United Healthcare Housecalls

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Have applied for NP job w/UHC making yearly home visits for medicare advantage plan. Any one w/experience w/this type job and what salary range to expect. I have been a NP 1+yr w/lot of geriatric and homecare experience as RN and NP. I currently make $40/hr in part time job, only benefit is liability and some travel reimbursement. Thanks,

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Specializes in FNP, ONP.

All I know is the turnover must be very high because they run ads here constantly, and send me post cards and emails promising $50/hour at least monthly. I have never considered it; I'm not going into people's houses for any rate of pay!

I'd ask to shadow someone IIWY.

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I have done these before, not for United but another staffing company. They pay per visit usually $65 or $75. You can realistically perform 3-4 per day. The exam alone takes an hour if your fast (involve glucose check, urine dipstick, monofilament test, vitals, eye exam, test of all cranial nerves, it's extremely comprehensive, review of all meds and teaching, checking drug interactions, etc). You must also call the patients the night before to tell them your coming. leave messages, call back, it gets time consuming. The paperwork alone is 12 or more pages of very detailed stuff so the company can get paid for everything you do.

In the end it was not worth it since time spent with the patient averaged 1.5hrs (these are elders with many, many, many conditions, questions galore and lonly on top if it so they want you stay). Time spent driving at least half hour between locations. The sad part is how much we are paid. The insurance company bills about $800 for a visit like that, we get $75? I figured after my time spent I ended up making about $20/hr. No thanks!! I did it for less than a week as soon as I saw the reality of it.

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I just got a call from a company and they offered $85 per visit. I have been trying to research and see how much they can bill for the visit. I will have my phone interview tomorrow and will try to ask for more. I will be doing this on the side minimum 10 hours per month. Is $800 for initial medicare certification assessment by NPS?

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Specializes in ER, HH, CTICU, corrections, cardiology, hospice.

"The insurance company bills about $800 for a visit like that, we get $75?" No offense, but I call shenanigans on this. Please cite your source.

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I spend my days "going into people's homes" as a hospice nurse practitioner. People who can't leave their homes need to be taken care of also.

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Hello, I do housecalls for a big insurance company and I love it! The schedule is self scheduled, get great mileage, im FT not per diem, now i'll admit, it can get a lil growdy going to some ppl homes ... Some ppl are just growdy. I enjoy the pt teaching , no headaches, not responsible for them like a pcp, just wellness and not feeling rushed, they love that I listen to them again, we are 100% electronic so no paper charts,....I could go on ...and the salary is sweeter than ever. I don't think I' ll ever be able to go back into the office....I'm loving what I do again. :)

Are you able to get your documentation done in a reasonable amount of time? My fear is going to see the patient, doing a comprehensive exam and then having to spend another 2 hours writing it up! (I am a bit of documentation nut, I will admit, but a comprehensive exam takes a lot of time no matter who is writing it up.)

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Hi Disconurse 1979

would you mind to email me the company you are working for? I want to change my clinical job because there is huge volume of patients and paper work everyday, and there is so much follow up reports, labs to do. Thanks for your info.

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Worked with HouseCalls with UnitedHealth. Pretty awful experience. Constant emails, phone calls, texts, changes to assessment documentation every week. Constant conference calls, webinars, mandatory elearning activities added weekly. Visits take well over an hour minimum and include everything including labs, vaccinations, etc. Multiple computers systems (at least one will be down at any given time) to learn all for different things with different passwords, constant requests to resend or repeat paperwork that "wasn't received".

I worked home health for years and went into some pretty bad neighborhoods but nothing compared to this- burned out crack houses, abandoned sheds, etc.

The majority of the patients do not want you there, they think you're there to find something to cancel their insurance over or to drug test them. Most of them are really very rude and hateful no matter how kind you are or how you explain your role.

Each department doesn't seem to know what the other is doing. Would never work for this company again and just because the experience was so bad...probably wouldn't do it again for any company.

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Specializes in Med/surg, Tele, educator, FNP.
"The insurance company bills about $800 for a visit like that we get $75?" No offense, but I call shenanigans on this. Please cite your source.[/quote']

Although I can't prove it right now, when I did home health as a RN, they paid my 60 dollars and they charged Medicare 400 dollars. I know this because it was on the the form the patients signs. So it wouldn't surprise me they charge 800 for a NP.

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I also did HouseCalls w/UH and agree with eveything Kathleen said except the neighborhoods were about the same as other companies sent me to and there are not many crackhouses out here. Two members had guns on them which did make me a little nervous but did not fear for my life. To do the complete 300-point H&P properly would take 3 hours so have to rush. There are always little things like finding parking, signing in, they will answering phone calls, have other things to do, you have to find non-carpeted area for your scale, dark room for the eye exam, wait for the urine sample, etc. TV/AC/loud dogs often prevent a good chest exam. The problems is not getting paid for the time spent driving and doing paperwork.

Worked with HouseCalls with UnitedHealth. Pretty awful experience. Constant emails, phone calls, texts, changes to assessment documentation every week. Constant conference calls, webinars, mandatory elearning activities added weekly. Visits take well over an hour minimum and include everything including labs, vaccinations, etc. Multiple computers systems (at least one will be down at any given time) to learn all for different things with different passwords, constant requests to resend or repeat paperwork that "wasn't received".

I worked home health for years and went into some pretty bad neighborhoods but nothing compared to this- burned out crack houses, abandoned sheds, etc.

The majority of the patients do not want you there, they think you're there to find something to cancel their insurance over or to drug test them. Most of them are really very rude and hateful no matter how kind you are or how you explain your role.

Each department doesn't seem to know what the other is doing. Would never work for this company again and just because the experience was so bad...probably wouldn't do it again for any company.

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Your post was a while ago. Did you get the job?

I'm there now in a major city. Can't take how spread the visits are. It would be doable if they were clustered better. I'm walking miles each day.

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