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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u/echk0w9 Oct 09 '24

Most home health jobs use a point system. Looks like they are doing $50 for a routine visit and $250 for a start, that’s ok. The problem is the pay for the other visits. The high tech, recert, eval, and roc pay rates seem off. A roc is time consuming as is a recert and you’ll do by far more of those as a case manager than starts.

I’d shop around for a company who does a point system. It’s easier to compare hh pay that way.

Also, just saying bc a lot of people don’t understand what home health is. I know you’re coming from a hospital system but home health is not an easy job. At all. You can make bank and once you’re good you can get home early most days and just do paperwork. However, the paperwork is a lot, you are working more or less alone with some complex medical and social situations. There’s a ton of autonomy but also responsibility/liability bc it’s just you in the home. There no “clocking out” like working inpatient. So boundaries are important. Please talk to a friend who already works home health about what it’s like and where to and not to work.

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u/Simple-Practice4767 RN 🍕 Oct 09 '24

Can you please explain the point system?

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u/mizJ11 Oct 09 '24

When I did HH, you'd be expected to earn like 5 points a day. A regular visit was 0.5 pts SOC 3 points. ROC or Recert were 2 points. Discharge was like 1.5 point (if I'm remembering correctly). Then a different company bought mine out and they dropped all those points by a half point, so a SOC became 2.5, etc. that way, they could squeeze every last sad, exhausted drop of productivity out of you. You'd still need to see 5 points of pts a day, but each visit was worth less than before so you could see at least 1 more patient.