Salary???

caliotter3 · Apr 8, 2011

You seem to have the general idea. Pay per hour is an hourly wage rate paid to nurses who do extended care casework. Pay per visit is just that, pay rate for certain types of visits, used in some intermittent visit situations. Other intermittent visit employers pay an hourly rate instead. Salary is generally paid to office nurses, clinical supervisors, and case managers. You will find, for the most part, that there are a lot of unpaid hours for those doing salaried positions and/or pay per visit intermittent work. For instance, a nurse does seven visits in one day to do wound care, etc. She then does one to four hours at night completing her charting and making her contact calls for the next day, or calling doctors, etc. The people who get paid the closest to actual hours worked, are those who work in extended care, also called shift work. Virtually no employer allows overtime without prior authorization for some type of emergency. That is about it in general. Of course, there are different specifics for different employers. Can't speak to average pay, as that depends on the local job market and the employers themselves. If there are seven home health agencies in a given territory, there could very well be seven pay ranges.

RNratched · Apr 8, 2011

Thank for the reply. Just trying to figure out now, what an average salary starts?

caliotter3 · Apr 8, 2011

I have read posts that state a little more than working in a hospital and a little less than working in a hospital. I guess that just indicates that it varies. In the past, I knew of a clinical supervisor who was paid $25 an hour, and then an RN who was paid $25 an hour for an extended care case, working for an agency that paid well. Had that RN been working for a competing agency doing extended care, she would have been lucky to get $17 an hour. Different employers, different ways of treating their employees when it came to pay.

Cthulhu · Apr 8, 2011

I work for salary, but if I exceed my productivity (based on point system) I get paid per deim for those visits over productivity. I think this is very fair. I also get paid flat rates for any mandatory meetings.

annaedRN, RN · Apr 9, 2011

I am paid salary as well. It is based on an hourly rate for 40 hours. I get extra for mileage, on-call time, on-call visits. Do have really good benefits - PTO, sick time, tuition reimbursements, holidays, etc. Starting salary depends on location and somewhat, experience. I do not usually work over 40 hrs by much, and some weeks WAY under 40 hrs. Different every week. But I love the flexibility, autonomy and daily variety that home health offers. I enjoy doing visits much more than extended care/shift work ( have done both). And, I would not care to be in a facility again either. Even my weeks that are over 40 hrs - still way better than me working in a hospital.

RNratched · Apr 9, 2011

Is is good hearing that some places are paying additional for various added work. I had assumed that salary was without extra pay for working beyond the expectation.

Isabelle49 · Apr 13, 2011

I have been in home health for 9 years and am paid per visit. I have not had an increase in the 9 years I have been in home health, on the contrary, some pay has been decreased. Remember Home Health is a for profit industry.

DianaDa · Apr 16, 2011

I'm starting for two pay per visit hh agencies. The first pays $50 for regular visit and a differential if they're complicated, $75 for SOC, $55 for discharge, and $60 for recertifications, $.40 per mile reimbursement, $40/month cell phone reimbursement, and you can be on call for a week for $250 for the week plus an extra $10 on top of regular pay for any visits you have to go on while on call. The other agency pays $35 to $40 per visit depending on if they're medicare or private/public and they pay $6 travel expenses regardless of how far away the patient is. Both agencies do in services every couple weeks which are paid and some offer CEU's.

asopko · Apr 19, 2011

As far as salary goes, you should take into account that some of these companies are being reimbursed by government programs. Most of the time, they aren't even being paid what some nurses get working in hopsitals ($35-$45/hr). You're also working one-on-one with a patient so that's something else to take into account when you learn about per hour pay for home health.

Isabelle49 · Apr 20, 2011

I'm starting for two pay per visit hh agencies. The first pays $50 for regular visit and a differential if they're complicated, $75 for SOC, $55 for discharge, and $60 for recertifications, $.40 per mile reimbursement, $40/month cell phone reimbursement, and you can be on call for a week for $250 for the week plus an extra $10 on top of regular pay for any visits you have to go on while on call. The other agency pays $35 to $40 per visit depending on if they're medicare or private/public and they pay $6 travel expenses regardless of how far away the patient is. Both agencies do in services every couple weeks which are paid and some offer CEU's.

What state are you working in. I used to get $75 for SOC and now get $50, 9 years later.

DianaDa · Apr 20, 2011

I am working in the suburbs of Chicago