pay per visit?

Published

Hello, I am a nurse that has been in the hospital for 3.5 years and am switching over to home care. I just got offered a job and they are offering 35$ per visit and 75 $ for an admit. And 0.35 $/mile for mileage reimbursement. Is this good compared to others? I live in Michigan but just wondering if this is acceptable or should I be asking for more?

Thanks

Megan

Up Vote Up Vote ×

Seems low to me. Are bennies included? I don't know our company per diem rate, but you would have to see 8 return visits to earn the same I do for 6 return visits (I work 10 hour days). Your mileage reimbursement is also low by comparison, I get 48 cents/mile. One way to check is to look up a salary report online and figure out what your equivalent per diem visits would be as compared to salary (since those reports don't quote per diem rates). Can also be customized for your area.

Up Vote Up Vote ×

I live outside of Philly. I get 35/visit, 65/open and 45cents a mile. I am new to HH and have been a nurse for only 2 years now, worked in LTC and hospitals before HH. And we do not have computers. I see 5-8pts a day. I think this is low but I really wanted to get into HH and this company was willing to train me. With the new reductions in reimbursements from MC starting in 2011 I don't think I will be getting a increase in my rate.

Up Vote Up Vote ×
Specializes in ER.

With my agency the pay per visit is less than salary. I am however going to go pay per visit PRN in the next couple of weeks. $30 for a visit, 60 for a start, and 45 for a recert or ROC, mileage .45. Located in central FL.

Up Vote Up Vote ×

That is good compared to me. I'm a new grad and was hired for $27.00/per visit. I only do continuous care. I get reimbursed for gas when they remember maybe like $4-8/week. I live in central ohio.

Up Vote Up Vote ×

I live in Knoxville, TN and I get paid per visit as follows: $35 reg, $65 recert, $85 admit and 0.43 per mile.

Up Vote Up Vote ×
Hello, I am a nurse that has been in the hospital for 3.5 years and am switching over to home care. I just got offered a job and they are offering 35$ per visit and 75 $ for an admit. And 0.35 $/mile for mileage reimbursement. Is this good compared to others? I live in Michigan but just wondering if this is acceptable or should I be asking for more?

Thanks

Megan

It depends on the type of home care and if you are an RN or a LPN. Is this medicare certified or private duty?

The mileage should be 58 cents/mile. If it isn't, you can keep track of it and deduct the difference on your taxes.

Up Vote Up Vote ×
Specializes in home health, neuro, palliative care.

We get $45 a visit; $75 to admit. Meetings, case conferences, CE classes, and other non-billable hours are paid hourly @ $36. We don't get mileage, tho, so I definitely keep track for tax purposes. HR says they are not the highest paying in the Denver area, but we are competitive.

Up Vote Up Vote ×

So does that $36/hr. include documentation time or is your documentation time included in your visit time?

I have not seen pay per visit work well for FT nurses because I think it puts them in a situation where in order to make a decent salary and meet productivity standards they basically have to see at least 6-8 patients a day which usually puts them in excess of 8 hours a day for which they don't get paid overtime or for traveling long distances between patients. It also forces them to keep scrupulous records of milage if they are being paid a substandard reimbursement for mileage for tax purposes. I can see where this would work well if you wanted to work part time, contractually, per diem or just plain hungry to work. This practice puts a nurse frequently in the position of using personal time away from work to complete required documentation which may lead to burnout. Not to mention, compromising patient care. You also might want to take into consideration it often takes a few months to get acclimated to the pace of home health.

I have worked in home health doing skilled visits for almost 15 years and have always been compensated on an hourly basis. I have seen many of my former colleagues go to work for agencies which pay per visit and have left disappointed for these very reasons. You might want to put it all down on paper and see what your actual wage would come out to be working per visit vs. working hourly. Best of luck to you; regardless, you will love home health.

Up Vote Up Vote ×

Did you guys know that you can do travel nursing in home health ?

Up Vote Up Vote ×

Well, I know my company certainly hires travel positions for everything else... except nursing for some reason. Not to say the jobs aren't out there, just don't tend to need travel nurses in my agency. Not sure why.

Up Vote Up Vote ×
+ Join the Discussion