My biggest personal con was the constant need to navigate being a social worker (a profession rooted in ethics, service, integrity, etc.) and working for a for-profit large corporation. The individual regions do have a "smaller feel" and there are a few recurring opportunities to interact with co-workers (mandatory monthly all-staff meetings that are in-person every 3 months, virtual all other months). Due to the nature of ViaQuest's services, and the populations primarily served (individuals with developmental and intellectual disabilities and individuals in Long Term Care facilities - LTCs] it is not uncommon to be witness to mandatory reporting, abuse, neglect, stressful and non-communicative guardians or POAs, LTC facilities that are severely understaffed and under-resourced therefore elderly and disabled populations getting anywhere from subpar treatment to straight up abuse/neglect treatment from those external providers. But because ViaQuest is for-profit and relies heavily on maintaining contracts with these facilities, they have to prioritize being a business and not harming fiscal relationships. While I logically understood that any business needs to pay attention to money to stay in operation, when providing social services, especially to some of the most vulnerable populations, it can become extremely draining and lead to a lot of internal conflict and burnout. Let alone it can feel scary to want to protect your own license.
The strict productivity requirements alone felt largely unethical and definitely demonstrated how much profit is prioritized over genuine client needs. (Productivity is reviewed weekly, monthly, and annually and failing to meet productivity leads to disciplinary action resulting in termination for quite a few employees. The turnaround at VQ seemed relatively high in the bottom level positions, less so in the management positions because as you move up, the productivity requirements decrease significantly.)