registered nurse - home health

licensed practical nurse

physical therapist

occupational therapist

speech language pathologist

CenterWell

Nurses are expected to work 8a - 5p Monday thru Friday.   Patients are assigned and it is up to the nurse to schedule visits, so the day starts whenever appointments have been scheduled.   Patient visits can take anywhere from 15 minutes to an hour or more depending on the need and type of visit.  The number of patients assigned each day varies.  The expectation was usually from three to ten or more every day in the region where I worked.   There is some flexibility in scheduling as you have the option (on some patients) to move the visits to different days if needed.  Planning visits, travel time, and contacting patients is time consuming and you don't get paid for it.  If you see patients from 8a to 5p during the day, you can expect to spend most of your evening finishing their charts.  Charting takes an hour or so per point (you get paid by points, and the number of points paid depends on the type of visit).  You are expected to complete the chart during the visit, but I found that to be too difficult to do.  That might be different for other nurses.  I'm an RN so I had to see patients for the types of visits that required extensive documentation.   So after seeing 7-10 patients,  I would get home anywhere from 4 pm to 7 pm.  I would then sit down to finish up the charts.  So if I saw 8 patients,  I would have about 8 more hours of work to complete.   That's after calling my patients to schedule the next day's visits, which usually took about 30 minutes or more.  I made it to bed by 2 am on good days, and if I spent any time with my family,  it would be even later.  The on call expectation was one evening per work week and rotating weekends.  I found on call during the week to be a way to force extra visits for patients needing assistance (that were not routine scheduled visits) on me.  A patient would call asking for help with something (leaky catheter, wound care, etc.) often times early in the morning.   If no one volunteered to see that patient during normal workhours, the after hours nurse on call was required to see the patient in the evening (adding 4 or more hours to an already full day).  Weekend on call was not my idea of on call, meaning seeing patients if they had a need that couldn't wait until normal business hours.  Patients are always scheduled for both Saturday and Sunday, regardless of the number of hours  already worked that week.  If the scheduled visits fell through,  additional  visits would be "found."  Yes, I could have refused visits.  But there was tremendous pressure to make sure every patient was seen.  The documentation was a nightmare and the application used was cumbersome and  inefficient.   If that wasn't enough,  email reports were required daily for each patient seen.  "You can just cut and paste" is what I was told.  If the information charted was not likely to be accepted and paid by Medicare, managers would make changes.   They do notify you that changes have been made,  but you are required to acknowledge and accept.   If you don't,  you don't get paid.  If a patient no longer wanted home health visits and were only in their first certification period, they could not be discharged without management approval.  If a patient had a true medically necessary need and their coverage was denied, they were discharged immediately.   So I was frequently pestering patients who did not want me in their home and not seeing others who truly needed my help.  

I know that no work-life balance sometimes comes with the territory of being a registered nurse however,  just like most organizations, when it comes to nursing they really need to do better.  It seems like everywhere I go is understaffed because corporate refuses to have enough positions even though they are needed.
Overwork full time staff, underutilize prn staff.  You have PRN people complaining that they don't get enough hours and only have one or two patients per day, while full-time RN given 8-10 patients with no consideration for the time it takes to drive to each patient's house.
Followed by 2+ hours of documentation EVERY DAY!
Management agreeing to take on patients even if there is not staff to support it.
It's all greed!
Poorly training new staff and then just shoving them in the field
There is a ton of on call time for this position, way too much in my opinion.
The case manager/field RN position is so overwhelming with very little support.  Management thinks nothing of forcing you to go and do extra patients, forcing you to go back to patients homes that didn't bother to be there for their appointment, forcing you to fix other people's screw ups.
Compensation for gas is a joke, only getting like .40 per mile.
CONSTANT EMAILS AND TEXT MESSAGES, I would have 30+ emails a day that I was expected to read
 Managing way more patients than you're supposed to.
Incredibly disorganized 
Constant annoying pointless meetings
Too much required outside of just working, like writing quarterly goals and having to have a meeting about it with management.
It's unfortunate because management has their hands tied because of corporate.
This job is exhausting and will burn you out quickly

 Very antiquated way of doing things. Top heavy management at corporate level who constantly micromanage anything and everything you do. Keep in mind these people no longer work in the field and have no idea of what the field staff experience daily. Constant spamming to your email address all day long.  Make you drive an hour or more each week to their branch to discuss things that could very well be told you virtually on a teams meeting. This alone puts your behind on your day to care for patients and have you behind the wheel late in the evening still trying to see patients when you could be home with your own family. Constant berating and criticism from branch director despite you do the best you can do providing care but that is never enough . Never say thank you personally for your hard work. You get more thanks and respect from the patients and their families because you won’t get it from the branch director or any higher ups in corporate. Their documentation system is awful. Redundant and takes away from patient care . Constantly adding to what they want you to document when it’s already in the medical record. You will be asked to not only do your job but the job of many others and that is frustrating. If my last agency had not folded I would have never taken job. Very low census for the past year. They also play favorites and if you aren’t one of their favorites you get treated badly and disrespected constantly. Do not work for this company. You will regret it. Going elsewhere where I am treated kindly and appreciated .



Management does not follow through with agreements. I onboarded for a zoning that was near my home, and since they give me pts that are 50 miles/ 1 hr and 30mins away. And, get an attitude when I question it. 

Assignments fluctuate, and work is not steady. One day you’ll have too many pts; the next only 3-4, if not less. And, you get paid per visit (Not per hour). 

Office management make the job stressful. Never respond on time. Typically annoyed, talking in a condescending tone, and insincere and irrational when it comes to addressing concerns: I.e. I spoke to the administrator about a sole route to a pts home that was very dangerous- and they insisted that I was overreacting and suggested I might not be qualified for the job due to concerns for my safety/ possible fatality due to the conditions of the road. 

There is no work-life balance. In the interview you are told that you can manage your schedule and it’s available a week in advance, and that is what the company overall advertises. But, reality is they do it day by day, and you do not get it until late afternoon. So after working most of the day with pts. You have to come home to spend another 1-1hr and 30mins calling pts to schedule them, etc. And, many times there’s charting to be completed at home. 

The only pro to this job is the pts: the pts and their family are very nice, hospitable, and understanding. 

What is the best part of working at the company?
The people are great, the job is pretty good too we get to rotate after each break we're in a different area. We get three 15-minute breaks. We also get a wellness break and that's added on to our Friday lunch so we get an hour for Friday if you're off on Friday then you get a wellness break during the week. It's an easy job it's nothing hard about it's a fun place to work

What is the most stressful part about working at the company?
We do 1x1 with our supervisors. Plus if we get an error on packing we got a point for that. We get six points for 6 months and one falls off on that anniversary date.

What is the work environment and culture like at the company?
The people are friendly they help you out if you need help out with the job. The sme's are nice people as well as the supervisors

What is a typical day like for you at the company?
I go in sit down in the break room wait for the meeting to begin. They tell us what's going on how much is on the whip or scorecard sometimes it's 25,000 and sometimes that's 90,000 orders. So I go in go to my machine log into the computer and sign into the area I'm in. Then I wait for the line to start up, and then I pulled the paperwork out of the printer scan it fold it and stick it in the bag and then the bottle pills drop into the bag then I hit a button and it seals that bag. And some of the jobs you sort the bags into different bags to go to different areas of the United States.

My time with the organization was marked by considerable transitions, notably a change in leadership that precipitated a series of layoffs. This restructuring led to a tangible increase in workload for the remaining staff, breeding a sense of uncertainty and often setting what felt like unrealistic expectations. Initially, the role was positioned within a hybrid working model, promising flexibility. However, a sudden shift towards more extensive travel requirements—without adequate support or adjustments to compensate—significantly affected my work-life balance.

Additionally, the redefinition of roles and responsibilities came without sufficient clarity or training, leading to confusion among staff. This lack of clear direction threatened to compromise the quality of patient care we were able to provide.

A notable strategy from the new leadership aimed to streamline operations by blurring the lines between the functions of RN Case Managers and Social Workers. While presumably intended to enhance operational efficiency, this approach failed to appreciate the unique and vital contributions of each role to the healthcare continuum. The inherent value of specialized skills and knowledge in patient care and workflow management seemed underestimated.

Starting out, I had high hopes based on what I was led to believe during the hiring process. While the initial training left much to be desired, I remained optimistic. However, once I settled into the daily routine, it became clear that CenterWell places an overwhelming amount of responsibility on its medical assistants.

The workload is excessive for one person, especially given the high expectations. You're expected to care for senior patients under tight time constraints, while also juggling responsibilities like medical recordkeeping, medical billing, returning patient calls, phlebotomy, documentation, and chart prep.

You're held accountable for metrics that are often out of your control, and there's constant pressure to meet unrealistic standards. The company's metrics system can feel more punitive than productive. If you’re not careful, it's easy to be taken advantage of — they'll continue to pile on responsibilities if you allow it.

Overall, the role felt more burdensome than rewarding. I value patient care deeply, but the lack of support and the imbalance in expectations made this a difficult and unsustainable environment.

Pros- 
-People here are nice for the most part
-Having the company (Humana/CWSP) on your resume looks great for career growth
-Very flexible environment when it comes to taking your time off & work life balance
-Decent salary pay, PTO, 401(K), health ins

Cons
-Layoffs
- Lack of overall vision and direction from management
-Unrealistic goals and numbers for sales dep't to hit (especially considering Humana has pulled away from Humana commercial plans, lack of Humana footprint in some regions etc.
-Most of your success will depend on your manager. You either have one that knowledgeable or a manger dumb as a rock
- Lack of feeling like a "part of the team" as there is a toxic work culture that was created by the favoritism and brown nosers to get ahead. Not sincere or authentic. 
-FAVORITISM You will get promoted on who you know NOT your skill-set. They promote diversity and inclusion BUT what I see is -exclusion. They want their ideas to be whats happens and if you say something outside of the box (which is the main point of (D&I) you will get put aside quickly. They want Yes people, not different ideas coming from different perspectives
* I think this is a fair analysis of the company Humana/Centerwell Speciality Pharmacy *
 



What is the best part of working at the company?
The patients were a delight to work with.  They were kind and appreciative of all procedures, teaching & conversation.

What is the most stressful part about working at the company?
The training was very brief, and the preceptor talked about herself non-stop, and even got irritated with work-related questions.  Additionally, as I was only working part time, it was impossible to make enough to live.  I spent much of my days driving, with very minimal compensation (not even close to an hourly wage, once I subtracted my gas $ spent).  As a result of spending much of each day driving, I had to take hours me several hours of charting every night, to do on my own time.  All in all, I literally would made more working at Walmart or 7-11.

What is the work environment and culture like at the company?
Cliquish, to say the least.  Conditional kindness was evident in a few folks, though.  

What is a typical day like for you at the company?
Lots of driving, sometimes (often)  even being assigned patients “by mistake”, causing me to lose not only the driving time, but also the gas money.  But the actual visits with the patients were productive & mostly pleasant.

my first thoughts at working at Centerwell Pharmacy as a CSR is this is going to be a good job. Boy was I wrong members are rude, horrible metrics and SUPER MICROMANAGED. Have to let it be known when going to the restroom(which is personal and creepy) when you go to break, any reason why your not inbound you have to tell them. You have adherence trackers in which you must submit everyday stated why you aux any other aux instead of being on queue.  They have these metrics based on surveys member give you which determine if you get bonuses, which  you will almost never get because their system wont never let you get a perfect score. Lets talk about the other departments within Centerwell pharmacy that are horrible and never want to do their job. If you transfer to a wrong department   
( clincial services) you get a misroute and often time its not a misroute the other agents didnt want to do their job so they bring you down. They talk about working as a team and put you in teams but the teams are horrible and its every man for themselves. This call center job is a job where you one day wake up and never log in to work.

Top Job Titles	Average Salary
Registered nurse - home health 32 salaries reported	$57.23 per hour
Licensed practical nurse 31 salaries reported	$64,548 per year
Physical therapist 27 salaries reported	$109,515 per year
Occupational therapist 16 salaries reported	$97,994 per year
Speech language pathologist 3 salaries reported	$96,967 per year

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