therapist

mental health therapist

peer coach

registered nurse - operating room

mental health technician

Hegira Health, Inc.

*Pros 
- No weekends, it's a Monday through Friday workplace. 
- Insurance. 
- Great coworkers who are genuinely supportive of each other.
- I had an excellent Supervisor who made herself available to discuss cases and offered great clinical feedback. 
- With it being a home-based position, there wasn't a lot of micromanagement or time spent in the office. 
*Cons 
- The pay. For the amount of work that you do, the drive time in between homes, and the emotional heaviness of the work, the pay isn't great. It's around $43,000 - $45,000 annually. 
- On call shifts. On call shifts last 2 weeks and you do get an extra $200 in your paycheck for that pay period. People rarely called, but it's still something to think about if you're going to work here. 
- Increased productivity requirements. When starting at Hegira, the productivity requirement for direct service hours (hours spent with clients) was 17, they increased it to 20 hours, with no increase in pay. 
- Minimal upward mobility. Unless you want to become a Supervisor, there isn't any room for upward growth, you'll remain an entry level Therapist. This is how CMH (community mental health) agencies become a "starter job" for new MSWs. You get your 1-2 years experience, then move onto something with less stress, better pay and more upward mobility. 
- A lot of paperwork. Like any CMH, Hegira included, it almost exclusively serves Medicaid recipients. I don't know how to put into words how much paperwork Medicaid requires. It's to the point where it is your number one client, not the actual people that you serve. As your caseload/productivity requirements increase, it becomes even more difficult to keep up with. 
*Overall 
If you're just looking for a decent entry level position, good supervision, to get the 1-2 years experience for your full license and that's it, then this is a good starter job for you. Although, I wouldn't recommend staying longer than that. There are better social work jobs out there with more work-life balance and better pay.

Job seekers, BEWARE: Don't expect to advance much with this company unless you're willing to be a corporate kiss-butt and place business values over ethical and moral values. Get in, get out, get the experience and hours you need to move on. Don't give it another thought or ounce of energy. I honed my counseling skills and earned the hours I needed to earn my full licensure. Also, maintained stable income and had access to healthcare and a 403(b) retirement plan. Higher-ups wanted me to double-book clients just to make productivity standards, which is completely out of the therapist's control because if clients decide not to show up to their appointments, productivity is jeopardized. clients are the easier part of the job and most enjoyable, documentation and the way in which management wishes you to complete documentation is the difficult part. they require both paper and electronic documentation, and wind up repeating yourself in what you document more often than not. the required documentation is highly excessive and requires at least an hour out of the regular work day to complete. management has no respect for you or the job you perform, you're just a number and will get rid of you for any reason they see fit if you don't play the business and politics game, even if you don't ethically feel that compliance with their standards is appropriate.

If I had gotten paid anywhere near what I deserved for the job I did at Hegira I would have stayed there for a MUCH longer amount of time. I worked in Children’s Outpatient and the supervisors and program administrator were amazing. They really care about their workers, value self care and work/life balance and are super supportive. It’s really the Administration team that I had a problem with. They constantly ask why the turnover rate is so high hoping we’re going to say something different but it’s always the same reason: the pay. I worked as a home based worker which meant I drove around all day and worked with high needs clients and only made 38,000 as my starting salary. The amount of work I did deserved so much more than that. I can barely afford to live on my own with that. It’s a great job if you’re just got out of college and are still living with your parents or if you’re married to someone who makes more money than you but it’s hard to live off of their salary alone. 

Hegira has several locations. This review is based off Next Step Clubhouse. Their is no such thing as a typical day for next step. Anything can happen. I learned a lot about case management, documentation skill, stress management, coping skills and multitasking.Management depends on which manager your referring to. The company owner is great. He is down to earth despite making way more money then me. Their are different buildings and different locations, but he takes the time to get to know your name and about your family. The hardiest part of the job is dealing with so many different personalities, high staff turn over rate in my building and not being able to make some of the changes i would like to make. The most enjoyable part is when a client makes progress at obtaining their goal and you know they made it because you helped them.

Overworked, underpaid, and overwhelmed. I loved my clients and my coworkers, but the salary was not respectable for our profession, especially for how hard of work and the amount of responsibilities we had to manage on a daily basis. Unfortunately there is a high turnover rate for therapists, clients will even ask when you are planning on leaving. The caseloads are extremely high and you are expected to do clerical related tasks that add up and get in the way of providing direct therapeutic care.  There was also little to no room for advancement within the company, and even then the pay for the promotion was not worth the extra responsibilities. This is a good job for someone right out of grad school that needs supervision hours and experience. Unfortunately after that they do very little to try to keep you.

If you can’t find another job, I guess one at Hegira will do until you find better. They know that they have a high turnover rate, and does nothing to change it. People usually come there, fresh out of college or graduate school to get the experience they need to work in the mental health field, then leave. The only decent thing about working there, is that you will have some great co workers, that are good at their job. However, management and Human Resources does absolutely nothing to keep their workers; (and you will never feel appreciated). The pay is an absolute joke, for the work that you will have to do. You’re almost better off working at target. If this is all you can find. My advice is get the experience needed, and definitely do not stay longer than a year, it’s not worth it. 

A typical work day involves dealing with managers and executives management who do not listen to lower managment or support staff suggestions to improve the organization's adminstrative and clinical operations, along with reducing the high turnover of staff.   There are favorites by managers/directors who take advantage by not carrying their load of daily work or working remotely, but not getting any work done.   Hardest part working at Hegira Health is the resistance to change in being more productive in your work.  Enjoyable part is the working with others each day to get tasks/projects done on a timely matter. .

What is the best part of working at the company?
I had autonomy, able to be flexible and control my schedule.

What is the most stressful part about working at the company?
Trying to adjust to a mom and pop operating culture. Those in charge made policies, decisions, changes on a whim and you as an employee had to go along with it regardless of if it was ethical or not.

What is the work environment and culture like at the company?
The work culture was, whatever those in charge decided it would be on any given day.

What is a typical day like for you at the company?
Putting out fires all day, one problem or issue after another even on your off days. Petty issues that could have been handled  during business hours, were handled like an emergency and you were called after regular work hours.

I enjoy working with and having interpersonal skills with my customers and team members. The customers is the reason I enjoy coming to work. I enjoy giving great advice about our new products. I enjoy the personal connection between me and  the customer, I want the customer to feel like they're appreciated and not someone that we just assist and on to the next client. I want the clients to  feel appreciated and someone is listening to them. If you give great service its definitely will be heard by ten other people. they would want to come to a friendly and helpful environment, that have great customer service and awesome people that want to eagerly help them. I'm all about  integrity, loyalty and respect, and that's who I represent.

Typical day at work includes seeing patients for individual and group therapy, coordinating care with corrections and psychiatrist, and managing case file.  I learned time management, crisis intervention, and how to develop didactic material for recovery.  Management is easy to approach and available for assistance.  Co-workers are team players and provide helpful feedback during case reviews.  The hardest part of the job is losing a patient to overdose.  The most enjoyable part of the job is seeing improvement in a patient.

Top Job Titles	Average Salary
Therapist 5 salaries reported	$62,200 per year
Mental health therapist 22 salaries reported	$62,159 per year
Peer coach 6 salaries reported	$18.90 per hour
Registered nurse - operating room 8 salaries reported	$31.94 per hour
Mental health technician 6 salaries reported	$33.00 per hour

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