In home health risk assessment

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Can somebody give me an advice about health risk assessment job. I'm a new grad and got a job offer from MedXM. I want to find out if this is a good fit. Thanks!

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Specializes in ER/Tele, Med-Surg, Faculty, Urgent Care.

I did this for another company based out of Scottsdale AZ that hires NPs in many states to do these home assessment for people who have medicare advantage plans. I lasted 3 months. They say only 6 visiit per day but I ended up working 10+ hours per day completing the documentation, plus every weekend also, that plus all the driving was more exhausting. As a new grad you really should be looking to get experience in your specialty first IMO.

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There are lots of companies that do these assessments. There are only a few who do them really well with the right technical and clinical support staff. Driving and scheduling can be ongoing issues with some of these companies. With my company, I have only had these problems intermittently. Most of my members are within a 30 mile radius on any given day with an occasional 45 mile day. Those who live in more rural areas do report driving more. A good company will have a great computer program/EMR for these visits and documentation will not take long. For an uncomplicated visit I have 90% -100% of the charting done before I leave the home.

Of course, we all know a lot of Medicare members are complicated. For those visits I do as much as I can in the home and I *choose* to continue on to the next home and chart in the evenings. My life is like this at the moment: work 8-4, usually done by 2:30 really and then pick up my kid, do the after school mom/errands/practices/cook dinner/do laundry/work out/have a life thing and THEN I choose to finish those charts in the evenings. That is my CHOICE though. If I wanted to, I could take 10 minutes and finish the charting in the car and then move on to the next patient.

I have a life. I am done in time to pick up my kid from school, exercise, cook dinner and do all the stuff I want to do. That is why this is a perfect job at this time in my life. I am thankful for a company that provides all the support tools so I can do the job that way.

And to the original poster...your company is lowballing you to the Nth degree. I would advise against accepting such a low amount.

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I've been doing HRAs since October of last year, graduated and passed boards last summer. It has been horrible to find a job as a new grad here in Florida. Impossible. I was very fortunate to get this job. While I know I'm not getting my clinical skills practice or really using my degree to its fullest, I am making very good money! I am a single mother and I can pick and choose my own schedule. My company is very flexible about my hours. I work from 830 until one or 230 when I pick up my kids. No weekends, no on call, they pay me mileage, and $85 per visit. Each visit takes about 45 minutes to an hour. It's basically filling out a form and doing a very quick assessment. Wow late isn't glamorous. I can't beat the flexibility and money. I have recently gotten a job offer at a clinic and also a home health nurse practitioner job full-time. Which I should be excited about because I will Bing it clinical experience. But I'm having a really hard time giving out my flexibility and easy job !!

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For an old dinosaur like me, HRA's are great in terms of flexibility and pay. You are often paid per case, not per hour. So I do 3 assessments a day (each lasting 1-2 hours depending on complexity and needing a language translator), and then pick up the kids from school. But if I wanted to, I could work up to 6 cases a day, 7 days a week, including evenings. My company is great with IT support and management, on-going education, and team meetings. Of course the driving is the disadvantage, but the company tries their very best to bundle the appts within the same area... As a new grad, this would not be my first choice: I would want to exercise my dx and prescribing "muscles". With HRA's, it is all about health promotion and disease prevention. Lots of educating, which is my favorite. You will make referrals, call the PCP if urgent, even call 911 if emergent. You have to be very thorough (OCD-like) with the forms, and be very good with diagnosing and coding. Its not for everyone, but it is a job if you don't want to a 40+ hour week clinic/snf job.

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Specializes in ER.

I am currently doing in home assessments a couple of days per week. I live in a rural area in Indiana, so my drive time is killer. They do pay $75 per assessment, plus $10 per hour, plus mileage. The money is good, but I spend a lot of time on the road. I would say it's easy money, but wouldn't recommend it as a new grad. I'd want the clinical time first.

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Hi Agriffin,

God morning! My name is Joan. I passed the board in February and applied for many, many jobs, but no luck. I applied for risk assessment job, but the only opportunity they have is state travel. Meaning I have go to place I have never been that can be dangerous. I would love going up 50 miles radius, not two or three hours away. I am just doing paper work now, but my family is worried about where I have to go. I live in Broward County. Any suggestion and may I look into your company.Thanks!

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I am currently looking into a full time position with Matrix Medical. Anyone have any experience with this company?

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Are you still working for the company doing home assessments? Just curious if you ended up taking the home health NP or full-time clinic position. I am a new grad who recently passed boards, and I'm looking for a flexible schedule with the perks of good salary. Thanks for your input!

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There are lots of companies that do these assessments. There are only a few who do them really well with the right technical and clinical support staff. Driving and scheduling can be ongoing issues with some of these companies. With my company, I have only had these problems intermittently. Most of my members are within a 30 mile radius on any given day with an occasional 45 mile day. Those who live in more rural areas do report driving more. A good company will have a great computer program/EMR for these visits and documentation will not take long. For an uncomplicated visit I have 90% -100% of the charting done before I leave the home.

Of course, we all know a lot of Medicare members are complicated. For those visits I do as much as I can in the home and I *choose* to continue on to the next home and chart in the evenings. My life is like this at the moment: work 8-4, usually done by 2:30 really and then pick up my kid, do the after school mom/errands/practices/cook dinner/do laundry/work out/have a life thing and THEN I choose to finish those charts in the evenings. That is my CHOICE though. If I wanted to, I could take 10 minutes and finish the charting in the car and then move on to the next patient.

I have a life. I am done in time to pick up my kid from school, exercise, cook dinner and do all the stuff I want to do. That is why this is a perfect job at this time in my life. I am thankful for a company that provides all the support tools so I can do the job that way.

And to the original poster...your company is lowballing you to the Nth degree. I would advise against accepting such a low amount.

Are you still working for the company doing home assessments? Just curious if you ended up taking the home health NP or full-time clinic position. I am a new grad who recently passed boards, and I'm looking for a flexible schedule with the perks of good salary. Thanks for your input!

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Carachel2, are you still doing home assessments? If so, would you please be able to email me more info? [email protected]. TIA

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