I don't understand the reason for all of this mess. A nurse can say 'The call....' instead of 'This call....' which is natural mistake, she fails the whole call evaluation even though she might have saved a life. YES, that HCM failed, her call was worth ZERO/NOTHING because she said 'the' instead of 'this'. Coaches, COMS, HCMs being shuffled around faster than a deck of cards in Vegas. Some coaches have gone thru multiple teams. HCMs are given new rosters, they work hard and over time to clean up the mess they received only to be given a new roster again and again. Many don't mind working over to help members but instead of being given extra points for fixing these messes, they are punished. HCMs are punished on their MPS for having overdue calls even though they did not have the members when the call became over due. The HCM is punished because their member was overdue when they were assigned to the HCM. Again, the HCM failed. These coaches, HCMs who are being given new teams/rosters are being compared to those who have established teams and rosters. So many nurses on sick leave, seeing doctors for medical problems due to mental stress. Nurses who never had medications for anxiety are being prescribed anxiety meds. Taking a 10 minute break of deep breathing isn't going to fix being a failure. People become what you tell them. You tell people they are worthless, they start to believe they are worthless. I don't know how it is legal to give someone credit for the work another employee did or didn't do. Why are they doing this to people? What happened to this company that we sang praises about? Talked to a nurse the other day who was so upset over evaluation they couldn't catch their breath.
14 replies (most recent on top)
To the phc complianing about nurses pay, you have no idea what we make. We ARE underpaid. We also aren't getting raises. Maybe instead of trying to lay your rage at our door for how crappy Humana is treating you, you lay the blame at their door. We ALL are being given the short end of the stick here.
HCM RN here. I took a pay cut when I came to Humana. In our meeting yesterday they said they were not planning on letting any RNs go right now but needed nurses. They said especially if nurses started to leave they would have a nurse to replace that position. They did say that they cannot guarantee if there is going to be any changes in the future. With a large number of members moving out of the HAH program and the fact we are not registering any new members I feel our time will be coming . I forecast by the end of the year we will know the future of this program and many RNs will be gone and the rest will no longer be needed.
I agree with everything @OuT31SP-1ern said until she got to the "little or no pay" statement. Nurses with Humana are paid quite well! Many of us PHCs have masters degrees and are making 20-30k less a year! Give me a break. Yes, it's unfair to be labeled a sub par employee when you inherit a messy roster, but DO NOT complain about your pay or worry about raises. I will be here 3 years in December, excel at my metrics and I have not gotten a raise yet. Yet my job is about to be yanked out from underneath me. I am going to have to figure out how to pay my mortgage, my daughter's college tuition, and feed my family. The market will now be flooded with hundreds of PHCs vying for the same jobs. Your job is not at risk, and doubtful it would be at risk even if you get a bad roster from a nurse who could not perform her duties.
Last poster, well put!
To Get Real, everyone knows this is a business, we know changes will take place, we know cost effective cost management. I suggest you read the posting again. The concern was not the change of roster, regional movement, everyone knows those changes take place in the business market. We want the company to thrive also, we are not ignorant. The major concern regarded the evaluations and how the innocent person gets blamed for something they did not do. In simple terms here is how it works. Suzy nurse does not call her members in time, she has calls that are overdue, surveys that have never been done in two years, etc. Nurse Jan has all her surveys up to date, no over due calls, etc. On August 1st roster changes take place, Nurse Jan receives Nurse Suzy's members, the calls are overdue, members do not have surveys, meds are not updated, etc. The week after the roster changes, Nurse Jan receives her Performance Summary, it shows she is now in the pink, has many MOC calls which are overdue, mDATS over due, etc. Nurse Jan is now below standard, failing at the job because the calls were not done in time. Even though Nurse Jan did not have the members when the calls were due, the MOC for the member was overdue when Nurse Jan received them on her roster so she takes the hit for the Overdue MOC. The issue isn't the roster changes, the issue is Nurse Jan is blamed for the calls that Nurse Suzy didn't make when she had the roster. This not only affects the HCMs, it affects the coaches and COMS because many of their numbers come from the work of the HCMS. For the company and the members who receive Nurse Jan as their HCM, this is a good changes. The members will have a nurse who will properly take care of their needs, save the company money, etc. Nurse Jan will straighten it out, she will do what it takes while the company's rating system shows her as failing in meeting their needs when it was really Nurse Suzy.
The performance summaries are failing the wrong nurse. The MPS numbers show Nurse Jan isn't making standards, she is failing the day she took over the members. Blaming Nurse Jan for Nurse Suzy's lack of work does not affect numbers or stockholders, the change is good for the business and stockholders. Nurse Suzy should get the blame for the lack of care, not Nurse Jan. Now if the purpose of lowering Nurse Jan's ratings is to affect her raise, then it would affect profitability and stockholder incomes by decreasing operating costs related to employee pay. If the company is unable to give raises this year, they need to tell the employees, don't falsely accuse them of something they didn't do in order to lower their pay. Nurses have worked for little or no pay in almost every job the have performed, that is what they do. They value life but they also know about business aspects because they see how much the medications cost. They realize the need for sacrifice, they do it all the time. The worse insult a nurse could ever receive is to accuse the nurse of not be accountable and a failure to their patients. The Humana we knew would inspire people to be better thru greatness and positive attitudes, they would have never given an employee showing failure when the person was not the one to blame.
Leaving Humana was the best thing I ever did for myself.
You have to get real. You are working for a public company that of course must produce profit to shareholders. It's not about not giving care. It's about providing the care management services at the most efficient cost. There is nothing wrong with that and it's not a secret. There were simply aspects of the model that weren't making a measurable difference and the costs were too high. In Any company case management or any clinic program must deliver more savings than it costs to administer. If people don't get that, they need to for their own sake. It's just business reality. Where would you expect to work and have them lose money? Public or private sector. They all have to make money. It's naive to think it's just humana.
This is all so sad! It did not use to be this horrific. Looking for another job daily.
OP, I feel you. I left my last company for this work at home opportunity. The other day, I was cleaning and I came across the goodbye/ thank you / good luck card my employer gave me on my last day. It was full of encouraging and appreciative messages from my manager, directors, colleagues and my most recent trainees / interns. My goodness, it brought back memories of being appreciated and valued, and made me start to question if this work at home trade off is really worth my self worth as a professional. I am reevaluating. (It wasn't that they gave me a card, it was that it triggered memories of being treated with respect).
I agree that you no longer get a zero if the disclaimer wording isn't perfect. If that gave you a zero, you need to dispute the score. On the other hand, there are so many deductions now, that I feel like a robot when I talk to my members. Even our members are getting tired of the same questions every 2 weeks or 1 month. "Do you have my phone number, are you aware that we have a 24/7 nurse line, and is 10 pm still a good time to call?" LOL, just kidding, but we sure are working some late hours.
You are not a failure! Please don't let this culture affect your self-worth. That is what they want to do so that they can have better control over you. Don't drink their tainted Kool-Aid. Unfortunately this is where we are now and the only way for it to get better is to get another job. If you were helping your members that is the most important thing. Moving forward just try to get those buzzwords they want so desperately into your call. This audit tool will change just as everything else does at Humana.
The disclaimer does not fail the audit. Authentication of member or member rep.are the critical failure pieces. I suggest you go back and look at the review
You dont understand it because you assume the company's purpose is to provide care.
Incorrect.
The company's true purposes are to turn a profit, and create jobs(sometimes). The powers that be desperately wanted to sell the "financial recovery" narrative after 2008, so Humana hired and treated people reasonably well, as did many large corps.
This gave people a feeling of security and happiness, which made the recovery easier to pull off. But now this false recovery is dying as they knew it would, so its time for the next phase, which you wont like one bit.
Sorry to burst your bubble, but everything revolves around money and power, and every large corporation works closely with the govt to bring about the desired end. The end that is desired now is scared, desperate people, which is why you are feeling both.
Not sure who has it worse, you nurses or the rest of us who are about to be shown the unemployment line.