Marshall1

I was recently offered a position working for a non-skilled home care agency for a position like you are currently in. It's great money, close to home but home visits are required (for admits/recerts for the non-skilled services). I am not sure I want a M-F position again but if its at all like the company presents it to be (and they do have a great reputation) it would be a low stress job for sure.

I worked home health pre and post OASIS. Before OASIS documentation was rarely difficult/time consuming but once OASIS/HCHB/Pointcare - whatever name is attached came into being, it was a deal breaker for me. I didn't mind charting some from home but the recerts/IDG notes (when I worked hospice), case management notes - all became a huge no. The documentation is repetative & very slow on a tablet even for the most seasoned home health nurse. Agencies that pay per point screw nurses out of income because documentation is part of the pay for whatever point is assigned, nurses who are salaried also get screwed over because they are also spending non compensated time documenting. As others have said, no patient wants a nurse sitting in their house for hours documenting & it is NOT possible, even for the fastest nurse, to complete ALL documentation in a 45 min visit. Time will help you get faster but home health nursing is time consuming & often what you are experiencing is exactly why nurses leave & return to the hospital or drop to PRN/part time. I enjoyed the freedom of home health in not having to be at an office right at 8 or stuck in IMCU for 12+ hrs but with OASIS as it is & the home health companies a dime a dozen how so patients who really don't need services are being kept on for profit, no way I would work it again or recommend it. That being said, there is no shame if you know, even this short time in, that it is not for you. That is not a failure - its a lesson. So, decide what is best FOR YOU & go from there. I assure you, whatever company you are working for is going to do whats best for them, even at the expense of a good nurse.

Coworker of mine left 2 months ago to return to bedside after being away from it since 2020. She is extremely unhappy and hoping to return to her old position in case management. She told us the culture of hospitals/the culture of hospital nursing has changed so much even in the short 5 yrs she left bedside that she didn't anticipate that much change. The "allure" of 12 hr shifts/working 3 days a week vs 5 8 hr days was what she was focused on at the time..forgetting all that goes along with the 12 + hrs and truly long the shifts can be - even if its a "good day" I left bedside nursing in early 2015. I sometimes miss things about it but now, with how much its changed in so many ways..I can't imagine going back into that enviroment. Even for a few more days off a week - what would the point be if quality of life sucked?

It seems hospitals was experience but not too much experience so they can save money on salaries. It definitely a tough time for newer nurses now in landing jobs. I have been offered a position to return to a FT hospital setting and am seriously considering it as it would be a lot more money, benefits plus bonus and I would only have to commit for 6 months and get to chose the days I work. My goal is to be out of nursing completely in a year & this offer would allow me that, my current job would not, a second offer is also nice as far s 2 days a week but like the remote position, the pay is extremely low. Seems there are lots of options for some & not so many for others. Healthcare techs seems to do much better at landing jobs for sure.

I live in the South and education is confirmed based on the employer, if they wish, contacting the school directly. I have never had any of them ask or mention a sutdent clearinghouse. ER's where I live either require 2 yrs ER experience as a nurse or new grads to attend a new grad preceptorship course that only starts a few times a year. Obviously different requirements in different states.

Surprised LTC ("nursing homes"), dialysis (large clinics like Davita and Fresenius), home healths and hospices aren't hiring, normally those are slow job market proof.

As others have posted, you probably need to expand your search area and specialty. Hospice? Home Health? Private Duty? Dialysis (outpatient clinic), MD offices, VA..all of those will get your working, get your experience and you can keep applying at all the hospitals you are interested in. As a new grad, unless you secure a new grad program at a hospital, it will be extremely difficult to land in ICU/NICU w/o any experience, same w/ER. As far as the job market cooling, happening here in the south as well and w/the holiday season coming, its only going to slow down more unfortunately.

If you scroll though this thread you will see a list of companies I've suggested to look for positions similar to this as well as what is often required - though each position will require different education/experience/skill set and should be listed in the job description.

"Incidentally, I've seen younger nurses form cliches and bully the older nurses." 100% this happens more often than its discussed for sure. Ageism is real in nursing. I'm sorry this happened to you.

Funny you mention that about being introverted but wanting to work directly with patients. I too am finding that some of the struggles that can come with being introverted are becoming more pronounced the longer I'm in the position. They are also going to be changing the pay structure due to recent federal budget cuts and its already a very low paying position. I am glad I am in it but at the same time if completely honest, its not the healthiest way to work for long periods of time and definitely not high paying but I plan to give it a few more months before making any change. But you are smart to at least keep some connection to bedside nursing..it ALL ends up leading back to that at some point anyway for most jobs.

I have ny BSN and also a Masters in a non nursing but related healthcare field. I previously worked for the company that offered the remote position so when I saw it posted I reached out directly to my former supervisor. Make sure before applying you have every required qualification education/certification/license etc the company is looking for. Some companies get really detailed in what they are wanting, others are kind of broad brush with it. Then look at "preferred" (if any) qualifications. For instance, some companies prefer someone to be a CCM but its not required so if you have extensive case management then you should still apply but if being CCM is required, unless you are then there is no need to waste your time. Most remote positions require a Bachelors but you can always search on the web sites or job sites those specific to an associates or if an RN/LPN can apply. Some will accept either/or. Also know that some remote positions are only an "on call" type while others require 8-5 M-F or 10 hr shifts or whatever. Some remote positions may not be in your time zone but the expectation is you work when the business is open (for instance you live in CST but the job is EST, you would most likely be expected to work EST). Remote positions normally have hundreds of applicants as well so being mindful of what positions you apply for makes a difference. Also, compact licensure will help too if the job you are applying for is not in your resident state but recognizes compact licensure. If the job is not in your state and is not a compact state and you are not licensed in your non resident state I wouldn't bother applying as the companies are 99% of the time going to go with an instate candidate if they qualify licensure wise.

I've posted a couple of times above in this discussion resources to look for remote positions. As far as connection, can't assist there. Good luck!

You can look at USAJOBS.GOV for Federal Nursing jobs. I'm sure sites like Indeed.com and Glassdoor. com you could search tme as well I have worked for the VA in the past but never as a surveyor state or federal level so I can speak to the pros or cons of either except most surveyor jobs require travel. I have no idea how messaging on here works as I've never been able to figure it out. Maybe someone else or Admin can assist.

Try these places to look for remote work: Indeed.com Glassdoor.com Health Insurance agencies Auto agencies Home Health Hospice USAJOBS.GOV Signallamp Health Accordcare.

If you don't want any patient interaction then you would need to research jobs that are basically chart reviews, etc. Often times those require additional certifications or experience (Case Management certification, Coding ,etc). If you are wanting something where you triage or guide patients about health issues, questions,concerns than there are a lot of those jobs like that. Again, it would depend on your experience, degree, certifications, state licensure etc. You would also have to have reliable internet. Some companies won't hire if there is not a "landline" so I had to skip looking at those as traditional phone lines are not available any longer where I live. You would need a computer or laptop as a cell phone or tablet would not be sufficient. Some remote companies provide the equiptment. I posted some sites to look at for remote positions a few comments up. You can search most of those sites by state or city.