clinical therapist

therapist

medical assistant

substance abuse counselor

patient services representative

Denova Collaborative Health

I've worked at other non profits and this was my first big agency. 
Pros- working from home without being micromanaged 
-set your own hours. I choose to start at 9 and off by 5 or 6pm.
-commission/p4p compensation is generous. See 25 clients a week to make the commission  and always room to make more.
-supervision and team culture support has been surprisingly stellar and just like being on the office-(but less distractions).
-consistent supervision 
-weekly wellness activities for staff 
Cons: 
-Telehealth can be challenging for some populations (under 5, SMI, bad connectivity).
-EHR seems like it goes down often and isn't the most therapist friendly.
-different departments don't communicate between each other well.
-forms/documentation can feel excessive at times. 
-team sizes are large so it depends how responsive your supervisor is with a team of 18-20.
-PTO rate is ok but holiday pay is very low
-difficult to take  time off for the wellness activities due to productivity expectation.
-no compensator if a client cancels/no shows 

Overall one of the best places I've ever worked so far. The flexibility of working hours and WFH is the best perks and an avatil fair compensation that is obtainable.

After years of growing with this company in the behavioral health department, I had to leave due to the toxic environment the c suite leaders created. The culture was disintegrated after the ownership went firm family owned to corporate company. The c suite leaders do not allow managers of the departments to lead their teams or make changes that are best for the team members and the clients. There is fear that if you get on the wrong side of c suite you are next to be fired or demoted. You can’t have a voice unless it’s to agree with directives given and that is not effective to propel change with their core value of innovation. I was heartbroken to leave my team of extremely passionate therapists and bh providers but realized that I no longer could influence their work in a positive way without being on the chopping block. The best part of this job was supporting therapists and BH providers and seeing them passionately pursue caring for the clients who need it most. Flexibility is also nice as you can work from home most of the days. 

I began at Denova when it was Bayless. There was autonomy and clear messaging about expectations. Since the changes, Denova has continued to go down hill. Therapists are not trusted to make their own schedules even though they meet "expectations." There are new rules and expectations nearly every week coming down from the C-suite who do not have client contact. A year or so ago, they did a pay restructuring which was phrased that therapist were going to be able to make more money. Most people saw a decrease in pay. While the pay may be better than other community health centers, the constant stress and continually worsening micromanagement is not worth it. Therapists are leaving Denova. There are not enough therapists to transfer clients to anymore and there is a long waitlist for new clients. Therapist's caseloads are huge. Many therapists are seeing 30 or more clients a week in hour spots. It's not worth it. There are managers who do care. But they are leaving. And the more micromanagement happens, the more therapists are talking about leaving.

As a new therapist, this is a better place to work than any non-profit community behavioral health agency. But the honeymoon ends fairly quickly. Therapists are the low man on the totem pole and paid ridiculously low, with weekly demands that are impossible to guarantee when clients don’t show up due to lack of motivation or consequences. The pay starts salary then switches to “pay for performance” which is a fancy way of saying commission. 
The company name has “integrated” in it but there is very little discussion (or respect) between different modalities.
PTO is a joke. 
All insurance offered costs a ridiculous amount of money. 
Not being micromanaged is nice, when employees have values and do not exploit the privilege. 
Very little clinical training offered and outside training is not reimbursed. 
Supervision is offered abundantly but quality is subpar at best. 
Once you accept that you and anyone can be fired at any time, it makes life easier. 
There is little to no respect for staff by administration. 
Very secretive.

I worked at this medical office for several years, and unfortunately, my experience was very disappointing. Management consistently expected employees to handle an overwhelming workload, and staff were often written up if everything wasn’t completed, even when the workload was unrealistic.

While management often acted like they cared about employee concerns, I never felt that meaningful changes were made after issues were brought forward.

One of the biggest problems was the lack of leadership. The lead medical assistant frequently watched other MAs struggle while spending time on his phone, eating, and watching Netflix instead of helping the team. He also spoke disrespectfully to management and often responded with a poor attitude when staff brought concerns to him.

The work environment felt unsupported, stressful, and unprofessional. Based on my personal experience working there for multiple years, I would not recommend this office to anyone looking for a positive workplace.

What is the best part of working at the company?
The best part about working at the company is that the coworkers are sociable.  There is a large group of employees.  Although they are spread out across the valley of the sun, there are opportunities for interaction in person or virtually. 

What is the most stressful part about working at the company?
Lack of resources for patient care.  Technology problems making it impossible to work.  Financial problems requiring employees to spend money on work equipment. 

What is the work environment and culture like at the company?
Corporate culture with an unusual structure and unilateral decisions made by the management team without employee input or with disregard for employee input. 

What is a typical day like for you at the company?
This will vary depending on your role and your site. Many employees work remotely.

High caseloads. there are significant challenges that can lead to burnout. The focus on billing and meeting financial goals often takes priority over employee well-being and client-centered care.

Case managers are heavily encouraged to prioritize screeners and annual assessments, which seems more aligned with the company’s billing objectives rather than client needs. The caseloads are substantial, and support from management can feel lacking. In meetings, management often takes detailed notes, presenting these as routine check-ins, which can come across as disingenuous. They will keep track of any mistake you make. 

There is a noticeable lack of a supportive work culture, with gossip among staff being an ongoing issue. I asked for help with my new caseload when I started and was told to watch an online training for it. Overall, I would not recommend this workplace for those seeking a collaborative and supportive environment. 

Be prepared to be constantly using screeners with your clients rather than focusing on therapy. Little say in actual caseload size and demographics. Incredibly high no-show rate with no payment to therapists. Advertises this great "work/life balance", only for everyone there to be burnt out due to seeing 8+ clients a day. Sure, you can make your own schedule, but when you have to see extra clients to make up for no-shows to ensure you meet your numbers and get paid --  it gets exhausting. The pay is better compared to other agencies, which is a plus, but is often unpredictable due to their pay structure. Their mandatory training/meetings are unpaid and that time is taken away from being able to see clients. 

The providers and co-workers are wonderful to work with and definitely made the job worth it. However, poor management and constant changes made it difficult. Management definitely needs improving and really listen to feedback of employees. They suggest they want feedback but do not. A lot of changes, by the time you adapt to the change it’s being changed again. Heavy workload with little grace. Pay is not great compared to the work load and not competitive. I cannot speak for other departments but for the medical assistant management needs some serious changes. The company promotes from outside than within. Little room for growth or advancement. Consistently short staffed. Unfortunately could not stay due to management and heavy workload. :(

What is the best part of working at the company?
The best part of the job was that we had good leadership. I felt cared about and supported.

What is the most stressful part about working at the company?
The most stressful things I enc was transitioning from the 3 months salaried to the different pay structure. My income started to go down at that point.

What is the work environment and culture like at the company?
It’s a positive culture. You get feedback from your supervisors and you feel valued by them. It always felt organized and congruent.

What is a typical day like for you at the company?
Start the day with appointments, and see folks via telehealth. Maybe attend a meeting or a training. Lots of autonomy.

Top Job Titles	Average Salary
Clinical therapist 8 salaries reported	$76,500 per year
Therapist 9 salaries reported	$125 per day
Medical assistant 8 salaries reported	$22.38 per hour
Substance abuse counselor 15 salaries reported	$70,800 per year
Patient services representative 19 salaries reported	$17.66 per hour

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