Thread regarding Humana Inc. layoffs

I hope CMS, Medicare, and Medicaid Representatives read these post and realize the negative post are the leaders and people that work at Humana that don't take care of people, so they will know how Humana truly feels about it's nurses thus it's members.

@11f You and the financial guy are probably the same person on here ranting about absolutely nothing. Knowing absolutely nothing about the healthcare setting, rather it be in-person or telehealth. Just stop posting on things you know nothing about. Welcome to the new world of healthcare where actual providers and nurses work behind a desk. Those that are great critical thinkers can do this because they are smarter than you'll ever be and you will be alone with your thinking...dead alone.

@12x You are an id--t, that's like saying AI will replace tele BH providers or tele MD Providers. Don't fool yourself, because no one else is buying it.

@zg Suffering in the hands of leaders at Humana

@12r Then you should have become a coding or billing expert. Why are nurses dealing with customer services issues. Clinical experience, judgement and presence is what people need... We can get remote Customer Services from a Jamaican call center. This attitude is pushing RN's who do work remote into a role that will be achievable through Ai in next to no time.

@11f I disagree. I had lots of difficult member issues to solve. Case management at its finest ensuring member needs were met. You gain that experience from years as an RN. I also helped members with billing and coding issues that were preventing their claims being paid. Med recs uncovered other discrepancies. It isnt just surveys if you know what questions to ask and what the member is not saying. I had a member transfer to me from BB office where he had called raging about H incompetence as "no-one could help him". I told him I would take care if his issue and he ranted on screaming about the whole company being incompetent. He was a CEO and had just taken on H insurance for his company (back when commercial still existed) so the person transferring him from BB was anxious for us to take care of the problem ... I told him I had been an RN for 30 years and I would take care of his problem whatever it was. And I did. Then followed up and fixed the root cause of the problem where CS was providing incorrect information. So, yes, we do patient care and use our experience all the time.

When they talk about bedside nursing they were not talking about the bed behind your desk in the spare room. You do not need to be an RN to do the work we do. Clinical decision making is not viable for a WFH nurse. So no physical clinical input. No Critical thinking, just box ticking and survey taking.... As the finance guy stated RNs are overpaid for the work they do while at the same time the real nurses are facing overwork and abuse in the real clinical setting, they are not rewarded or respected for their handwork and commitment. Every one of us, has worked in a hospital and we are well aware that this WFH gig is a big con aimed at getting more money from Medicare for the company.

@yj When you are in pain or suffering from an illness or have a non healing wound or have unmanaged diabetes or in need of IV fluids or blood transfusions you will suddenly realize how valuable nurses are. And you will only be ONE of that nurses many patients needing care. So, yeah, look at your spreadsheet and reduce staffing again.

Can’t believe how nasty everyone is getting here! Morale really is suffering at Humana right now

@vc "disservice to our members," said no nurse ever!!!

Agree with previous poster, if you want to complain about nurses so much, maybe you are just sour about your underpaid financial job choice.

@yj Sounds like someone is butthurt about their own career choices

Why do nurses think they hold some superpower and deserve so much more than they get? Finance guy here and you all are far overpaid for what you do and your education level.

@n6 you probably sit behind a desk and don't know what healthcare is if it bit you in the a-s. Just one of those at the top floor wanting more money and have your people making fake comments below on here like they are part of our team working and going with the punches without a care in the world. Guess what, turn that bar stool over and sit on it and twirl. We know those comments are fake as your cheap a-s smile you wear to work every day.

My mail order pharmacy cost me more than getting at a local pharmacy as well.

@vc many MOP prescriptions are more than the retail pharmacy, I've seen that there's really no cost savings in switching.

I have a different perspective that may be seen as unfavorable to others, so please don’t attack me. I see MOP as a way to help our members financially. Getting prescriptions through MOP can actually save money for our members where they can actually afford their medication which will ultimately help with getting and taking their medication to improve or maintain their health status. With the population we serve, they have limited income. Why not offer so they can use the money they save on prescriptions for other necessities such as food, utilities, rent, etc? I, for one, save more money by using MOP than getting routine meds through my local pharmacy. We are technically not “selling” anything as there is not a cost to the member to use MOP. For me, I feel that not offering is actually a disservice for the members I serve.

I'm torn TBH. I love nursing and I love WFH. If this is part of being able to keep WAH, I'm going to do it. If I have to RTO, I'll reconsider. I definitely will not put up with as much for an in person job. Asking about med access hasn't been a big deal in my calls so far; win some & lose some. It's a weird world.

This is the classic "let nursing do it" that every nurse has experienced. When something comes up that needs to be done that isn't a nursing role, they dump it on nursing. CenterWell is a sh*tshow so nursing has to save it by increasing sales. And when the nurses do the work and get the members transferred over, CW isn't prepared to handle them or makes a mess of it. But lets hold the nurses accountable. Do the CenterWell associate metrics include the sign up requirements too??

@es If you’re a RN, I’m Elon musk. Stop playing and get a real career cr@p disturber!

@es You make me cringe. There isn't a nurse out there that would reference Florence like this in regards to another nursing field. Have a feeling you are just a troll belittle what we do. Curious question is why are you doing this? What do you have to gain? What is in it for you? Would love to know because the only trolls I can think of are, well you all know who THEY are up there making more than is little people at the bottom

@c8 - you're an id--t. Please don't ever disrespect nurses like that. We're not call center people, we actually help people manage their health unlike you.

@OP - whoever is making negative comments about you/your statement, don't understand at all what you're trying to co vet. They're ignorant. If they happen to be a nurse the my should be ashamed. No nurse can push a product, service or medication...period. N don't bring Florence nightengale in this...that's laughable! She'd be mortified of the state of healthcare right now! Stop acting like you changed the game and that you're at her level. You obviously aren't by making cr-p comments to whoever posted this!

@es you are a liar, not a nurse, and a joke. Stop playing games, because no one believes you. Nurses know their own.

I am that person who posted. Just to disabuse you. I am a 40 year RN. You are just playing at being a nurse. Florence Nightingale would be spinning in her grave.

I guess we do not need to renew any more licenses now that we are call center staff, we do not need a license for that stuff

I bet that leader that made the call center comment wishes they can delete it.

Thanks for speaking up. Makes me feel like I'm not alone in this

@OP - I agree 100%! I'm glad to hear someone else feeling the same too! Someone in the thread mentioned a suit and I could totally see that happening!

@c8 Call Center Staff????!!! Don't kid yourself, just because you do not have any education in the Healthcare field and you are up there hiding behind your desk, don't act like you know what the nurse care mangers actually do. How pathetic. This makes me outrageously mad too

We should answer the phone as "Humana Call Center Nurse" lol

Similar to a more traditional, in-office care manager, a virtual care manager helps patients manage their acute or chronic health conditions. They coordinate medical treatment, administer assessments, develop care plans, monitor medication compliance, and act as a trust advocate and coach.

In many ways, they serve as advocates for patients, helping them solve problems and remove barriers to maintaining the treatment plan and achieving their health goals.

The main difference is that a virtual care manager uses digital technologies to engage, communicate, and coordinate with patients and other providers or community resources.
Virtual care management contributes to care efficiency and cost-effectiveness by enhancing a patient’s access to ongoing health support. This not only reduces the need for in-person visits but also provides a more profound and more impactful approach to chronic disease management.

It also facilitates quicker and more responsive communication between patients, providers, and care managers. Ultimately, better access, deeper engagement and ongoing oversight can lead to lower healthcare expenditures in the short and long term.

Virtual care management supports patients with mobility or transportation issues, making care more convenient and less burdensome. This can lead to improvements in adherence and satisfaction as demonstrated in research published in the journal Primary Health Care Research & Development. Meta-analysis and systematic reviews of 24 studies round strong evidence for care management's effect, increasing adherence to treatment guidelines, and improving patient satisfaction.

Worth that "Call Center Nurse" comment, I've never felt more disrespected as a nurse and I'm thinking it was someone higher on the food chain myself. That's how you pi-s off thousands of nurses

This string is showing up on ChatGPT today when searching for Humana layoff. Wow!!! Some Publicity.

Really! Just a few examples of our job include : dentifying and engaging high-risk individuals​, Comprehensive assessment​, Clinical monitoring​, Coordination of services​, Individual care planning​, Patient education, and much much more... who are you to say we don't do a nurses job! Take off that suit and try actually work one day buddy.

@c8 well since we are considered “ call center staff” and not nurses we should be eligible for ERP! I am SO ready!!

@ca 🤣😂😂😂😂😂

@c8 Management comment below. Please feel free to laugh.

Be honest. When you say patient care you don't actually mean care.... You are not dressing wounds or giving medication, you are not assisting them with mobility or eating. I get it... I understand what it is we do but it's not 'care'. You are doing phone surveys, box ticking and passive counseling. When people get over themselves and realize they are just doing a call center job they will get much more comfortable with being treated like call center staff.

This!!! My manager is obsessed with us completing PDMRs and MOPs, she even keeps charts of our teams progress, it's getting ridiculous. It's not even about patient care anymore, all she discusses are percentages and it's mandatory. If we speak up and against it, she says it's a STARs measure and this is how Humana gets it's bonuses and paid. So, basically she is saying if Humana doesn't get paid, the HCMs no longer get paid, pay increases, or bonuses.
I'm a nurse, not a sales agent!!!! Hire a department to do this if that's your goal Humana because you are taking the care away from our patients.