Cons are also a lot. The amount we pay for health insurance for a family seems to be around 37 percent of the monthly premium. Most people are paying about 17 percent of premium at other companies for nearly the same coverage. Sometimes on care management teams it appears some CM are preferred over other CM by how their caseloads are. Although I enjoy mine, because I wanna be the best I can be and enjoy seeing my members every month. They are fun people that bring joy into my life. Others have found it to be favoritism if you read the other people's comments on here. That is what they are referring to. People who ask questions get more work than those who don't because they have time to ask questions. People who can detail process problems get more work because they have time to write about it or talk about it. We have one on our team much more experienced than me who is punished thusly. She speaks, she suddenly has to see all but maybe two people on her caseload monthly while others on the team see a lot of people quarterly instead. There are pockets of people at the company who come off as anti white and will say subtle comments during small team meetings to make white people feel like we're out of place and like we can't do things as well or that how we live culturally isn't as good. However you will not hear this across teams where multiple teams participate. Every company seems to have those kind of people though in the IDD field and no one will ever admit it. They'll claim the comments were about other things and people misunderstood them but we know better especially when they don't retain many or any whites on a team.
We follow the dhhs rules until we're ready to bend them to avoid complaints from members/guardians keeping people who don't benefit from the waiver on the waiver. If they are nursing home ready we need to establish nursing homes for IDD or some lower level of care that isn't habilitative that pays at a lower rate.
We have some poor relationships with some of our healthcare vendors not because of offering a lower rate than they wanted, but because they say people got rude with them when they were complaining about the rates. We also struggle with communicating to prospective vendors on how to become contracted, how to bill, and how to change things. They are not people who read much on websites usually. They want a human to walk them through it. Those humans end up being the only personal contact they have which is care managers. Care managers give them provider support but they continue to want to go through care managers to have an advocate for them. The process to become a permanent employee is disheartening. One pours their heart and soul in and still won't be permanent for 9 months. We hit all our targets and we're feeling punished subtly for it. We can outperform seasoned staff and still be left in a probationary period. Some team members will be online on meetings and forget to mute their mics and everyone can hear them say horrible nasty things about other people presumably that can be seen on the meeting video, but we can't know who they are talking about, and that seems purposeful. It seemed like they were making fun of our pharmacist who is a really nice and friendly person and respectful and kind to everyone on the meetings and strangely enough I saw an ad for hiring a new pharmacist so I'm wondering if it's associated.
