Just ran across your channel. Really can relate to you a lot! I have been working in home health for a long time. I've been with the same company almost 4 years. I just became an RN in October 2016 and been case managing since. it's a crazy job at times but I really enjoy it! I will probably never work in a hospital now that I've been doing this.
How did you become a case manager? I had an upper management person change my title from home health rn to RN case manager at one point and I was totally confused as to whether these two positions are used interchangeably due to being an RN or if it is a specialized certification?
Girlll thank you! Are you still doing this line of work? I was an LPN for 10 years and 4 of those were acute care/PCU and 3 years of home care pediatrics. I just finished by BSN RN and I was hired as a New RN case manager with home care 🙋🏻♀️I’m so excited bought books on amazon to at least give me the verbage so I know the right questions to ask during orientation and at least sound professional in this line of work.
Hey 29 ! I came across this video today I am currently in school for lpn and my goal is to become a nurse case manager ...many people ask me why won't I just go straight for rn and start become a case manager.. well life is life 🙄 and I figured being a lpn for at least 2 years but realistically it may be longer because my main focus is raising my child. Then I can fully focus on my dream career she's 12 so maybe about another 10 years before I can fully focus on me ...okay all of that to say your comment has inspired me to continue with my goals and what works for me. And it is possible. Congratulations on landing the job 🤗💞. God bless.
Thank you so much for this video, I just accepted a job as a Case Manager in Home Health, I’m very excited after 28yrs in the hospital, your video really enlightened me..
Congrats on the new job! Being a case manager can be time consuming, at least you work largely on your own and actually have time to spend with your patients!
Im so grateful you explained different kinds of visits and point associated with them. Were you trained to do wound vac dressings and other wound care techniques on the job?
Yes I was trained to do 90% of the tasks I do as a home health nurse on the job. Vacs are fun to do (for me, not the patient:)). Other types of wound care are interesting to do as well. I especially love how a chronic wound that seemed like it would never heal finally does after weeks, months, or even a year. Very satisfying.
I worked in home care for 15 years as an RN. The 35 points thing sounds crazy hard, that would equal 7 regular visits a day, or, to really put it in perspective, 3 start of care visits and a regular visit. Holy cow. At our agency it was the equivalent of 4 visits a day, or, two start of care visits, sometimes the equivalent of 5 visitis if they were easier and close together geographically. We did not work with LVNS at all, perhaps that makes a difference? The paperwork alone for a Start of Care at our agency took at least 1-2 hours, longer for IV or wound vac pt, and of course the visits are longer for them too, 1-2 hours. Add in drive time and time spent on the phone with doctors and you are looking at around 4 hours for each start of care on average. We were in a semi rural area, so maybe slightly longer drive times, but that amount of visits in a week still sounds impossible. I know we had extremely thorough documentation, it was on a computer system, but required multiple narrative additions. It was a well run agency and very reputable, but the documentation was definitely too much to do 7 visits in a day or the equivalent.
Yes, well, it seems that the majority of the agencies around here have the expectation of between 30 to 35 points a week. Some of these agencies have offices nationwide. Maybe its a geographical thing, with so many senior citizens residing here in FL, perhaps there are too many referrals (patients) the agencies are accepting without enough nursing staff to see them all, so current staff has to try to stuff at least 7 regular visits or 3 to 4 SOC's in a days work. Not saying its the best way not provide quality care, I'm just saying it is what it is.
I am a mama of three ❤ they will be goin to daycare and school ... I was an ADON and wound care nurse and certified. I got offered a RN Case management position in home health . My concern is being able to pick up my kids... is this typically a 9-5 ? Thank you for the video!!!❤
Hello, I am a BSN that has been working med-surg/psych for 2 years now at a major hospital 7p-7a. I am planning to accept a job in home health. I am also a single mother. I am looking for flexibility and change. I have been charging on my current floor and I like the independence that comes with being a team leader. What is the number one word of wisdom that you would give me pertaining to home health. This video was extremely helpful and I am looking forward to my new adventure you are awesome! Also could you recommend any websites or workshops in Oklahoma that can strengthen documentation skills as far as narratives and process noting?
Phillise Brooks I live in Florida, and have never been to Oklahoma, so unfortunately, I can't recommend documentation workshops for you to utilize. Just know that home health requires keen assessment skills that need to documented accurately so the agency is paid to the fullest extent for that patients care, so good charting skills are essential. As far as one word to of wisdom in order to flourish as a home health nurse: Flexibility!!!! You must be willing to take on additional patients on a whim, and to think on your feet quickly. In the hospital setting you have help all around you, in home health you're all alone in the patient's home. You must be a self starter and can be able to take initiative. Hope this helps you!
Hi! Thank you for the very informative video. How many routine visits do you usually do a week? Is it true that OASIS charting takes hours to fill out?
My routine visits as a fulltime home health rn was based on a points system. SOCs were worth 2 points, ROCs and Resumptions are worth 1.5 points, routine visits and discharges are worth 1 point. So the amount of visits varied. The goal was to obtain 35 points a week. Anything over 35 points were paid on a per diem rate. As a now per diem RN, visits are paid by the typ of visit made. Oasis visits are more than routine visits. And yes, Oasis visits, especially SOCs, are time consuming, usually between 30 to 45 minutes for me.Hope that answers your question!
Hello I've just been hired for a home care case manager rn and I'm not sure about the insurance piece but have to take some tests to show my competency. Where can I get this information?
I am about to (possibly) get a job as a health home case manager. I am wondering how do you organize to effectively keep track of Medicaid/program qulification updates, appointments, etc. I feel like there should be a software program that sends reminders but assumming that isnt a thing, what style of organization do you apply?
In my experience being a home health nurse case manager with several agencies, the intake department is responsible for letting the clinician know the payor source for services rendered to the patient. The payor source usually will appear in the referral paperwork you will receive when you are about to admit a patient to homecare. This payor source is also entered by the clinician on the OASIS assessment. Most of the time, the payor is Medicare (either traditional fee-for-service or managed care), but can also be private insurance, VA, and/or Medicaid among others. Hope this answers your question!
Kentrelle Music It may be difficult to get a job in home health as a new RN because you have no clinical experience. In home health, you have to think on your feet and have good assessment skills, as it is only you there in the home. Get a job in a hospital, refine your clinical and assessment skills, and after a year or two, if you want to do home health, go for it!
I have been working as a home health RN for six years. For the past few years I have been assisting in completing recertifications, doing comprehensive assessments etc. What I am confused about is what the difference is between a home health rn and home health RN case manager? and how you become one? Is there an online course? Thanks
A case manager manages the patient's case from their admission to discharge. They perform the admission, recert the patient if need be, and also discharge the patient at the end of the episode. If the patient is hospitalized during the home care episode, the case manager does the resumption of care for the patient as well. If he or she sees a need in a patient that is not yet being met (ex. patient with an unsteady gait whos at risk for falls, but only has nursing coming in for wound care), he or she would call the MD for a physical therapy eval order. A regular home health RN usually does not do any Oasis assessments, just regular routine visits. Thats been my experience, anyway. So no, theres no online class. Its a job description of RNs role in a particular agency.
Thanks. I ask because when I see positions listed on job sites for case manager RN it usually asks for experience as a case manager. So I am like "How do I become one?" Is it a position I should ask my Director of Nursing about within my agency?
Depends on your geographic location and other factors. I am a home health RN that is employed by a huge hospital system. Therefore, I get a generous salary (I prefer not to say how much) plus extra for anything that goes beyond my weekly visit productivity expectation. I also get paid for mileage (although I feel this does not fully compensate for wear and tear on your car). Home health RN's tend to get paid the same as or more than hospital RN's.
I’m a RN telephonic case manager and I’m living the life ..I was a bedside nurse for 33 years
Chana Goldberg what do you do as a telephonic nurse?
Can you give the pros and cons of your new position?
Just ran across your channel. Really can relate to you a lot! I have been working in home health for a long time. I've been with the same company almost 4 years. I just became an RN in October 2016 and been case managing since. it's a crazy job at times but I really enjoy it! I will probably never work in a hospital now that I've been doing this.
nurse20091 Great! I'm glad that someone other than myself works home health and enjoys it!
Nurse Christen 😉
How did you become a case manager? I had an upper management person change my title from home health rn to RN case manager at one point and I was totally confused as to whether these two positions are used interchangeably due to being an RN or if it is a specialized certification?
Girlll thank you! Are you still doing this line of work? I was an LPN for 10 years and 4 of those were acute care/PCU and 3 years of home care pediatrics. I just finished by BSN RN and I was hired as a New RN case manager with home care 🙋🏻♀️I’m so excited bought books on amazon to at least give me the verbage so I know the right questions to ask during orientation and at least sound professional in this line of work.
Hey 29 ! I came across this video today I am currently in school for lpn and my goal is to become a nurse case manager ...many people ask me why won't I just go straight for rn and start become a case manager.. well life is life 🙄 and I figured being a lpn for at least 2 years but realistically it may be longer because my main focus is raising my child. Then I can fully focus on my dream career she's 12 so maybe about another 10 years before I can fully focus on me ...okay all of that to say your comment has inspired me to continue with my goals and what works for me. And it is possible. Congratulations on landing the job 🤗💞. God bless.
Thank you so much for this video, I just accepted a job as a Case Manager in Home Health, I’m very excited after 28yrs in the hospital, your video really enlightened me..
Congrats on the new job! Being a case manager can be time consuming, at least you work largely on your own and actually have time to spend with your patients!
Hi! What happened to the Educator position you had and your plans to finish up the NP program? Great video!
Could you make a detailed video of your day as a case manager please!
Im so grateful you explained different kinds of visits and point associated with them. Were you trained to do wound vac dressings and other wound care techniques on the job?
Yes I was trained to do 90% of the tasks I do as a home health nurse on the job. Vacs are fun to do (for me, not the patient:)). Other types of wound care are interesting to do as well. I especially love how a chronic wound that seemed like it would never heal finally does after weeks, months, or even a year. Very satisfying.
@@nursechristen6052 thank you!!
I worked in home care for 15 years as an RN. The 35 points thing sounds crazy hard, that would equal 7 regular visits a day, or, to really put it in perspective, 3 start of care visits and a regular visit. Holy cow. At our agency it was the equivalent of 4 visits a day, or, two start of care visits, sometimes the equivalent of 5 visitis if they were easier and close together geographically. We did not work with LVNS at all, perhaps that makes a difference? The paperwork alone for a Start of Care at our agency took at least 1-2 hours, longer for IV or wound vac pt, and of course the visits are longer for them too, 1-2 hours. Add in drive time and time spent on the phone with doctors and you are looking at around 4 hours for each start of care on average. We were in a semi rural area, so maybe slightly longer drive times, but that amount of visits in a week still sounds impossible. I know we had extremely thorough documentation, it was on a computer system, but required multiple narrative additions. It was a well run agency and very reputable, but the documentation was definitely too much to do 7 visits in a day or the equivalent.
Yes, well, it seems that the majority of the agencies around here have the expectation of between 30 to 35 points a week. Some of these agencies have offices nationwide. Maybe its a geographical thing, with so many senior citizens residing here in FL, perhaps there are too many referrals (patients) the agencies are accepting without enough nursing staff to see them all, so current staff has to try to stuff at least 7 regular visits or 3 to 4 SOC's in a days work. Not saying its the best way not provide quality care, I'm just saying it is what it is.
I wish we could have an update
I am a mama of three ❤ they will be goin to daycare and school ... I was an ADON and wound care nurse and certified. I got offered a RN Case management position in home health . My concern is being able to pick up my kids... is this typically a 9-5 ? Thank you for the video!!!❤
Hello, I am a BSN that has been working med-surg/psych for 2 years now at a major hospital 7p-7a. I am planning to accept a job in home health. I am also a single mother. I am looking for flexibility and change. I have been charging on my current floor and I like the independence that comes with being a team leader. What is the number one word of wisdom that you would give me pertaining to home health. This video was extremely helpful and I am looking forward to my new adventure you are awesome! Also could you recommend any websites or workshops in Oklahoma that can strengthen documentation skills as far as narratives and process noting?
Phillise Brooks I live in Florida, and have never been to Oklahoma, so unfortunately, I can't recommend documentation workshops for you to utilize. Just know that home health requires keen assessment skills that need to documented accurately so the agency is paid to the fullest extent for that patients care, so good charting skills are essential. As far as one word to of wisdom in order to flourish as a home health nurse: Flexibility!!!! You must be willing to take on additional patients on a whim, and to think on your feet quickly. In the hospital setting you have help all around you, in home health you're all alone in the patient's home. You must be a self starter and can be able to take initiative. Hope this helps you!
How about details like salary do home health rn hours are
Hi! Thank you for the very informative video. How many routine visits do you usually do a week? Is it true that OASIS charting takes hours to fill out?
My routine visits as a fulltime home health rn was based on a points system. SOCs were worth 2 points, ROCs and Resumptions are worth 1.5 points, routine visits and discharges are worth 1 point. So the amount of visits varied. The goal was to obtain 35 points a week. Anything over 35 points were paid on a per diem rate. As a now per diem RN, visits are paid by the typ of visit made. Oasis visits are more than routine visits. And yes, Oasis visits, especially SOCs, are time consuming, usually between 30 to 45 minutes for me.Hope that answers your question!
I see. How is the work-life balance with case management? It seems a lot of visits to reach the mandatory 35 points.
Hello
I've just been hired for a home care case manager rn and I'm not sure about the insurance piece but have to take some tests to show my competency. Where can I get this information?
I am about to (possibly) get a job as a health home case manager. I am wondering how do you organize to effectively keep track of Medicaid/program qulification updates, appointments, etc. I feel like there should be a software program that sends reminders but assumming that isnt a thing, what style of organization do you apply?
In my experience being a home health nurse case manager with several agencies, the intake department is responsible for letting the clinician know the payor source for services rendered to the patient. The payor source usually will appear in the referral paperwork you will receive when you are about to admit a patient to homecare. This payor source is also entered by the clinician on the OASIS assessment. Most of the time, the payor is Medicare (either traditional fee-for-service or managed care), but can also be private insurance, VA, and/or Medicaid among others. Hope this answers your question!
@@nursechristen6052 Thank you!
I'm current,y an lpn, pending results for my RN-NCLEX. I love the position but I've heard it's difficult to obtain as a new RN. Do You agree?
Kentrelle Music It may be difficult to get a job in home health as a new RN because you have no clinical experience. In home health, you have to think on your feet and have good assessment skills, as it is only you there in the home. Get a job in a hospital, refine your clinical and assessment skills, and after a year or two, if you want to do home health, go for it!
I have been working as a home health RN for six years. For the past few years I have been assisting in completing recertifications, doing comprehensive assessments etc. What I am confused about is what the difference is between a home health rn and home health RN case manager? and how you become one? Is there an online course? Thanks
A case manager manages the patient's case from their admission to discharge. They perform the admission, recert the patient if need be, and also discharge the patient at the end of the episode. If the patient is hospitalized during the home care episode, the case manager does the resumption of care for the patient as well. If he or she sees a need in a patient that is not yet being met (ex. patient with an unsteady gait whos at risk for falls, but only has nursing coming in for wound care), he or she would call the MD for a physical therapy eval order. A regular home health RN usually does not do any Oasis assessments, just regular routine visits. Thats been my experience, anyway. So no, theres no online class. Its a job description of RNs role in a particular agency.
Thanks. I ask because when I see positions listed on job sites for case manager RN it usually asks for experience as a case manager. So I am like "How do I become one?" Is it a position I should ask my Director of Nursing about within my agency?
@@tashietyler5966 Sure, it doesn't hurt to try.
Less stressful?
How is the pay rate for Home Health RNs?
Depends on your geographic location and other factors. I am a home health RN that is employed by a huge hospital system. Therefore, I get a generous salary (I prefer not to say how much) plus extra for anything that goes beyond my weekly visit productivity expectation. I also get paid for mileage (although I feel this does not fully compensate for wear and tear on your car). Home health RN's tend to get paid the same as or more than hospital RN's.