Live-In, Overnight, and Hourly Cases for Caregivers: What's the Difference?

Mavencare's caregivers (Personal Support Workers, Registered Practical Nurses, and Registered Nurses in Canada; Home Health Aides, Licensed Practical Nurses, and Registered Nurses in the United States) work four kinds of cases: hourly, overnight supervision, overnight active, and partial live-in. Each type of case comes with its own benefits and challenges, and it’s up to our caregivers to decide if they’re open to all four possibilities, or if there is one that works best for them. This post gives an overview of each of the four types of cases. If you’re an applicant or a recently hired caregiver, this post should help you decide which cases are the best fit for you.

All caregiving positions with Mavencare includes educational opportunities in the form of in-service training, as well as online learning modules. All positions also include performance-based incentives. Every Mavencare caregiver also has the support of Mavencare’s team of clinical managers, who develop client care plans and assist each caregiver in providing clients with high quality care. 

Hourly Cases

Mavencare’s shifts begin at three hours and go upwards in length to a maximum of twelve hours. Clients with hourly schedules usually require a few hours of help every week, though these shifts can also take place on a daily basis. 

Often, these clients are not seriously ill, and primarily require assistance with their Activities of Daily Living, such as bathing and grooming, meal preparation, and running errands. Hourly cases are also sometimes respite cases, meaning that the client already has a primary caregiver (usually a family member), and a Mavencare caregiver will visit for a few hours each week to provide this caregiver with a bit of a break. 

Hourly shifts are ideal for caregivers who have other time-consuming commitments and who are looking for a schedule that fits their timetable. Since caregiving shifts range from three to twelve hours per day, caregivers work a variety of schedules. For some, this kind of flexibility is ideal. 

Mavencare strives to create regular schedules that work for both clients and caregivers. However, clients are able to change their schedules, should their needs change, and caregivers working hourly schedules should be aware of this. 

These cases are paid per hour. Pay rates vary depending on the complexity of care involved in each individual case. 

Overnight Supervision Cases

An overnight supervision case is a specific type of hourly case. This type of case requires that a caregiver be present in a client's home and available to assist them during the night. The caregiver can sleep, but the client must be able to wake them easily should care be required. 

Sometimes these shifts will take place in hospitals or facilities when family members want their ill relative to have companionship and supervision while they leave for a few hours to sleep and attend to other responsibilities. Other shifts may take place in clients' homes if they or their families wish to have a caregiver available during the night in order to provide comfort, assistance, and peace of mind. 

These shifts are great for caregivers who prefer to work nights, with the added bonus that the caregiver may be able to get a few hours of rest during their shift.

Overnight supervision cases are paid per hour. 

Overnight Active Cases

In these hourly cases, a caregiver actively provides assistance to a client throughout the night. Caregivers are expected to be awake and prepared to assist whenever necessary. Clients in these cases require constant supervision: they may be at risk for falling or wandering, or they might have complex medical needs that require consistent monitoring. 

Overnight active cases are ideal for caregivers who wish to work nights, and who prefer cases in which they will be occupied with providing assistance to their client throughout the night.

As with overnight supervision cases, overnight active cases are paid per hour.

Partial Live-In Cases

As the name suggests, for partial live-in cases, caregivers live in their clients’ homes for a few days each week. Mavencare refers to these cases as "partial live-in" because caregivers are not expected to move in with clients and provide them with care 24/7. Each live-in shift lasts for a maximum of five days, but most shifts are two to four days in length.

At least two caregivers work each live-in case so that the client can receive five to seven days of care each week without either caregiver being overworked. This means that most live-in caregivers have three- or four-day weekends which provide them with time to rest, run their errands, and spend quality time with family. 

Live-in cases generally provide the steadiest schedules since the care hours do not vary. A live-in caregiver's main responsibility is to provide assistance with the client's daily routine. These cases also allow caregivers to form close relationships with their clients that are beneficial for both parties. Live-in caregivers are provided with sleeping arrangements and food while in their client's home, which gives them the opportunity to save on grocery and transportation costs. For these reasons, live-in shifts are a great option for many caregivers.

The primary drawback to live-in shifts is the amount of time that must be spent in the client’s home. For caregivers who have young families, or for those who wish to spend time at home on a daily basis, live-in shifts may not be ideal. Keep in mind, however, that live-in shifts can be as short as 1-2 days. If you are offered a live-in case, you have the option of applying only for the days you wish to work; for example, on a seven-day live-in schedule, you can apply to only work Monday and Tuesday. Mavencare's scheduling team will builds schedules around caregivers' availability. 

Live-in caregivers stay overnight, but they are not on active caregiving duty the way caregivers in overnight active cases are. After their client has gone to sleep, live-in caregivers are free to do whatever they wish, and they should be able to sleep through the night. If a client begins to require active assistance during the night, the caregiver should notify Mavencare so that we can get in touch with the client and discuss providing overnight active care instead. Live-in caregivers are expected to get adequate rest in order to provide high quality care each day. 

Live-in cases are paid per day at a flat daily rate. The daily rate will depend on the complexity of each case. 

The clients in all of the cases listed above may require care on a temporary basis (just for a day, or a week) or on an ongoing basis. Ongoing cases last until clients no longer require care, which means they often last several months, sometimes over a year. The majority of Mavencare's cases are ongoing, since our focus is on providing long-term care.

Mavencare’s caregivers are the best in the business, and we endeavour to provide them with schedules that are compatible with their other commitments, clinical support and check-ins, and incentives for outstanding work. Whether you’re an HHA or LPN in the US, a PSW or RPN in Canada, or an RN in either country, Mavencare has cases suitable for you. 

All of Mavencare’s current job postings are available here. If you are not yet a Mavencare caregiver, you can begin your application today by clicking this link