I do not case manage, I am an Evaluator and admissions ns. But the gals I work with are carrying a load of 23 more or less and they are all crying! 23 is too many, and have to travel the county to see them all. Its very difficult and they are stressed. We have had an active turnover of nurses in the last year, and I believe that is why. I think 12-14 is national average, and should be instituted.
The agency I am at now is not huge on the numbers, as in you "have " to see 30 a week. But one I was working at in another state, was big on 30 a week or you do extra. be it on call or w/e. You girls work hard and should be compensated well.