Change happens, A LOT. 12 occurrences are allowed in 1 year, but being late 5 minutes is equal to being absent, leaving early, etc. Sometimes a disconnect or miscommunication from care centers to us. Inbound calls can get busy. You are only given raises based on annual performance review. If you learn new skills or cross-train into other departments, you are not compensated for it or given any type of bonuses. Rude or grumpy patients. Can be emotionally draining.