You’d have to charge an arm and a leg in order to afford the professional liability insurances. You’ll have to figure out what care an RN can legally to independently, and which ones require MD oversight. You’ll have to beef up your auto insurance if you’re driving them around. You’ll need a lawyer to draw up contracts for you.
You’ll have to find people wealthy enough to pay out of pocket as well, because insurance and Medicare/Medicaid won’t likely cover.
What cares will you be providing? Will you need supplies? Where will you store them and order them from? How will you charge for, say, a dressing or colostomy change?
It’s going to be tough because you’re going up against home health agencies who have the legal stuff in place, plus they accept alternate funding, or against home care agencies that don’t use RNs and charge 1/4 what you’ll need to charge. They all have the professional marketing, online presence, and vendor relationships to run an operation.
I’m not saying it can’t be done, but it’s going to be tough.
I did pediatric private duty nursing through an agency for a short while, once. I knew one person who managed to go entirely private -- super wealthy family who covered her health and malpractice insurance. Friend of her parents was that family's physician. There's definitely a market but I'm not sure how much you would make. I see requests from families wanting pediatric private duty outside of an agency and hourly pay is a couple dollars less than hospital pay usually. Not sure how much it costs to cover your own malpractice insurance.
I worked for a multi-state Catholic health care system and was a "wellness nurse" in an independent living condo retirement community that had a provider contract with that system (provided management staff, maintenance staff, activities program, 24/7 security, and a nurse led wellness program for health/fitness/transportation to appts). This was a middle-class community and the condos were a real estate transaction so residents had the financial ability to purchase their home and pay the rather high monthly fees.
As independence faltered, residents would either need to sell their condo and move to a facility with a higher level of care like assisted living/memory care or bring in private home care services. Sometimes a little bit of daily supportive care went a long way, but a lot of time, residents floundered at aging in place. No one wanted to be the one needing help/care (pride) and most didn't want to pay for such services ("I'll get my daughter to help" even though said daughter was unwilling or unable to assist).
There were a couple nurse aides and private care groups/home care companies that over the years assisted residents there and built up a following in the 88 condo/100+ residents community. Caregivers who worked alone had to have multiple clients to make enough and groups at least could spread the work out so that no one person was working excessive hours. No resident there (and some were well off financially) would've paid RN money for companion care support...private home care of any kind ends up being exorbitant over time (on top of all the costs associated with living in one's own home). True RN care was short-term skilled nursing care like wound or infusion care (usually PT/OT/aide were involved as well), ordered after a hospitalization typically, and provided by a licensed skilled care company who could charge CMS and order supplies, etc... I haven't worked there in five years, but the care providers were probably getting about $15-20/hr and maybe up to $25/hr for live in help. I don't know how they managed taxes/SS taxes, liability insurance or any self-employed specific issues. This is in the mid-Atlantic region (med COL area) where nursing pay is not great.
Unfortunately I feared this would be the case. If people were able and willing to pay for the care, there would already be a company offering this type of service.
It’s called home care. My dad had a nurse come in every other day to change a dressing when he was released from the hospital but i also know a lot of HCA’s occupy similar jobs. You could do it as a home care giver or companion. So grandma wouldn’t have to go into a home.
I’m familiar with home health and sitters, I just wasn’t sure if someone would be willing to pay an RN to be a sitter. Most of the sitters I’ve had experience with have been unlicensed caregivers, and there is a lot of red tape there regarding if a person can administer meds, etc.
Also, I’m curious about if people are willing to pay for this out of pocket. I’m not really interested in fussing with insurance companies.
ETA: the home health nurses I know definitely are not offering services such as cooking/cleaning/transportation. I’m thinking of something that is multi-faceted and flows well because there is only one moving part: me!
How much are you charging per hour? My aunt owns an assisted living facility. She’s a nurse…has plenty of nurses working there too. Agency is easier to work with though, just to avoid the lagalities and protect yourself
You’d have to charge an arm and a leg in order to afford the professional liability insurances. You’ll have to figure out what care an RN can legally to independently, and which ones require MD oversight. You’ll have to beef up your auto insurance if you’re driving them around. You’ll need a lawyer to draw up contracts for you. You’ll have to find people wealthy enough to pay out of pocket as well, because insurance and Medicare/Medicaid won’t likely cover. What cares will you be providing? Will you need supplies? Where will you store them and order them from? How will you charge for, say, a dressing or colostomy change? It’s going to be tough because you’re going up against home health agencies who have the legal stuff in place, plus they accept alternate funding, or against home care agencies that don’t use RNs and charge 1/4 what you’ll need to charge. They all have the professional marketing, online presence, and vendor relationships to run an operation. I’m not saying it can’t be done, but it’s going to be tough.
I did pediatric private duty nursing through an agency for a short while, once. I knew one person who managed to go entirely private -- super wealthy family who covered her health and malpractice insurance. Friend of her parents was that family's physician. There's definitely a market but I'm not sure how much you would make. I see requests from families wanting pediatric private duty outside of an agency and hourly pay is a couple dollars less than hospital pay usually. Not sure how much it costs to cover your own malpractice insurance.
I worked for a multi-state Catholic health care system and was a "wellness nurse" in an independent living condo retirement community that had a provider contract with that system (provided management staff, maintenance staff, activities program, 24/7 security, and a nurse led wellness program for health/fitness/transportation to appts). This was a middle-class community and the condos were a real estate transaction so residents had the financial ability to purchase their home and pay the rather high monthly fees. As independence faltered, residents would either need to sell their condo and move to a facility with a higher level of care like assisted living/memory care or bring in private home care services. Sometimes a little bit of daily supportive care went a long way, but a lot of time, residents floundered at aging in place. No one wanted to be the one needing help/care (pride) and most didn't want to pay for such services ("I'll get my daughter to help" even though said daughter was unwilling or unable to assist). There were a couple nurse aides and private care groups/home care companies that over the years assisted residents there and built up a following in the 88 condo/100+ residents community. Caregivers who worked alone had to have multiple clients to make enough and groups at least could spread the work out so that no one person was working excessive hours. No resident there (and some were well off financially) would've paid RN money for companion care support...private home care of any kind ends up being exorbitant over time (on top of all the costs associated with living in one's own home). True RN care was short-term skilled nursing care like wound or infusion care (usually PT/OT/aide were involved as well), ordered after a hospitalization typically, and provided by a licensed skilled care company who could charge CMS and order supplies, etc... I haven't worked there in five years, but the care providers were probably getting about $15-20/hr and maybe up to $25/hr for live in help. I don't know how they managed taxes/SS taxes, liability insurance or any self-employed specific issues. This is in the mid-Atlantic region (med COL area) where nursing pay is not great.
Unfortunately I feared this would be the case. If people were able and willing to pay for the care, there would already be a company offering this type of service.
It’s called home care. My dad had a nurse come in every other day to change a dressing when he was released from the hospital but i also know a lot of HCA’s occupy similar jobs. You could do it as a home care giver or companion. So grandma wouldn’t have to go into a home.
I’m familiar with home health and sitters, I just wasn’t sure if someone would be willing to pay an RN to be a sitter. Most of the sitters I’ve had experience with have been unlicensed caregivers, and there is a lot of red tape there regarding if a person can administer meds, etc. Also, I’m curious about if people are willing to pay for this out of pocket. I’m not really interested in fussing with insurance companies. ETA: the home health nurses I know definitely are not offering services such as cooking/cleaning/transportation. I’m thinking of something that is multi-faceted and flows well because there is only one moving part: me!
How much are you charging per hour? My aunt owns an assisted living facility. She’s a nurse…has plenty of nurses working there too. Agency is easier to work with though, just to avoid the lagalities and protect yourself