elimayrn

elimayrn's Latest Activity

1. 

   New Introduction Care Management CE??

   elimayrn replied to elimayrn's topic in Case Management

   Yes, I accepted their offer and start Nov. 5th. I am thoroughly excited and want to prepare for this paradigm shift in my nursing career to foster my success. CMS does have great general information on CPC+ but none specific to the care manager position even though this role appears to be a requirement of participation. If anyone has information on resources I would be forever grateful!
2. 

   New Introduction Care Management CE??

   elimayrn posted a topic in Case Management

   I am expecting an offer from a primary care within a large Hospital in the Kansas City area. My background is hospice cm and Home Health with some long-term care. I am looking for a ce activity on CPC+ and Care Management in the primary care setting. I have found some activities that were 10-20 hours which is great but at upwards to $250. Has anybody come acrossed CEs at a more reasonable cost?
3. 

   New Introduction Care Management CE??

   elimayrn posted a topic in Case Management

   I am expecting an offer from a primary care within a large Hospital in the Kansas City area. My background is hospice cm and Home Health with some long-term care. I am looking for a ce activity on CPC+ and Care Management in the primary care setting. I have found some activities that were 10-20 hours which is great but at upwards to $250. Has anybody come acrossed CEs at a more reasonable cost?
4. 

   If you were applying to a Home Health agency what questions would you have for the int

   elimayrn posted a topic in Home Health

   I have an unexpected interview for a HH case manager this afternoon!! These are my questions so far, is there anything else i should ask? Truthfully I'm a bit gun-shy feeling i was taken advantage of at my last HH job. This is a large company with all levels of care: IL, AL, skilled nursing, community and village HH and hospice and even their own hospice house. When and how are patient appointments set up?** Expected to make calls before or after business hours? What are on call and week end schedules? What equipment is provided? Expected to use pesonal cell phone?* When is documentation due? What options for health insurance?* When does it start? Units per day?* How many units per recert, discharge, SOC visit?
5. 

   Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   I did accept the possition and will start Feb. 5th so we shall see! I have 3 years with hospice as a CM and 4 years with HH as an LPN. That should help.
6. 

   Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   Thanks for all the information, it is very helpful! I definately see your point on improving patient care and efficiency.
7. 

   Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   Thank you for your reply. That makes sense. Am not understanding the PTO example you gave. Is this to make up for too few visits?
8. 

   Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   Also how are "pay per visit" RNs compensated for meetings, inservice, on-call hours etc? I will be going from a hospice case manager on a salary to Home Health case manager so this is a big decision for me!
9. 

   Help! Baffled by 'pay per visit' offer

   elimayrn posted a topic in Home Health

   I recently applied as a home health case manager and received a phone call last night saying she would call tomorrow with an offer. The company in Kansas City Missouri pays per visit. I am not sure how to convert my requested annual salary to a per visit number! I have tried dividing annual salary down to daily pay but I'm not sure if visits will be made 5 days a week 52 weeks in a year, so I am worried about accepting their offer not knowing.
10. 

    Home Health RN hours?

    elimayrn replied to elimayrn's topic in Home Health

    Thank you Nursylinda, This is exactly why I'm leaving hospice. The money isn't worth the trade off for me. I don't want to live to work, just work to live a decent life.
11. 

    Newly hired New to hospice

    elimayrn replied to elimayrn's topic in Hospice

    Update: 2 years later. I've learned so much in 2 years working as a RN CM with hospice, many in-depth lessons about nursing in general and have gotten in closer touch with my family and myself! Unfortunately the reality is hospice is taking a huge toll on me physically, mentally and emotionally. I love my patients and families, even the feisty ones.. Love working autonomously and my IDT. The core problem is the hours and conditions. In short I feel taken advantage of for the profit of our agency. Therw are few 40 hour weeks and many are 50 to 60 hours. We are salary so get little compensation for weekly overtime. We are always short 1 or 2 case managers with too few LPNs to rescue us with visits. By the time the weekend comes I'm exhausted so catching up on home responsibilities leaves little time for me and my partner, grandkids or friends. I'm 57 years old and feel I'm drifting away from the things that matter MOST to me. I live in the KC, MO area and nearly every hospice agency in the area is advertising for case managers. I have worked for 2 agencies now. It's a crying shame. I know this is a lucrative business but it seems as though greed drives most agencies to hire the minimum number of nurses, provide the minimum benefits then drive them until we give out. I'm not sure what else I can do other then leave hospice and find another area of nursing where I can leave work at work at the end of the day and live my life.
12. 

    Home Health RN hours?

    elimayrn posted a topic in Home Health

    Hello to all and thank you in advance, I am currently a RN hospice case manager X 2+ years. Prior to this I was an LPN working LTC and 3+ years in home health. I loved home health and I love hospice most of the time but now I want to return to home health. I miss the healing aspect of nursing and what is pushing me over the edge is the hours in hospice. It is rare that we work a 40 hour week, many times over 50 hours and many of these hours are the charting hours which fall after 5p.m. plus on-call hours Q 4-5 weeks and late admits that must be entered that evening. Plus most if not all the hospice agencies in my area are salary, so I'm not compensated for those extra hours. I've checked job boards and almost every hospice agency in the KC area are advertising for RNs. It has wrecked my work/life balance and I feel alienated from my family. My question is do home health RN's have 8 hour days? Can you leave it at work when you go home? I'm not naïve and not opposed to occasional over-time but as a rule are the hours more manageable?
13. 

    No Compete contract Legal?

    elimayrn replied to elimayrn's topic in Nursing

    Thank you so much for the encouraging observations. I'll share these with her.
14. 

    No Compete contract Legal?

    elimayrn posted a topic in Nursing

    I have a friend who is a clinical director for a large home health company. They made her sign a no compete contract and forbid her from discussing it with anyone. She is unhappy with the position and really wants to stay in her field. She wont show it to an attorney for fear of being found out and fired. This just doesn't seem square to me. Any input is appreciated.
15. 

    Communication w facilities

    elimayrn replied to aphillipi's topic in Hospice

    This gets complicated for me also. Where i have trouble is when the facility staff are not providing the best care such as not turning my Pt through the night or wound dressings are not changed. You would think the nurses would want to know and correct the problem and most of them do but often after mentioning the issue my relationship with the facility is damaged.
16. 

    PO morphine tablets for SOA?

    elimayrn replied to elimayrn's topic in Hospice

    Shortness of air. Many at least in my area have gotten away from SOB.