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pay per visit?

Home Health   (8,594 Views 12 Comments)
by GRnurse57 GRnurse57 (New Member) New Member

1,160 Visitors; 16 Posts

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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

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anticoagulationurse has 7 years experience and works as a RN - Home Health.

8,296 Visitors; 417 Posts

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.

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5,304 Visitors; 198 Posts

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.

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TweedleDee has 1 years experience and works as a Pedi ER.

1,574 Visitors; 34 Posts

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.

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Carrie_MTC has 3 years experience and works as a ER Nurse.

4,436 Visitors; 187 Posts

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.

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446 Visitors; 1 Post

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

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4,481 Visitors; 266 Posts

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.

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Melina works as a ICU, LTACH, wound care RN.

5,767 Visitors; 289 Posts

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.

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RubyRN,CHPN has 15 years experience and works as a Home Health.

4,192 Visitors; 172 Posts

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.

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davebigs has 4 years experience.

2,222 Visitors; 72 Posts

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

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anticoagulationurse has 7 years experience and works as a RN - Home Health.

8,296 Visitors; 417 Posts

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.

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