No work life balance - RN Case Manager St. Croix Hospice Employee Review

The branches are run very lean, HR and other functions are centralized in a corporate office. There is no support for branches with corporate staff during staffing shortages or if someone leaves. Branch managers are left to ask other branches for help. As a case manager I had case loads up to 35 pts, there was a visit LPN for visits. We often were unable to get equipment for our pts from our supplier and emergency medications were also difficult to get, I was often calling around to local pharmacies to see if they had medications available. Weekend rotations were based on number of staff so what weekends that were assigned were constantly changing making planning impossible. There was 7 on 7 off on call staff but case managers were expected to provide back up support for on call staff overnight while working full time during the day. Vacation is not payed out if preferred notice is not given, in some cases 4 weeks. Also, no pto can be taken once notice has been given.