I work for an insurance company, working with a group of docs who are home visiting PCPs for very sick and homebound patients. All of my fellow RNs are home based as well. I love it. 100% o line and telephone based. It is my dream job that I've been working towards since I graduated nursing school.

Based on convos with my coworkers. We are all 10,000x's happier working at home than in an office setting

in to help with some things and we have to fill out her papers which go into the office and every 60 days an RN comes out to check with me about how she is doing.

My granddaughter is an RN and takes care of a child 8 hours a day in the home. But she has to attend staffings and I am sure that there are reports that may be sent in on line.

As a social worker for severely disabled children and adults I would not want the inspection visits to stop. They are to stop both abuse of clients and the system. There is a lot that can be done on line but the visits are often a safety net.

I don't leave my home and I have no face to face contact with patients. My main office is in Chicago, my docs and patients are in Philadelphia and Baltimore, and I live in Clearwater FL. Everything I do is via Internet and telephone. My only contact with patients is via telephone, which is why I can work 1500 miles away from them

contract for? As a case manager I visited with all of my clients every 6 months. It was for accountability.

Not every case manager is an in-person case manager. SEcondly, I'm not 'contracted" to do anything specifically. I work with a practice of 12 MD's and 6 NP's who do in home visits as the patient's PCP's. These providers then task me (and my coworkers) with things like setting up specialist appointments, getting them hooked up with transportation, following up on their missing CPAP machine. I order DME, lab and diagnostic tests, and follow up with visits to their specialists.

I call the patients on a regular basis, depending on their needs, and do well-checks, weight checks, blood sugar monitoring. I do telephonic education.

Who checks? The doctors who see them once a month. The NP's who see them between PCP visits. They know what was ordered and they get updates if the patient doesn't meet medicare guidelines for that equipment to be covered. We are in constant contact with the MD's. Everything they order gets done. We are the lifeline of these patients who are elderly, poor, with great health and social needs, and most of them are unable to leave their homes. The patients sure as shit make sure to let us know what their needs are, as the MD tells them "heddi will call you this week with appointment information for your lung doctor". Trust me, there is accountability from myself, my coworkers, my physicians, and my boss, and the patients.

I also work in conjunction with community-based case managers who do meet with the patients in person, but they don't do as much "behind the scenes" work that I and my other RN coworkers do, again with appointments, transportation, orders, and followup to tie it all in a nice bow.

I mean, I'm not sitting at home with my feet up eating bon bons, with my wang flapping in the wind. I do not leave that desk from 8am-5pm. I also get inbound telephone calls from people calling our main office number. I get roughly 25-40 inbound calls a day, in addition to the 2 MD's that are my primary MD's and their patients and the outbound calls I have to do.

all special needs clients with developmental disabilities and I had no choice but to do 1 to 1. They could not tell me that things were going okay. Otherwise what I did was about the same and in fact as you talk about what you do I realized not that I am the person receiving case management that I get calls like you are talking about.

The only reason we did not work from home was that the clients files were confidential and they would not let us take them home.

It is interesting to see how this has changed since I stopped working.

Thank you.

I am okay without having face to face with patients. Some people need that connection. My coworkers and I are spread btwn fl, PA, and IL and I get along better with them remotely than if I had to deal with the minutiae and miasma of office politics. Basically imagine that I do what is done in a Dr's office or clinical setting.... Just at home

Would hate it if it was full-time. I did that once for a brief period and found it very isolating. You don't form relationships with co-workers the same way and WebEx, as great as it is for so many conferencing needs doesn't replace face-to-face discussions for others. But part-time WFH has been a godsend to me and a lot of my co-workers.

Last edited Sun May 22, 2016, 06:54 PM - Edit history (1)

I WFH occasionally, usually when I'm not feeling well. I am learning to be more productive from home, but my job requires some influence and that means face to face is necessary. I work with some very talented coders who WFH everyday. I work for a company that is increasingly open to this. For myself I wouldn't want to do it all the time, but could see myself doing 3 days at the office 2 at home weekly.

I have mild? Aspergers and cant look people in the face while talking to them. I stumble over my words and look off to the side or down. Greetings and goodbyes very difficult etc.

I could work from home everyday but then I would miss out on all the company perks and I really enjoy the work environment in the office. The only reason I work from home is I need a quiet day to catch up on my work where I am not juggling 15 different things while answering questions from co-workers.

I have deadlines to hit. As long as I hit them and the work is up to par, no one cares how or when I get it done. It makes so much sense for a lot of positions -- although it definitely takes a certain kind of personality.

No office drama, no office politics and it probably saves me about $3,000-5,000 in food, gas and associated expenses involved in working in an office. I am more productive and happier.

I like my quad screens and faster connections at work

I have found I often have to do stuff for the WFH people, which annoys me greatly

There will be a lot of new condos available in downtown Chicago in 20 years.

There are pros and cons but more pros IMO. I enjoy it.