r/nursing • u/No_Wheel_6096 • Oct 09 '24

Nursing Hacks Home Health RN pay

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I’ve been a nurse for 8 years and have always worked in the hospital setting (travel nursing for the last 4 years).

Looking to transition to a nursing job outside the hospital and have been looking a lot into home health, clinic jobs, etc.

I got a job offer with a home health company and I’m wondering how these pay-rates (pay per visit) compare to others in the same area (Orange County, California)?

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270

u/softboii22 Oct 09 '24

I know a few RNs who RAKE IT UP with admissions. They do 2-3 admissions a day with a few different home health/hospice companies. One of my RN buddies made 180k strictly doing admissions

15

u/[deleted] Oct 09 '24

How long does an admission take? More than an hour?

28

u/MusicSavesSouls BSN, RN 🍕 Oct 09 '24

When I did home health, it would take me about 45 minutes. I wasn't paid per admission, though. I was hourly.

25

u/lindslinds27 Oct 09 '24

When i did admissions for hospice it could take 45 mins for a visit or 3+ hours depending on how much of a shit storm you want into. However, the main part of admissions that really takes long is the charting afterwards….LOTS to chart, lots of phone calls to coordinate DME and other services, and then making sure the care team is all set up too. It’s better than hospital nursing but still can be stressful

13

u/moon_of_blindness BSN, RN 🍕 Oct 09 '24

How did it only take 45 minutes?? If there was a med rec with 20+ meds it could take me a half hour to just do the meds and sort out complications. But this was many years ago. I’m hesitant to go back.

5

u/[deleted] Oct 09 '24

I was a Visiting Nurse as well for 3 years and yup with some of these patients… Starts easily good 2 hours because literally their lives were a mess, meds everywhere, zero medical or med literacy, high anxiety, complicated wounds or Vac changes. Your easily stuck for hours in a patients home THEN add in the Oasis charting AND possibly calling multiple MD offices to clarify orders or whatever THEN chart all of that! H3ll to the NO! The charting never ends. I’d never go back to Home Care.

2

u/fishonthemoon Jan 26 '25

This happened to me recently. I was up until 3 am completing all of the documentation for that patient. 😭

3

u/[deleted] Oct 09 '24

Some agencies will upload the med list from the referral and you can just go through what’s there and add or edit if you need to

2

u/TheNightHaunter LPN-Hospice Oct 09 '24

Depends on the vna, for profit or non profit? Also pay structure hourly is better hands down always. Lastly is there a vna based of a hospital group in your area? That makes life easier due to same emr, referrals from same place and med lists are more accurate 

-2

u/MusicSavesSouls BSN, RN 🍕 Oct 09 '24

That's how long it took me. Don't know what to tell you. *shrugs shoulders*

3

u/Neither-Magazine9096 BSN, RN 🍕 Oct 09 '24

Same. And looking at these rates, I was underpaid.

2

u/kpsi355 RN - ER 🍕 Oct 09 '24

This is for Orange County CA, cost of living is high. If you’re not in a similar COL area you might not have been underpaid.

6

u/ReadingLizard Oct 09 '24

I was fast and could complete an assessment, documentation and all, in about 40 minutes. Learn your system really well, use talk to text for narrative notes, and get a rhythm for that as well. Makes it move very quickly.