LPN - Medicaid PDN

[Thatgirlisanurse113]

Hello,

So I have been a LPN for a year now and have worked in homecare through a agency and LTC. Recently I became approved through medicaid as a PDN with the medically fragile children/adults program. Are there any nurses on here that work through medicaid directly? and if so, how do you find cases? Thanks in advance.

[Kitiger, RN]

You are looking to do private duty nursing without going through an agency, right? Do you work directly with the client's physician?

[upstatenylpn]

There are a bunch of groups on facebook that have parents asking for nurses.  I'm in NY and the need is immense.  I'm sure it's like that everywhere.  What state are you in?

[Kitiger, RN]

The need is immense where I live, too. We cannot get enough nurses to cover the hours needed. Some parents even pay privately for nursing help. Expen$I've! These parents would love to have you. 

My concern about doing private duty home care without an agency is the need to be sure you have physician orders to protect you legally.

[Thatgirlisanurse113]

Thanks for responding.. I'm registered through Medicaid to work with families independently w/o going through an agency. The families have to already have  physician orders in place prior to receiving services from nurses. It's hard finding families through Medicaid because you have to wait for them to contact you and finding private cases that pay off the books is difficult as well because it's usually through word of mouth. I'm a LPN located in Westchester County, NY. I'm in a few groups on facebook as well specific to my area.

[Kitiger, RN]

I wonder if you could join different patient support groups, like the National MS Society or the ALS forum. You could probably network within these groups.