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hospital at-home -vs- national at home

Posted By: what to do...sm on 2005-12-21
In Reply to:

I have an interview today with a hospital...work in-house for 3 months, then go home, paid on production. I don't know as of yet what they pay production, so my question is to anyone who works for a hospital at home AND has also worked for a national at home...


Which would be the best to choose? The hospital offers great benefits, but the national I work for now also has benefits, not as good as the hospital, though.  Any input would be most appreciated!





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Been at home for over a year now and I switched to night shift. I work for a national. Started out
working the night shift and sleeping in shifts during the day. My kids are way older but that doesn't mean they don't interrupt me. Besides, there the phone issue, more interruptions, the dogs bothered me a lot, too. Love them dearly but, oh so spoiled. It was taking me 10 hours to do what I can do in 8 on nights, plus I manage to get more sleep, if you can believe that. I still get supper on the table, vacuum, laundry, etc. So far it is working pretty good, so I think I will put in for permanent night hours for awhile. No sense in working 10 when I can work 8.
Not OP, but how does one go about getting an at-home hospital job..sm
I have 30 years MT acute care experience and think I would like working at home for a hospital (currently work for a mid size MTSO). I don't recall seeing those type jobs advertised. Can anyone give me advice on where to find those kind of jobs? Thanks for any help!
Hospital at-home job vs. service
Here is the scoop:  I work for a service now, but was offered an at-home position with a local hospital at $14.70 per hour with benes.  WHAT SHOULD I DO???????
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
I work for a hospital but am home. nm
nm
Home versus Hospital - sm
Speaking as one who was a unit secretary for many, many years, and now an MT working from home, I personally would NEVER, ever go back...but, the benefits of working in-house are much better than most MT companies offer. AND, your point of steady paycheck is a valid one. This is something you would have to sit down and write all the pros and cons, with your feelings included, to make a decision based on what is best for you. Good luck.
When I worked at home for a hospital
I had all of the benefits, but the hospital I worked at did not go by production.  They just basically paid per hour.  They did not expect a certain amount of work be done in a certain amount of time.  I had access to the software the hospital used.  This probably won't help you, but it has only been 2 years since I left the hospital.  I make way more with my own accounts.  If the benefits you are seeking have to do with retirement, then you may be better off setting up your own retirement account because if you are older, you will need to be vested before you even begin to think about a pension. 
MT working at home for hospital
I just recently was sent home from a local hospital where I work. I make $15.80/hour, no incentive, and we are required to type a minimum of 1200 lines per 8-hour shift.
I work at home for a hospital
differential, average around $18 to $22 an hour. I am not paid hourly, but totally CPL. I don't use any benefits because I am on my husband's.
Missouri hospital at-home MT..........
I have worked for a hospital for 15 years. They moved us home about 10 years ago. I make 11 cpl on a 60-character line. We have to maintain a 5000 line per two week pay period quota for health insurance which is free for employees, but I carry family plan and it is 110.00 a month (hard to beat that). We can type whenever we want, no set hours. We also rotate weekly on call schedules where we go on call from Midnight Sunday morning to the next Saturday at Midnight. Just for being on call, we get an extra 220.00 that week regardless if we receive any calls, but if we do get called, we still receive our 11 cpl pay as usual. This is a 270 bed hospital with all fields and specialties and pretty well all of the dictators are great. I am very happy with my position at this hospital.
I am, but I work for a hospital (at home). (nm)

Former MQ here. I finally got a home-based hospital job.
Less flexibility, as in having to work set shifts, but the pay is great and I have all the great benefits.  I know there are so few hospitals that have their own department, but if you're in a populated area and can find a job, it will TOTALLY renew your opinion of this job. It has for me.
18 cpl straight from a hospital working at home. nm
x
24-yo female Missouri, PT at home, FT hospital
sm
i would never give up my home-based hospital job....go for it
s
need advice /home-based hospital job

 I was offered a home-based MT job as a direct employee of the hospital with an extremely good per-line-rate.   But yes, apparently it was too good to be true!  Apparently on further consideration, the administrator now says it is too costly (technically) for home set-up; mentioned something about the Lanier DVI desktop and how costly etc. etc.  and some other MT has the license (?what's that about?); also mentioned "Cquence" transcription software program.   They presently already have 5 other off-site MTs.   Anybody out there with opinions and/or constructive advice...please.     Thanks in advance. 


I worked for a hospital at home for 4 years. sm
We had to work set hours. My advice is allow youself 1/2 hour for lunch, and at least two 15-minute break periods. Work 2 hours, take a break, work 2 hours, take a lunch break, etc. Otherwise, you may find yourself having back, shoulder and hand problems. Working 9 hours may seem like a drag, but not being able to work at all is even worse. Remember, if you were working on site, you would not only have to work 8-1/2 hours, but would have travel time on top of it. Just my experience.
I worked at home for the local hospital here.
It was fine. They paid hourly and provided equipment. We had plenty of work and had to stick to a set schedule. They do use a service or two for overflow, but it is strictly overflow. The hospital still has employees working at home. They don't ALL outsource. (And ironically, some hospitals are taking back their transcription and hiring in-house and at-home MTs!)
I work for a hospital from home on my computer and they do this too. sm
I was told that it is becoming more and more common to see this happen as the internet can open the hospital to too many vulnerabilities. It's my computer but I am on their clock, so I am OK with it. I prefer my books to internet research though so it is not so bad for me.

Good luck with this.
Hospital job is "work-at-home" paid hourly
Thank you for well wishes.
Key words: Utah and Hospital. Different from working at home and different SM
from working in a state that has low tolerance for drinking.
I disagree. The best place to work is a hospital that has their MTs at home.
x
Why not work fulltime at home for a hospital with bennies?
Or look into the state children's medical program. Check into foodstamps and utility assistance while you're at it. The states also usually have a program to enforce child support, which can't be arbitrarily reduced if someone just decides to be self-employed and hide their income one day.

As for the savings and retirement, relax, you'll get there. As for life insurance, you can get a term or universal policy cheap. I can relate about the job situation. I'm teetering on bankruptcy myself now because I lost my steady job in October and have had two other jobs with no work or lousy platforms since then. I keep waiting for the utility companies to shut everything off because I can't pay.

We'll survive. I can't wait for tax refund time myself. You'll survive, too. You can do this. The best part is that you can do this without his help, and your kids will love and respect you for being the responsible parent.
I turned down a hospital job to stay at home and regret it. sm
The hospital jobs are much more stable, and you have the same docs over and over. Even if they are ESL, at least you can get good at them. Take the hospital job - the PTO and benefits are worth it.
I surely lost out on that, worked from home for a hospital
for 2+ years and required to come in house for meetings and never, never paid for my gas nor my time down and just asked to make it up. After that we got outsourced to a company and guess what again? Meetings at their place and again no pay!! I bet others who see this probably have had the same thing happen to them. Your place exceptional.
Take at home transcription job or unit secretary job at hospital?
I've been an MT for 12 years and have worked at home doing MT for 10 years. Recently got replaced by EMR so had to find work elsewhere. I took a job at a local hospital as a unit secretary working 3-11 now I have been offered a job with a national transcription company. I'm not sure if I should go back to transcribing since the line count/money making potential has me worried. I've been assured that I will never run out of work but I'm worried that I will actually be working longer than the 8 hour shift in order to make the amount of money I need. I would love to be back home with my kids typing again as I miss not seeing them as much as I used to and they want me to be home. I am just not sure if I should stay in a job at the hospital which has a guaranteed amount of money per pay period since I'm being paid by the hour and not by the line where my paycheck can vary. Any thoughts/suggestions/opinions, recommendations out there? Any and all would be greatly appreciated!!

Thanks!!
i am an inhouse hospital transcriptionist who works at home
I am an in house hospital transcription who works at home. I get 19.00 an hour plus incentive pay which is 7 cents a line after 1,000 lines. and 7.5 cents after 1,500 lines.
I think I misstated it - the at home people live within an hour of the hospital - sm
this is what the hospital is absolutely positively trying to avoid - having people all over the country doing the job. If the equipment breaks, if there are meetings, etc. - these cannot be done with transcriptionists all of the country.
great post - we have people that work at home in our hospital - sm
but getting them to work is like asking them to do a big favor. They constantly have the excuse "oh my kids are here, I have to play with them." "I can't work because my kids have a cold." "I can't work because my kids want to go outside and play."

I could go on and on and on. Those of us that work inhouse and have kids don't seem to have "the problems"
$15,000.... Hospital employee, telecommuting from home, working less than full-time.
c
I'm a hospital employee, working local at home, so I get a raise every year.
x
I work four 8 hr shifts, home based for hospital.. hourly plus incentive.
sfg
I have 13 years experience and just started a hospital job working from home making $16 an hour

and with a really good incentive plan.  I live in the Kansas City area.  $10 seems like a low starting point even with only two years experience which is the usual benchmark for hospital MT jobs. 


It's been my experience that the low end of the pay scale for hospital employed MTs was around $12 an hour.  Also, it's been my experience that the pay offered is usually based on years of experience and how well you perform on the transcription test.


I would say if their pay is that low, they should at least be making it up with incentive and it doesn't sound like they are.


JMO


My kids have suffered greatly from me working at home with them home. SM
I have been working at home as an MT since my two kids were born. They are now 4 and 5. In the first few years, I had no help whatsoever. Their father was a bum who didnt work or take care of them while I worked. Your children get neglected while you work basically. And babies and young children desperately need your attention while they are home with you.

My kids have so many behavioral problems right now because of their neglect. I would try to set them up with things to occupy themselves, like coloring or a movie, etc.

I finally put them in day care and things have improved, but there are still a lot of issues because of the damage that was done. They still try to seek attention by doing bad things and they dont listen to me because they are so used to me letting them get away with a lot of stuff because I was too busy typing to discipline them in their early years.

If I could do it all over again, I would definitely have put them into day care from the very beginning.

My advice would be to seek PT care for your baby. Maybe you can do some work around her schedule a little when she is home, like when she takes a nap, and then bang out a bunch of work while she is in day care.


I enjoy being alone at home, but I've got one home sick from school already.

One on one with a kid is nice, too.


This summer has been absolutely crazy.  I haven't had a moment to myself for three months because all of my kids were home traipsing their friends through the house and yard.  My husband switched his work schedule, too, so he's around more than usual.  However, I like not having to do two loads of dishes and four loads of laundry a day.  There are no toys or clutter dragged out everywhere.  I can clean the house first thing in the morning, and it stays clean until everyone gets home at night.


I even got to relax with a cup of coffee and watch TV for half an hour this morning, something I liked for a change instead of cartoons or kids' movies.  I signed up for an online class that I've been wanting to take.  I can exercise without being interrupted.  Yesterday, I went to the mall and spent all my saved up gift cards.  I got some clothes, books, bath stuff, and a new coffee mug.  My work gets done a lot faster, too.  Call me nuts, but I've never had the luxury of being alone in the house for 14 years.  It's kinda nice.  I love my family with all my heart, but I love having a few hours to myself each week, too.


Except now the cat and dogs have been acting weird since the kids went back to school.  They must think that I need someone or something to clean up after and correct behavior on.  They're getting into everything and racing around the house behind me.


my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
Forget "per line." Your take-home pay should be taking home SM
roughly what it was before. If it is not, is it because your current pay rate for editing (which in many companies keeps changing as the VR system is developed) is too low or is it because your talents and skills are more for speed typing than speed editing?

If the first, discuss it with higherups, and go get a new job if you don't get the response you need. My last MTSO was secretly refiguring how production was counted to pay us less. I can accept hard reality, it was the secrecy that burned. Sometimes, though, it's just that the learning curves of individual editors and that of the system aren't in sync, and you end up temporarily making less.

If the second, though, recognize it as soon as possible and change to straight transcription work, in your company or a new one, for as long as you can find it.

As for why we aren't paid more for a higher skill, that's just the way the labor supply ball bounces. Best wishes.
When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
I think she means she has wireless TO her home, not IN her home..nm
x
Help! Have face-to-face interview for at-home hospital job tomorrow and ....SM

I want to ask the most comprehensive questions I can so as to make the best decision possible.  I work for a small national right now, pretty happy but would like better benefits, especially more affordable and better insurance.  I already know this hospitals pays .09 cpl and .11 if you do more than 1200 lines per day.  It's been so long since I've been interviewed in person.  I need you guys to help me make a list of questions to ask so that I can just get it all down on paper and make sure I'm not missing anything.  I know they use ChartScript and Lanier and that they provide the computer.  What else exactly should I ask? 


Ditto for me. Have done both outside the home and in the home. We all have
bad days, but I sure would not want to trade working at home for anything. Just being here for my kids is worth every bad day!
working IN A HOSPITAL is different than working at home.
Someone can steal you identity from the internet if they want to. Why would you go to the time and trouble to jeopardize a job that requires some level of skill to steal someone's identity or medical records? You could get a job as a retail clerk and get info easier than going through the testing required to become an MT.
29 years, 16 at hospital, 4 as IC, 9 w/national
with the most lucrative income as an IC, although it sucked having to be responsible for accounts 7 days/week with no reliable backup subcontractor(s) for 2 of those years as an IC.
Our hospital laid us all off and I went to work for the national that got the bid. nm
x
Hospital account (National company). nm
*
Does anyone use VR at home? nm
---
yes, I use VR at home
nm
At home may be possible
My husband has sleep apnea (although, since he lost some weight, he no longer has it). Depending on where you live, you may be able to be tested at home. We live in a populated area, and my husband was tested at home. A technician came to our home, showed him how to hook up the wires, and then picked up the machine the next day. He did, indeed, show sleep apnea (interrupted breathing spells many times a night), and was prescribed a sleep apnea machine. The machine is not a big deal, except maybe getting tangled up in the cords. Good luck!!
I have XP Home.
It is Works 2005 that came with my new Dell computer.  I had Word that came with another version of Works that I had on older computer with XP.  I don't think Word came with the first version of Works that I bought for an even older computer.  I bought it separate for a Windows 98 OS, so maybe Works programs are different. 
Help! I'm new with the home job!

I quit my job at a local hospital approximately 2 months ago to help care for some ill family members.  I took a job with a home company and started out by having nothing but technical problems for the first few weeks, so I was unable to make any money.  Once the technical difficulties were fixed, then there wasn't enough work!  I finally gave up and quit the company after two full months and am getting ready to start another company in a few weeks.  At my hospital job, I was making close to $15 an hour and unfortunately it doesn't seem like I can make even close to that with any home company unless I have been doing for 30 years!  Any suggestions from anyone out there on what to do?  I am still working "oncall" at my hospital position and can work as much as I want out of my home and be paid HOURLY rather than by the line, but this won't last long.  How can I be compensated well and still have the flexibility of working out of my home?