Hot Job Market for anyone looking for a good career

Sentra52

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After 21 years in the Air Force, I retired and a friend of my wife asked if I would be interested in some part-time work. I said "why not, tell me what it entails." She said that she was working for a retired state senator who was 89 at the time. She had to help him bathe and dress. Monitor his health (take him to doctors appointments, get his medicines) basic stuff. I had some medical training in the military so I agreed. I met with the family and his private secretary and started working part-time earning $12.00 an hour several days a week. Fast forward six months... I got a call from the secretary, she wanted me to work for them full time and I'd pull down $22.00 an hour. I thought about it for about 1 second and said hell yeah. She said that they would pay me directly, no taxes, meals provided, and I'd have a car at my disposal while on-duty. 3 weeks later, I got a call from another businessman's secretary. Her boss was in ill health and she asked if I could come by to discuss possibly working for them on a part-time basis. After a brief consultation, I agreed to work with him doing physical therapy and administering his meds twice a day. Same pay, same benefits. After the second client was well, he asked If I would continue working for him as long as it didn't interfere with my other position. I agreed and I've been working for both clients for the past 3 years. Both clients are millionaires and so are most of thier friends. I put in a ton of hours last year made nearly $150,000 on top of my military retirement pay ( As a side note...since I get paid direct, My gold-digging ex wife can't ask for more loot for child support). That included spending a month in Palm Beach, Florida while one of my clients was hospitalized. I was on the clock 24/7, but only put in about 8 hours a day. I had an apartment, maid service and access to his yatch and a Benz the whole time.
Folks this is no joke. We've all read about all the "Baby-Boomers" retiring in the near future. Many of these people are wealthy and need personal assistant and nurses. They are willing to pay for private care versus hiring a service. Registered nurses and LPN's command $30 per hour to start here in North Ga. for private duty care. There is a shortage nationwide of nurses and private care providers and it will only increase (by some predictions ten-fold). My wife's friend just signed a contract to move to Knoxville Tenn and was given a $20,000 sign on bonus. She's working in Neo-natal care and grossed nearly 200K last year (I do their taxes). Her husband is a parmedic and they agreed to hire him on to get her to take the position.
Sorry this post is so long, but hopefully it will help somebody make a beneficial career shift. All medical fields are in dire need and I know here in Ga you can go to school for very little out of pocket. It's worth exploring if you want a change. Not to mention that it's full of benefits, especially private duty. I have no out of pocket expenses other that gas. We just bought a $250,000 home and are virtually debt free. We've got 2 Roth IRA's set up along with 2 mutual funds and my wife's 401K which we max out for employer 2/1 matching contributions. We dabble in stocks and I still sock away ay least $500 a week in savings. We hope to buy a second "vacation" home this year and totally retire in 12-15 years. With 3 active clients,
 
Good information, thanks for sharing, question though, doesn't this type of home health require some sort of ceritfication?
 
I have a mental health care company that helps individuals with disabilities. You are absolutely right there is a huge market for home health care work. I was actually in the process of spinning off a home health care company to add on to the range of health services we provide.

What you are dealing with is private pay clients however there are huge amounts of medicaid and medicare dollars out there for qualifying clients. In my program I intended to set it up servicing medicaid clients that we could bill medicaid directly for.

One caveat I would suggest is if you are going to do home health independently make sure all your medication administration training is up to date and you keep good MAR (medication administration record) reports. Once you start administrating medicine you open yourself up to a shitload of potential liabilities.

But I would suggest anyone interested in opening a home health agency go ahead and get going. I see if first hand everyday that the industry is huge. For the past couple years it has been the hot thing in N.C. In fact it got so big that many counties are no longer credentialling home health companies to bill medicaid directly.
 
good info - do you have to be a health vare professional to start a Home Care Business ? How do you find your clients ?

I've been thinking about starting a home care business - appreciate any info fam
 
No you don't have to be a health care professional but you do have to have them on staff. The only professionals you need are the nurses and those can be independent contractors. The best bet is to find a RN that would want to partner with you.

As far as getting clients. If you are looking for private clients you just need to advertise. But if you want medicaid guaranteed money clients you need to get endorsed by the department of health and human services (DHHS) in your county/state. Depending on the type of home health service you provide you can also get clients through the local mental health agency. That's the side I am focused on because I refer a lot of clients that have phased out of my more intensive program to a less intensive home health program.

The process can be a pain in the ass but once you are endorsed or liscensed by the local management entity you will be given a provider number that allows you to bill medicaid directly for services. This is basically a liscence to print money because you are going to get referralls from dhhs or the lme regularly.

What you will need to get endorsed.

1. An office site.
2. Policy and procedure manual (this is the hard part or easy depending on your connections) People sell them all the time but they are not supposed to. You are supposed to develop them from scratch based on medicaid and state guidelines. I did mine from a good example.
3. Employee files.(you will have to show you have the requisite staff with the requisite training to perform the services.
4. Insurance find out the guidelines for your state.

To get more detailed information contact by phone or check the website of the local dhhs. All states and counties have provider relations coordinators whose whole job is to support companies looking to initiate services in the area. Be careful who you talk to though because like I said home health has scene a serious boom in the last couple years so there have been a lot of people trying to get in and out for a quick buck. The provider relations people have to feel that you are very serious or they will blow you off. If you approach them right they will get you through the process smooth. This is where your networking skills come into play.

But if you have some more specific questions just ask a lot of people have helped me along the way so I just pay it forward.
 
I'm sorry for the delay in getting back as I was out of town with a client.
You do not require any certification in most states to perform as a personal assistance, but I would highly recommend taking Advanced CRP classes and any medical related classes that you can find. It is very important to understand medicine interaction, stroke/heart attack symptoms, wound treatment, personal hygiene and alzhiemers/ dementia. In my situation, I was in the Phys Assistant program in the military until budget cuts hit and we had to either enlist in the Army or cross-train (I'm Retired Air Force) I decided to stay AF Blue and cross-trained. If you dispense medication, you must have a nursing cert at the minimum. In my case, I work under supervision of the clients personal doctor and administer their daily meds as per doctor's orders (non-narcotic and no injections). I also oversee any care provided when they have to see any doctor other than their personal doc. My clients are aware that I'm not certified (and we've signed contracts to that effect), but before I take on any additional clients, I will get my cert.
In this area and in some parts of North Carolina, nursing homes are actually paying for you to get your RN/LPN and all associated cost for the cert.

As far as finding clients, advertise yourself in the seniors community. Once you get in, word of mouth will be your best advertisement, especially if you do a good job. I've got potential clients lined up and waiting. I just got back from Palm Beach with a client that I spent last summer caring for at their local hospital. We went to see his cardio doctor and I was asked by the office manager if I could see one of their local clients. I explained to her that I was just visiting and after our appointment, she called me aside. She had talked to the family and they wanted to know if I would consider moving to Palm Beach to care for their father. I called them that evening and explained to them that I was from GA and just visiting (They got my name from the hospital staff from last summer). They asked me to come by and see them anyway. So after dinner I drove over and met the family. I went over the medical record with them and referred a local nurse whom I had worked with some last summer. They were disappointed that I couldn't be there, but all the same thankful that I recommended someone. As I was leaving, the son stopped me and handed me a check. Without even opening it , I gave it back and told him that it wasn't necessary. When I arrived home today, I had 5 messages from them and a letter thanking me and asking me to stop in anytime I'm in FL.
 
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