MomRNof2

I am in the process of signing on directly with Humana for a contract RN Care Manager position. Would love input from other contract Care Managers. I talked to a couple of staffing agencies but when I contacted Humana directly I found out they offered double per client per month. I'm hoping to only pick up a few clients a month. Wondering about job satisfaction the contract route.

SOC = Start of Care/Admit

I've been a nurse for 20 years, RN for 11 with 9 of those in HH. I was just offered a PRN position with LHC for $60 admit OASIS, $57 recert, &42 ROC/DC , $34 specialty & $32 regular visit. I've been told the electronic documentation is tedious and average SOC takes 4 hours total. Considering I've been used to making $30 an hour since I've been out of HH I'm weighing the pro's and con's. I loved patient care but am estimating I'll make $15 to $20 an hour with no benefits. The mileage apparently fluctuates based on gas prices and the device maps out a route for you and pays you based on that and not your actual mileage. Anyone with this company who has any advice?

Thanks for the info. Good luck to you too.

Yeah, I got a bad vibe during the interview. I didn't even get to the part about the orientation and whether compensated. I was going to ask but cut it short before I got that far. Thanks for your input.

I did but with the rate they offered per client per month with no mileage in the rural area we live in I didn't pursue it and we finished the interview early. It is something I think I would be interested in but just not for what they were offering. Any input on the whole process?

I have completed the application and testing process for this company and have a phone interview in a week and a half. I understand they are contracted out by Humana and it's a weekly home visit program to help manage Medicare clients. Does anyone have experience with this company???

Thanks everyone. It just seems like once they come out and regain consciousness with pain a 9 or 10 and no meds for 2 to 3 hours it is very difficult to get it under control. Just didn't know if pain control while under and upon completion and not just during induction was rare since I don't have much to compare it to. I much prefer the previous break-through control and not the latter though!

I recently left a PACU job of 8 years to venture into a new one. Where I left the same anesthesia was on the case from pre-op to dc and I found that patients came to me with minimal post-op pain and if present it was usually controlled fairly quickly with a couple of doses of prn meds. This new job is a whole new ball game and I am not adjusting well. In my previous job they were often given IM Demerol at the end of the case and given pain meds upon extubation. In this new job they may go through a 2 to 3 hour surgery (back surgery, rod placed in bone or tendon repaired) and have had no meds for pain since induction and often no block or even local injected. When I get them they are in extreme pain and I am trying to keep them contained while making a mad dash for meds that haven't had time to be scanned to pharmacy yet. My last patient required 10 doses of pain meds and finally Versed to get his pain where he wasn't crying, cussing and shaking. Was I spoiled with my last job? What is the norm? I loved PACU before but not liking it so much anymore.