career –
New RN asked to "consult" for a new home care agency?!Rating: (votes: 0) It's hard for me to understand exactly what your role would be. Many home care agencies employ 'transitional care' nurses who evaluate pts in the hospital to help with continuity of care, make sure the right services are in place, avoid readmissions, etc. PT and OT usually make the specific assessments about whether help with ADLs are needed.Typically these positions require familiarity with the reimbursement system, insurances, applicable laws etc. As a new nurse at a new company, think about how you will get the mentoring you need to navigate these complex systems. My gut feeling is that this job is about more than just simple 'assessments' and that you might be in over your head. Comment: are you just filling out like an LTCC assessment to see how many hours of PCA they'd need?Comment: I'm not sure exactly what I would be doing. We haven't gotten together to discuss details. I was just wondering if anyone had experience with this. I would hope she would want someone more experienced for something so complex. She knows I am a new nurse. IComment: Thanks for replying. We are sitting down together this week. I will post back with details. Maybe she doesn't realize the complexity of what she is asking me to do.Comment: Please be very careful. Considering your lack of familiarity with reimbursement rules, you may find yourself inadvertently embroiled in a 'fraud and abuse' situation. This could effectively end your career before it has even begun.Comment: Many new agencies start by providing Private Pay Home Health Aide (HHA) care along with contracts from states Medicaid program via contracts with area Office of Aging program under Home and Community Based services. Home and Community Based ServicesComment: Thank you for the advice and the links. I will do some research before I accept the offer. I don't want to get in anything that could make me lose my license. I am happy where I'm at right now In med surg. I will talk with her about the expectations of the job and my concerns.
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