Pay per Visit

[ittybittybabynurse]

I'm talking with a HH agency about possibly working there. They are going to pay per visit. 32 hrs/week = 16-21 visits per week depending if you have some admissions vs. regular visits. This includes travel time and documentation. OK, that would typically be 4-5 visits per day. Does that seem about right for an nurse working 32 hrs/week? Approx what time of the time should I expect to be done for the day?

[muffin7]

Thank you - Caliotter,

Just curious, what kind of patients do you see on your shifts and what are the typical hours.

[caliotter3]

Basically I see stable patients who require routine care, for instance someone who is on a ventilator 24/7 because of ALS or a MVA but they live at home and get nursing care for X hours per day with the family filling in if nurses aren't available or there is a restriction on number of hours per day for outside help. Or another typical case would be, say an 11 year old with cerebral palsy. This person may or may not go to school and a nurse may or may not accompany the patient to school. We do skilled nursing care such as administer meds, treatments, skilled assessment and monitoring. Can accompany patient on outside trips to the doctor, but essentially the patient is considered homebound to be eligible for care. May do minor housekeeping etc. as long as it is only for the patient. Typical hours are the basic shifts: 6 to 2 (7 to 3), 2 to 10 (3 to 11) etc., but these can vary according to needs of patient/nurse with all in agreement. An example of this: one client couldn't get nurses at all, ever, so was happy to get a nurse who worked 7 hours a day and got off at 2 pm to be home for her children. Unique hours can be negotiated with the client and the staffing coordinator as required. It goes both ways. HTH

[DriBak]

33 bucks for a visit, 150 for a SOC+ a 20 dollar bonus if in

250/week call pay + per visit for anything you do

[muffin7]

DriBak,

Are you in the Los Angeles area? Also, do you think that the more experience you have the more you get payed? Or do you just get through the visit and paperwork faster which is a benefit to you?

[Aredhel13]

In my experience the number of visits for an 8 hour day are 5-6 depending on routine visits or a SOC , recert/resume etc. Pay per visit is the standard, otherwise there is too much potential for abuse and padding the time card. Each visit (say for 5 visits per day) is weighted about 1.5 hours, which includes travel time, paperwork, the actual visit, prep time, etc. Some visits are longer, some shorter. Interesting to see someone mention "filling med boxes". This is not a skilled need and Medicare will not pay for this.

[ILBCNU]

I interviewed for a HH position within the hospital I have worked at for 10 years on med/surg units. This is in the Kansas City area and they stated I have the choice of hourly or per visit and most start out hourly until they get experienced and then usually switch to per visit. I will keep my same $28.83/hr wage and they offer $.50 per mile and have a small cell phone compensation. I am expected to see 25 pts per week fulltime. I will receive 2-3 mos orientation. They also have a car program that runs between $250-$300/mo., depending on the make of car if the nurse does not want to take the mileage reimbursement. Does this sound okay? Will I make more money later if I do decide to switch to pay per visit? I was not told what the visits pay individually, but was told an admission is considered a 2 pt visit. On average, is hourly or per visit more money? Do you make a fair compensation on gas mileage to go that route, or is the car program with not outside costs to the nurse except the monthly fee charge the best route to go. I have 2 old cars paid for that I could use, but a new car sounds nice!

[Willow Moonsidhe]

Ours is $25.00 SNV, $50.00 for SOC and $40.00 for Recert. 0.42 a mile in TN. I think it should be higher.

~Willow

[chenoaspirit, ASN, RN]

I dont just see medicare patients. There are KMAP, PI, VA, PP, etc. No, pill boxes are not covered under medicare but some insurances will pay for it every 2 weeks.

[miny89]

I live in Biloxi, MS. Pay per visit $32. Mileage 0.36. SOC $96. On call once q5wks at $250/wk. Agency has minimum pay of $530/wk in case census drops below 16pt/wk. I have noticed that in MS, AL, and including Florida, we have the lowest pay for any position. For example, dialysis pays $24/hr in MS whereas next door in the New Orleans area the pay is $35/hr.

[Willow Moonsidhe]

I use to work at Singing River ER in Pascagoula, MS. New Orleans always pay higher but the risk is much higher and the cost of living in New Orleans.

~Willow

[are n]

which is better pay per visit or per hour?

[are n]

how can one train for an OASIS?