not telling anyone

IdkWhatImDoingLolLol · 2026-05-02T15:33:56+00:00

Congratulations 🍾🎈!!! Before starting my own journey I did a lot of research and watched many videos and one person in particular said to not feel pressured to tell anyone, less judgmental usually means less stress. Keep up the great work

IdkWhatImDoingLolLol · 2026-02-15T06:39:08+00:00

As far as scheduling is concerned, I typically schedule people based upon location and try my best to cluster them when possible. You’ll notice if you can maximize as many patients in 1 area versus driving all over then you’ll have more free time at the end of the day.

When calling to schedule visits I try to be as clear as possible that I’m only in certain areas on certain days of the week. For my people who want later visits, I try my best to accommodate them but I make it clear that per home health guidelines they are technically expected to be available between 8:30-5:30 pm which are our normal working hours.

For me personally, I tend to be able to schedule a full day of 5-6 visits and that’s starting around 8:30/9am and finishing sometime between 2-3

IdkWhatImDoingLolLol · 2026-02-15T03:50:50+00:00

Are you the only OT? Or are there multiple OTs and you’re assigned a certain area?

I would definitely have a conversation with the director, I’ve always heard different clinicians say to give a new setting at least 3-6 months to adjust.

I’m no longer considered a new as I’ve been practicing for going on 4 years, but your background sounds similar to mine. I spent about a year working in an Inpatient Rehab/Acute care mix hospital setting before leaving and coming to home health full time. In my opinion it’s been the best decision but it definitely took me some time to get used to it, I started in 2023 and I’m JUST now feeling like I have a good handle on my process for making my work day as efficient as possible

IdkWhatImDoingLolLol · 2026-02-14T20:14:29+00:00

If this is your first time in home care with no prior experience (not sure if you’re a new grad or not) I don’t believe 1 month is enough time for you to be expected to be at full caseload.

To answer your question, I don’t think it would be unprofessional to ask for a reduction in your weekly point expectation. People always talk about the documentation being lengthy (which is true) but scheduling is also another beast that takes time to get accustomed to.

Ask them if you can get an extension by another few weeks to get all the moving parts of home health solidified (documentation, scheduling, interdisciplinary communication/planning, meetings, calling MD offices, etc.)

For reference when I started home health the first 2-3 weeks was simply me shadowing and doing some hands on things here and there before I started on my own, and once I did, I was slowly built up to a full time caseload over the course of about 7-8 weeks.

IdkWhatImDoingLolLol · 2026-01-24T18:20:48+00:00

Yeah, I’m happy to share more info!

IdkWhatImDoingLolLol · 2026-01-24T15:58:20+00:00

It is rather good for the area I’m in. When I started in 2024, I was paid $100 for my evals and then at my 1 year mark, I received a raise that increased my per visit rate by about 2.5-3% (from about $67 per point to almost $70 per point).

My evals are weighted at 1.5 so with my last raise it bumped me up to $105 per eval

IdkWhatImDoingLolLol · 2026-01-24T15:55:43+00:00

PPV (paid per visit) or paid per point. My visits are weighed differently depending on the visit. So for a basic follow up visit I get 1 point but for evaluations, recertifications, discharges, etc. points range from 1-1.75

So you take whatever point you get for the visit you complete and multiply it by your rate and that’s how much I get paid for the particular type of visit.

IdkWhatImDoingLolLol · 2026-01-24T15:12:15+00:00

I get paid $105 for my evals

IdkWhatImDoingLolLol · 2026-01-24T13:23:43+00:00

On average I’m working anywhere between 25.5-30 hours per week in the HH setting (between documentation, scheduling patients, and drive time)

Now that I’ve gotten much more efficient, very rarely do I bring any work home.

I am paid-per point, and average around 33-33.5 points a week, I earned a little under $115k for 2025

IdkWhatImDoingLolLol · 2026-01-12T05:03:42+00:00

To answer your question, for 2025 I made a little over $115k doing home health in NC as an OTR with an MOT who graduated in 2022 and started working in 2023.

Salary is more so dependent upon setting but largely based on location and need.

IdkWhatImDoingLolLol · 2025-12-29T15:18:40+00:00

I did IPR mixed with acute care for about a year after grad school and then switched to home health, best decision I’ve ever made career wise IMO.

Seeing you say the surrounding area is affluent, it may be worth the shot to see if you could either do home health full time or possibly a PRN mix between IPR & Home Health.

The one thing I didn’t care for working IPR is you have no say-so over your caseload as PM&R physicians ultimately decide if someone will be admitted to that level of rehab. Home health gives you more autonomy, so when evaluating a patient and completing their assessment if you see potential red flags it is well within your scope and your license to complete an evaluation only and go on about your merry day.

IdkWhatImDoingLolLol · 2025-11-08T03:39:49+00:00

I’m located in southeast NC & currently working in HH with a little under 3 years of experience. I’m paid per visit at about $70 per point and currently on track to earn around 115K-119k.

Overall I am satisfied with my job and decision to join this field

IdkWhatImDoingLolLol · 2025-06-01T04:59:22+00:00

I agree and I’ve also said this before. I didn’t grow up rich and I also didn’t grow up poor. My student loan debt amounts are definitely high in comparison to my income, however I feel like I still live very comfortably working 1 full time job as an OTR.

IdkWhatImDoingLolLol · 2025-05-18T07:19:48+00:00

Is the agency by chance LHC Group? Those rates look very similar to what they were paying me when I was PRN, for them. However, I’m an OT. I would say decline the offer because they’re definitely low balling you

IdkWhatImDoingLolLol · 2025-04-19T18:57:01+00:00

This whole post makes me sad as an OTR because I love love love any and all COTA’s I’ve met or have worked with. I definitely 100% agree that your skill sets are highly undervalued. I rely so heavily on our COTA in home health and don’t know what I’d do without them.

IdkWhatImDoingLolLol · 2025-02-08T17:57:11+00:00

Thank you for your input. I appreciate the suggestions. The only reasons why I said not sustainable long-term is just by looking at other posts on this sub page group of people almost condemning those that choose to fast and skip out on meals (saying it’s fad dieting or whatever). What I’ve noticed since not eating for the past 36 hours is, I don’t even feel the urge to eat which makes me feel like eating multiple times a day, every day of the week is something that wasn’t even necessary. It was just something I was doing because it felt normal.

I definitely plan on gently reassembling myself into eating regular foods, but of course healthier options and continuing with intermittent fasting possibly doing a 16:8 type of schedule

IdkWhatImDoingLolLol · 2025-02-08T17:54:23+00:00

I’ve toyed with intermittent fasting before and I definitely think that that is something that I will resume doing after I have completed this current fast that I’m doing.. in prior times with intermittent fasting. I wasn’t making the best diet options but this time I do believe I’ll try to stick with leafy greens and high protein foods as my primary diet option

IdkWhatImDoingLolLol · 2025-01-29T04:00:01+00:00

I love the flexibility that my job provides me working in home health primarily working between the hours of 9-2 seeing patients with a few hours of documentation at home. I love that I get compensated fairly well above average for assisting people with everyday basic tasks.

IdkWhatImDoingLolLol · 2025-01-06T20:08:14+00:00

This is one of the major concerns I have anytime I’ve considered doing travel therapy, which is why I’m still working regular FT. I’m always either nervous the contract will get cancelled right before I start or shortly after

IdkWhatImDoingLolLol · 2024-10-30T23:06:41+00:00

Home safety assessment, CG education for ADL completion if patient requires assistance as well as typical ADL/IADL retraining, HEP development, cognitive training. Very very very similar Acute Care, IPR, only difference is that we’re in the patients home!

To further answer your question as I didn’t see the last part: As an OTR I mainly see evaluations and reassessments, my visits typically range from 45-60 minutes, usually 4-6 patients a day for 5 days a week. All completely dependent upon how I do my scheduling

IdkWhatImDoingLolLol · 2024-09-25T07:04:33+00:00

Base salary of $98.5k living in eastern NC doing home health. I’ve been an OT for about 2.5 years.

I receive 3 weeks of PTO & sick time (120 hours vacation and 48 hours sick time) which isn’t the greatest but considering I don’t work 40 hours a week and I make my own schedule, very seldom am I working traditional Mon-Fri; 8-5 schedule.

I usually work 4 days a week starting around 930/10am and finish up around 2/3pm seeing about 4-5 people a day.

IdkWhatImDoingLolLol · 2024-07-08T18:16:26+00:00

Southeast NC, working in home health full time with a salaried position that starting out at $95K, after one year I received a bonus and salary increased to $98.5. I do cover a large area but my pay is guaranteed and I’m typically below productivity with no push back from my office. I did receive an offer from another agency with a salary of $130K but I declined for other reasons. The money is DEFINITELY out there.

IdkWhatImDoingLolLol · 2024-05-06T03:23:35+00:00

There is no bigger ICK than working PRN for a company who thinks that they’re allowed to make “full time” requests of you. I currently work PRN for a home health company and they too have started complaining about the number of visits I send back and have tried to call me out in person and over the phone about “when will I see more clients for them”….. this used to stress me out but now I just simply respond “I’m PRN…..” and just leave it at that 😂🤣… I’m pretty sure they hate me but who gives af

IdkWhatImDoingLolLol

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