Upper management is quite money-driven and not patient driven. They expect more than what they pay you for. Management can at times come across unprofessional and too hard on the consultants who make them all the money. The product is incredibly expensive for the population we serve, and the operational system for employees is unclear and consistently changing. Training is minimal and mostly lecture-based. If you don’t get along with your consultant, you and them are the only two in the office all day every day with no additional on site help. And sometimes even emails with directions on how to solve an issue give you a non-answer. It can be very stressful and confusing.