Hiring Home Health Care Employees : Providing primary care for loved ones can be difficult. When you can’t provide all of your own elderly care and support from friends, family, and community organizations isn’t enough, it may be helpful to hire an in-home health care worker. He or she can offer care from a few hours a week to 24 hours a day, and can provide many other helpful services.

Types of home health services include:

  • General Health Management such as administering medication or other medical treatment
  • Personal care such as bathing, oral hygiene, dressing, and shaving
  • Nutritional assistance such as preparing meals, helping with meals, and grocery shopping
  • Homemade services including laundry, dishwashing and light housework
  • Friendship for example reading to seniors or taking them for a walk

Recruiting and Interviewing Applicants

There are many ways to hire home health care employees. Generally, home health care workers can be hired directly or through an agency. Home health care agencies often have a staff that includes social workers and nurses who will manage your care. However hiring an independent home health care worker is generally more cost effective, it will also give you more control over the type of care you receive.

Senior home care workers should be screened carefully for proper training, qualifications and temperament. Fully discuss the needs of elderly care recipients during interviews with prospective home health care employees. There should be a written copy of the job description and the type of experience you are seeking.


Have applicants fill out an employment form that includes the following information:

  • Full name
  • Address
  • Phone number
  • Date of birth
  • ID card number
  • Educational background
  • Work experience

Before hiring, you should ask to see a senior home care worker’s license and certificate, if applicable, and personal identification including their social security card, driver’s license, or photo ID.

References should be checked thoroughly. Prospective employees must provide the employer’s name, date of employment, and previous employer’s telephone number and how to contact them. It is best to speak directly to the previous employer, rather than just receiving a letter of recommendation. Also ask the applicant to provide or sign a criminal background check

Special Points to Consider

Make sure the person you’re considering hiring knows how to perform the tasks required by an elderly care recipient, such as moving seniors to and from a wheelchair or bed. Training may be available, but make sure the worker completes the training successfully before hiring him.

No one should be employed on a seven-day-a-week basis. Even the most dedicated employees will quickly burn out. All employees need time to take care of their personal needs. No worker has to be on standby 24 hours a day. If an elderly care recipient requires frequent supervision or care at night, a family member or second home health care worker should be able to assist or fill in.

Direct assistance may seem more convenient and economical than hourly or daily employees, but there are downsides. Food and lodging costs must be factored into the total cost of care, and it can be difficult to lay off someone without immediate housing alternatives. If you decide to use a live-in arrangement, employees must have their own place of residence, free time, and adequate sleep.

Job Expectations and Considerations

Before hiring a senior home health care worker, you should discuss the duties you expect them to perform and other issues, such as punctuality, benefits, pay scales, holidays, vacations, absenteeism, and required notice time for either the employer or employer. . employees before work. discontinued.

If you work and rely heavily on a home health care worker, emphasize the importance of being notified as soon as possible if he or she will be late or absent so you can make alternative arrangements. Be clear about the notice required for time off, or what to do if a home health care worker experiences a personal emergency that requires them to leave work unexpectedly. It’s important to have a backup list of friends, family, other home care workers, or home health care agents you can contact.

Be clear about salary issues, payment schedules, and reimbursement or petty cash funds for own expenses.

You should spend the day with the home health care worker on the first day to make sure you both agree on how to perform daily tasks. It will also help to provide home health care workers with a list of information about elderly care recipients such as: special diets, likes, dislikes, mobility problems, health problems, danger signs to monitor, possible behavioral problems and accompanying coping strategies. , medication schedules, therapeutic exercises, glasses, dentures, and other prosthetics.

You must also provide your home health care worker with the following information: your contact information, emergency contacts, safety precautions and access to keys, clothing, and the location of washing/cleaning supplies, medical supplies, light bulbs, flashlights, fuse boxes, and supplies other important household.


Another big consideration in hiring a senior home care worker is how he or she will start working. If they don’t have a reliable car or access to public transport, then you might want to consider hiring someone to drop them off, which may be more economical than taking a taxi. Tell your insurance company if a home health care worker will drive your car while caring for the elderly. Your insurance company will perform the necessary driving background checks. If a home health care worker uses his or her car to drive an elderly care recipient, then discuss the use of the car, and perform a driving background check.

Insurance and Payroll

Check with the insurance company about the right coverage for your in-house workers.

Ensure all appropriate taxes are removed from employee checks by contacting the Internal Revenue Service, state treasury department, social security, and labor department. If you don’t want to handle the hassle of payroll deductions yourself, you can hire a payroll company for a fee.

Even if your home health care worker works as a contractor, you’re still required to report earnings to the IRS. Talk to your accountant or financial advisor about making sure you follow the IRS rules.

Ensuring Safety

You should protect your personal papers and valuables in a locked filing cabinet, safe, or safe. If you can’t get your mail every day, ask someone you trust to do it, or send it to the post box. You should check your phone bill for any unusual items or unauthorized calls. You have to block your phone for 900 numbers, collect calls, and long distance calls.

Keep checkbooks and credit cards locked. Review credit card and bank statements monthly, and periodically request credit reports from credit reporting agencies. Lock valuables or keep an inventory of items accessible to people who work at home.

You can help prevent parental abuse of your loved ones by:

Ensure that home health care workers fully understand their responsibilities, the medical problems and limitations of elderly care recipients, and how to cope with stressful situations.
Don’t overburden health care workers at home.
Encourage openness to potential problems.

The following are possible signs of parental abuse or neglect:

  • Personality changes
  • Crying, moaning, or refusing to speak
  • Sloppy appearance
  • Poor personal hygiene
  • Irregular or dirty living conditions
  • Signs of inappropriate sedation, such as confusion, or oversleeping
  • Mysterious bruises, pressure sores, fractures, or burns
  • Weight loss

If you suspect harassment, act immediately. Don’t wait until the situation turns tragic. Investigate the situation by talking to an elderly care recipient in a safe situation, or installing monitoring equipment. Examples of abusive behavior include yelling, threatening, or overly controlling behavior that could involve alienating the senior from others.

If the situation is serious, you should replace your home health care worker as soon as possible. If you fear that an elderly care recipient is in danger, he or she should be separated from the home health care worker as soon as possible. Place elderly care recipients with trusted relatives or in resilient care facilities. Make sure your loved ones are safe before confronting healthcare workers at home, especially if there are concerns about retaliation.

Report the situation to Adult Protective Services after confirming the safety of the elderly care recipient. The police should be contacted in the event of serious neglect, such as sexual harassment, physical injury, or misuse of funds.

Supervising Home Health Care Workers

The most important thing to remember after hiring a home health care worker is to keep the lines of communication open. You should clearly explain your job responsibilities, and your responsibilities to the home health care worker. Don’t forget that home health care workers are there for elderly care recipients and not other family members. For stay-in arrangements, the maximum amount of privacy should be set for the home health care worker’s residence.

Meetings should be held regularly to ensure that problems are resolved from the start. If the conflict cannot be resolved after repeated attempts, then it is best to terminate the employee. In such cases, you may have to place the elderly care recipient in a temporary nursing home or hire an in-home health care worker through an agency. A reserve fund should be kept in such an emergency.

General Eligibility Requirements for Home Care Benefits

Hiring an in-home health care worker directly is usually less expensive than hiring through an in-home health care agency; but if elderly care recipients qualify and you want to use help from Medicare, you’ll need to hire someone through a certified home health care agency.

For a senior patient to be eligible, three or more services must be ordered by a doctor. Another factor or eligibility is the need for skilled nursing assistance, or one of the following therapies: physical, speech or occupational. The medical needs of elderly care recipients will determine their asset and income needs.

Hiring Home Health Care Workers through Home Health Care Agencies versus Independent

Different healthcare professionals can assess the needs of elderly care recipients. A nurse or social worker can help with the design and coordination of a home care plan. Your care manager, doctor, or discharge planner can help with services covered by Medicare. They generally help make arrangements with home care agents.

You should ask home health care agencies how they supervise their employees, and what kind of training their employees receive. Find out the procedure when an employee doesn’t show up. Also inquire about the fee schedule and what it covers, there may be a sliding fee schedule. Next, find out if they have a policy for minimum or maximum hours. Ask the agency if there are any restrictions on the types of tasks performed.

Especially if you have to pay for the treatment yourself, find out if there are hidden costs such as transportation. If all the costs of hiring a care worker through an agency become too much, you may want to consider hiring in person.

Hiring independent home health care workers is not only more economical than using an agency, but also allows for more direct control over the care of the elderly.

Topics #Employees #Health Care #Hiring #Home