now, AND have not had your experience.  I'm so grateful to Jesus to be a hospice RN case manager.

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