raises in homehealth

caliotter3 · Dec 23, 2014

No raises in over 20 years in hh with exception of one merit-based raise and one raise to bring to $2 less than other nurse on case, instead of $3 less. Who knows why?

Agencies have a tendency to have a predetermined range, based on how much they "like" one nurse over another. For example, previous client pointed out to me that the nurse before me, who had something obvious in common with all of the office staff, was being paid $4 an hour more than me, in spite of my better qualifications. It tends to just be a game of office politics. You have to be able to speak up for yourself, negotiate for yourself, and stand your ground. Recently interviewed with a prospective employer but turned them down when they mentioned the rate at the end of the encounter. Told the HR staff I could not sell myself that much short. I have not been a CNA for more than two decades.

Other agencies will have a fair rendition of their wage range. Once worked for a union shop. It showed, with the wage scale and how it was administered. Union home health employers are rare.

84RN · Dec 27, 2014

I've been perdiem with an agency for over 3 years---paid per visit. No increase in wages at all, despite performance reviews that are always positive and getting praise for my work. I'm wondering if I should ask for an increase, but have a feeling I know what the response would be

KelRN215, BSN, RN · Dec 28, 2014

Pay per visit is usually a flat rate for all employees, regardless of experience or time on the job. The rate won't increase until/unless insurance reimbursement increases. Our per visit employees get $40/visit. We bill out at $120/visit, reimbursement is based on in-network contracts with the insurance companies. With some, our reimbursement is barely over $60 so the nurse is already taking home 2/3 of what the agency receives.

RNintheTardis · Dec 31, 2014

Our agency is salary for all staff, unless it is call which is psy per visit. No raises in 6 years.