This question is for the RN case managers that are paid by hour vs. per visit. How does your home health agency work in mileage with productivity?
The company I was working for said, "30 miles equals about one hour of time or one point". In the beginning it was my understanding that time spent on the road was worked into the productivity time. At the end of my time at Amedisys, I was traveling about 300-350 miles per week with a productivity time of 23. This is less than what they desired (25-30). After about 4-5 months, my clinical director flatout told me that mileage is not taken into account. So I was expected to do 5-6 points a day with at least 2 hours of driving, 30-2hours of case management(depending on the day), and paperwork catchup. I was working about 60-70 hours a week towards the end.
What is the expectation at your job regarding miles and points? Thank you for your time!
There are many types of home care: Medicare skilled care, Private insurance, private pay, private duty, auto, workman's comp, medicaid, mental health, etc. I believe the type of home care you are referring to would be completely different than the care provided by a skilled medicare certified agency. So we are trying to compare apples to oranges.
The federal rate might cover your gas, depending on the car you drive. If you drive 100-200 miles per day, your car will need a lot of maintenance and repair. I personally know a handful of nurses who had to leave their job after their car was destroyed. I know of a couple of nurses who were "let go" after calling the employer to state that the car had died and there was no alternative transportation to see patients that day.
So I was expected to do 5-6 points a day with at least 2 hours of driving, 30-2hours of case management(depending on the day), and paperwork catchup. I was working about 60-70 hours a week towards the end. 
ImThatGuy, BSN, RN
2,139 Posts
Ok then.