1.Having to schedule time off around other employees, even if it is Your earned time off.
2. Management is ready to let capable and hardworking employees go (if you don't like it, the door is right there attitude), when those employees are willing to speak up against certain practices that do not seem to be helping patients, if anything they enable them.
3. Work load is too much for the amount of employees working. There are not enough Doctors, not enough therapists to see Everyone. As a result the patients are not getting adequate care, and the employees are tired. Employees often have to put in more hours just to play catch up on paperwork and when they feel unvalued, it becomes a mentally exhausting set up. They aren't able to give 100% to the patients they serve as a result and it becomes a vicious cycle.
4. Often unless you plan on pursuing social work and being a counselor, you can grow from a CM role.
5. pay will be stagnant. No raises even if the employees do great year after year on their reviews or put in those extra hours, It's usually just a 2% COL increase. Pay gaps exist. Employees who are new and in the same "role" might be making a couple thousand more than those who have been there for several years, do a pretty great job daily, and know the job well.