I sold home care and hospice for several years in Michigan. Heartland was the first home care co. that I worked for after getting out of pharma.
Here's the real deal! There are over 600 home care companies in the state of Mi. Over 300 of them are in SE Michigan. Every physical therapist thinks that they can get a M'care # and a fax machine and run one out of their house!
Also, just about every single hospital has their own home care co. So when the patient is d/c from the hospital, the pt. goes home with the hospital's home care. Speaking of hospitals, every single Dr. in this day and age is affiliated with a hospital, making it extremely difficult to even call on Drs. because of their affiliation with the hospital that has their own home care.
Last but not least, just when you think you can call on a Skilled Nursing Facility to get a d/c pt. to home care...wrong! Most SNF's also have their own home care, rehab or they are affiliated with a hospital.
The way I look at it, if a recruiter or home care manager calls you, RUN! It's a highly competitive industry with no room for growth!
I got out of HC sales and never looked back. It was the best decision I ever made!
Hope this helps.