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Pooksmom1996

Pooksmom1996

Home Care,Psych, Long Term Care
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Pooksmom1996 specializes in Home Care,Psych, Long Term Care.

Pooksmom1996's Latest Activity

  1. Pooksmom1996

    Burnout is creeping up on me...advice needed please

    If you have the heart for caring...and you do...keep your eyes open and maybe even consider doing private pay. (google that if you are interested.) Good luck! Reach out and see what you can find. You are a gift for those who need you-
  2. Pooksmom1996

    Case Manager Pay

    I am curious, Kyasi-how much reimbursement does your company generally get from insurance for RN visits? Thanks, Pooksmom
  3. Pooksmom1996

    Case Manager Pay

    I think, after doing a few calculations, that the company is probably paying us the best that it can. That sounds crazy, but the company's clients are almost all MA. In our state, MA pays the company $70.00 per visit. The company pays us $38 per visit plus benefits. They try hard to minimize the nurses' workload by having a LOT of office support staff, who work their tails off for us. Adding in the cost of the benefits, plus support staff plus rent for office space etc...I doubt that they make much profit. They are trying to branch out as far as payer sources go so that they get better reimbursement rates. I do appreciate the feedback, though. I love my job and my patients and will stay with the company for now and hope that they can indeed switch to having a lesser percentage of MA clients. It has been helpful to learn how other companies pay, in case I decide to look elsewhere in the future. Thanks to everyone for your input. Pooksmom
  4. Pooksmom1996

    Case Manager Pay

    Oooh, that is the 64 million dollar question! It is is difficult to figure that out, what with doing work in bits and pieces at home too. I will ask some of the other nurses what they think. Just as a rough estimate, I would guess that I spend about 2 hours of work time per visit. $36.00 divided by 2=$18.00. I drive about 17 miles per visit on average, counting drives to the office. I do not get mileage, so if I were to subtract 50 cents a mile from my pay, that would bring it down to about $9.50 an hour! Not bad for an RN.
  5. Pooksmom1996

    Case Manager Pay

    Thank you for the replies. The nurses at the company that I work for are feeling that we get paid a lot less than other RN home health case managers in the Minneapolis area. We get $36.00 per visit and that is supposed to cover our visit time, office time, drive time and mileage. More is paid for SOC visits. We get a bit of extra pay for HHA sup time, and get paid hourly pay for meetings. The visit pay is based on the idea that visits and everything related to it should take an average of an hour and 15 minutes(our hourly pay is $28.00). The company's client's are mostly on Medical Assistance, which means that the company gets less reimbursement from insurance than many other companies. I love my job and don't want to see any more of my fellow case managers leave for other jobs, especially if our pay truly is fair. Please, if anyone else has any more feedback, please share! Thanks, Pooksmom
  6. Pooksmom1996

    Case Manager Pay

    How does your visit pay compare to the hourly pay? Our company pays 1.25 hours per visit, compared to the hourly rate that they pay for meetings/vacation pay/private duty pay. Thanks, Pooksmom
  7. Pooksmom1996

    Case Manager Pay

    The company that I work for pays RN Case Managers per visit. Unless the visit is to open a new client, we get paid for one and a quarter hours per visit. The Case Managers do the skilled visits and the supervision for Home Health Aides. We do not get paid for mileage or paperwork time for Oasis recerts/485's etc. We get paid hourly for nurse's meetings and training, but for the most part our visit pay is supposed to cover everything that we do. We do have office staff that help with the paperwork, such as entering the Oasis into the computer and billing and typing/sending 485's, etc. Is this typical for home health? I would love to hear your feedback on how visiting Case Managers get paid at other companies. Thanks, Pooksmom
  8. Pooksmom1996

    Home Health Agencies?

    Recover Health is very good, but I do not know if they hire new grads. Good Luck! Pooksmom
  9. Pooksmom1996

    Homebound Status

    I understand that Medicare patients can also go to church and still be considered homebound. The key is, that leaving home must be a considerable and taxing effort. Most of my patients have Medical Assistance (in Minnesota). Some of them have part-time jobs,so the requirements for MA must be much less than for some other forms of insurance. Pooksmom1996
  10. Pooksmom1996

    Any knowledge of "" Almost Home Psychiatric Home Care?

    I am not familiar with that company-I work for a company in the midwest as a home health Mental Health RN Case Manager, after years of working psych in hospitals. I really like it-you get to know your patients very well, and if you work for a good company you can enjoy a lot of independence while still having support when you need it. The pace is more mellow as well-I can pretty much set my own schedule, dont have to worry about doing restraints, or having 50 things to do at the same time. Good luck in your decision-I hope it works out well for you. Pooksmom 1996
  11. Pooksmom1996

    Psychiatric Home Care Nursing

    Many of the clients have schizophrenia or bipolar disorder or schizoaffective disorder. They usually are non-compliant with their meds if they dont have help in this area. They need help from a homecare nurse who can bring the meds from the pharmacy and make sure that the meds are set up for the week. If possible, the client sets up the meds while we supervise. Some clients take injections such as Risperdal but are not able to reliably go to the clinic every couple of weeks to get the shot. so, we come to the home and give them the injection. Med teaching and monitoring of the clients' condition are all very important pieces also. We are the eyes and ears of the docs (and social workers) in many ways. Also, we can help clients with support and strategies if they are going through some kind of crisis. Quite a few patients need a PCA or Home Health Aide part time to help them, as they cannot manage independent living without that support. Supervising the aides is part of what we do. Many clients have physical things going on such as diabetes or impaired mobility and we help them manage those as well, in the same way that any home health care nurse would. At my company, the psych case managers do not take clients with ventilators or highly complex medical care-those clients are followed by the medical case manager nurses. In my area there are day treatment programs where the clients can go and attend groups and socialize with other people. I believe that social workers often help with hooking patients up with these-I dont know much about that piece yet. Hope this helps! Psych case management is a rewarding field-we help keep patients out of the hospital and are an important part of their support.
  12. Pooksmom1996

    Psychiatric Home Care Nursing

    I rarely felt unsafe when I visited psych. patients at home in my previous home care job. Usually the clients view the nurse as a support person. They are often socially isolated and welcome the company, and the security of knowing that a caring person is checking in and making sure that they are OK. Home visits are voluntary-the client has a choice to accept visits or not, and if a client is becoming very paranoid, they usually will not open the door if they feel that the nurse is a threat. In my experience, working on a locked psych unit is much more dangerous, because clients mostly tend to lash out when they feel trapped in a situation. Also, if I visited a client and felt that I was unsafe, I could leave the clients home, tell my supervisor, and another plan could be made. Perhaps the client needs to be hospitalized, or a visit by two nurses could be arranged. I don't remember ever having to do this. I am lucky in that I work for a great company (same one I worked for in the past)and I believe that they take safety very seriously.
  13. Pooksmom1996

    Psychiatric Home Care Nursing

    I am about to start a new job as an RN Mental Health Home Care Case Manager. I will be doing intakes, home visits and the 60 day re-certs. (I am not sure if re-certs is the correct term-I have been out of the field for 13 years!) I have psych. nursing experience, including home care, but that was eons ago,in nursing terms. To me, OASIS is a nice place in the desert where you can get water, and the camels can rest. This will be a challenge in another way, as most of my psych. experience was inpatient care. I have done psych home care years ago, but it was with a small number of clients and I never had any major problems arise that were a challenge to manage. Any advice would be appreciated. Stories of challenges that you went through, or patients that taught you new things... I want to be prepared to do my best. Thanks! Pooksmom
  14. I thought that it might be useful to have a thread where we share what nurses in Minnesota are seeing in our state re. the H1N1 flu situation. Are you seeing an increase in the number of patients or people in the community with flu symptoms? Is your facility being overun with the "worried well" seeking testing or treatment? Is flu testing being done? If so, is it being done on everyone with flu symptoms or only the sickest pts? Are you seeing hospitalized patients with suspected flu?
  15. Pooksmom1996

    Swine flu raises fear of pandemic - Adults and Children

    We are not sure what is happening-it may be bad or it may be nothing. Either way, I thank you for your input, because you may be correct. Wishes for good health for you and your family, no matter who is right or wrong!
  16. Pooksmom1996

    Swine flu raises fear of pandemic - Adults and Children

    I hope that you are right, but the news that two students from one school in Washington state are in intensive care from suspected flu does not look like the usual flu pattern. The people who are getting sick from this flu tend to be outside of the norm for regular flu-they are older childen or young/middle age adults.