Hinnahwill

I worked for Humana as a case manager for approx. 2 months. It was a horrible experience for me, but hopefully you'll have better results. I never received any compensation for the orientation that I went through and I also never received any pay for the work I had done. I had to go out on assessments to get paid, but most of the patients did not want their services and refused to let me come to their homes. They mandated that you keep calling them several more times to convince them to accept their services. They said you would get paid even if the pt. refused, but they had all kinds of little rules why cases didn't qualify. So basically, you work and work, practically begging a pt. to let you come out and Usually they still said no....or you find out your referral isn't even out of the hospital yet, but you have to make contact in 24 hours. I turned my paperwork for pay in three times and they kept telling me they lost it. I finally resigned myself to the fact that they had no intention of paying and decided to cut my losses. I told them to NEVER contact me again. There are LOTS of regional managers...so maybe you'll get a more organized group that what I was assigned to.

Not all Home Health agencies are created equal. If one doesn't fit, try another one. I worked in HH 8 years ago and loved the flexibility. I was a salaried case manager and rarely spent extra time charting into the evening. The HH agency that I worked for went out of business and I have spent he past 7 years as a ADON of a large nursing home & assisted living. This week I accepted a Director position within the same company's HH. It has already proven to be the best decision I cold have made! The pressure and hours spent being in a nursing home were relentless. I'm hoping this job will continue to be as great as it already has proven to be and I can work here the next 15 years until retirement!

I'm wondering how many bed facilities everyone here has? I'm the ADON of 195 bed facility (140 bed Rehab/SNFS and 55 bed Assisted Living). I am definitely required to have a united front with my DON, but most of the other duties that have been listed here are to be handled by our three nurse mangers. My on-call rotation is with the DON, so I am on-call 24/7 like she is. My prior experience was as a DON of an Assisted Living facility, so I largely am responsible to have the knowledge base of the AL regulations, in addition to knowing the SNF regs. I'm in charge of most of the education of the nurses and nursing assistants. I am also the infection control director for the entire facility including housekeeping and dietary. It is expected that I will be an extension of the DON and will step in to do the DON responsibilities whenever she is not available. Of course there are many other responsibilities as the situation demands, but my duties seem different from what I am seeing here and I am wondering if its because there is a difference in the size of our facilities?

It sounds like she could also leap over buildings in a single bound

I usually work 45 to 50 hrs. Per week. I would have to say that my favorite part of the job is that it's always something different from one day to another. The ADON usually gets most of the "odds and ends" of things that need to be done... So that leads to a lot of variety.

I live near Dayton, Ohio. LPN pay is around $17 to $20, RNs around $20 to $22

I work as an ADON in LTC facility. I have 21 years of experience and am probably a little under paid at $28.60/hr. I think the DON is probably making around $34/hr. Supervising RNs $22-25. Staff RNs around $22-20 and LPNs $17-20/

This also happens in our facility. I agree with the previous posts. You need to keep emphasizing with the Administrator the importance of "chain of command". Our Administrator knows they should go through the chain...but often gets caught up in the drama of the situation. We remind him that the DON and I (ADON) are fully competent to handle the problem, but he MUST do his part in asking the employee if they have followed the chain of command before they go to him. THEN your employee needs a personal inservice bout proper procedure and reminded that is the ONLY way problems will be dealt with.

No Way!! When I started nursing 20 years ago I started at $8/hr. I have made no less than $20/hr for the past 7 years. I am currently making $25/hr as an ADON which I feel is not nearly enough considering I am working on salary and I usually work no less than 50 to 60 hours a week.