The RN staff had a very high turnover rate and after a few short months I could see why. The work load increases consistently leaving lots of charting to do after hours. With the high RN turnover rate, the call schedule was often rough leaving the RNs overwhelmed. Even with staffing issues, admissions and new medicare patients take top priority leaving staff more overwhelmed and leading to the high turnover rate. The mileage was never right on my paycheck and had to keep a close eye to ensure accuracy. Very poor communication between office and field staff and difficult to reach a clinician in the office when you need one.