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QUESTION: Our organization a huge problem with having to pay nurses very high salaries that Wellness does not financially support. Could other organizations share any efficiencies they have found and how they are able to make it work? We have 1 RN and 3 LPN’s. They have an average caseload of 33 individuals. Our caseload mix is 13% Tier 1, 76% tier 2 and 11% Tier 3. We probably bill 98-99% of our units each month. *** Our organization has hired one RN who supervises 2 LPN’s. The LPN’s are paid at a lower rate than the RN. *** Our agency has experienced the same thing. The only way to make it work is if the nurse is partially allocated to a group home. Even then, it is a loss. We are partially funding it by the profits in our other programs. *** Our wellness nurse also supervises two group home nurses. This allows us to allocate a portion of her time to the residential rate. We attempt to keep the individual in this position from being pulled into a lot of extraneous activities so she can focus her time specifically on billable wellness activity. *** Our organization’s nurse has a caseload of more than 40 clients. This information is a compilation of suggestions, ideas, and opinions shared by INARF Members in response to the featured question. This information should not be considered official interpretation or guidance of State or Federal Policy. Additionally, statements within this document do not necessarily reflect an official position or opinion of INARF.
We have 1 RN and 3 LPN’s. They have an average caseload of 33 individuals. Our caseload mix is 13% Tier 1, 76% tier 2 and 11% Tier 3. We probably bill 98-99% of our units each month.
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Our organization has hired one RN who supervises 2 LPN’s. The LPN’s are paid at a lower rate than the RN.
Our agency has experienced the same thing. The only way to make it work is if the nurse is partially allocated to a group home. Even then, it is a loss. We are partially funding it by the profits in our other programs.
Our wellness nurse also supervises two group home nurses. This allows us to allocate a portion of her time to the residential rate. We attempt to keep the individual in this position from being pulled into a lot of extraneous activities so she can focus her time specifically on billable wellness activity.
Our organization’s nurse has a caseload of more than 40 clients.