health screener

screener

nurse practitioner

attendant

technician

Landmark Health

I have never enjoyed a job or felt like I was making a difference as I have at Landmark.  Bringing patient-centered longitudinal and urgent care into the homes of chronically ill people is extremely rewarding While certainly challenging at times, it never feels like “work”.  The patients regularly appreciate the time we spend and the value we bring to their care.  It is truly a privilege to supplement the existing healthcare team with in-home reinforcement of teaching and primary prevention, and delivery of acute medical care when patients feel most vulnerable – acutely ill, post-discharge, end-of-life.  Every patient’s life is valued, respected, and honored by our team on a regular basis.  

It takes a certain type of person to work for Landmark - you must be driven to and passionate about transforming healthcare.  The company is selective in choosing the right fit for our culture.  Every person is seen as an instrumental piece of our team and is provided opportunities to contribute ideas in a safe environment.  Time is allocated during our weekly meeting to recognize when individuals go above and beyond, and contributions are regularly recognized.  The company invests in team members’ growth and development with regular training and clinical education, as well as providing opportunities to learn from each other.  

Our team is built of an incredible group of interdisciplinary clinicians and professionals with broad work and life experience.  As a provider I know I am never alone in a patient’s home because any team member would answer the call and support me.  I personally know this to be true all the way up to the CMO.  Many leaders have not only expressed their belief in “family first” but have consistently demonstrated this to be an instrumental part of Landmark’s culture.  

In New England it is an honor to work with some of the most caring and knowledgeable clinicians I have known, and every non-clinician team member brings an exceptional level of care and dedication to our mission and our patients.  The leadership team in New England is trustworthy, approachable and transparent, and I have found them each to be fundamentally good people, which makes all the difference in building an outstanding team.  I am confident they have our team, as well as our patients’ best interests in the forefront of their minds in all they do.   

As much as I love working at Landmark, no company or job is perfect, and as stated, it takes a certain type of person to work here.    While many miles have been driven, and many hours spent in traffic, this has helped me become more patient and mindful, and pushed me to better manage my time both in and out of work.  As the company continues to grow, roles are stretched and policies evolve.  It has had a “start-up” feel to it at times, which requires flexibility and fortitude.  

There is an abundance of local opportunity for Nurse Practitioners, but I have no interest in pursuing other paths.  The mission, the values, the innovation, the model of care delivery, and the passion and care of this Landmark family is tremendous, and I know I have found my calling here.

The compensation is probably the best perk of the job. However, APPs are salaried and are not compensated for OT worked to finish charting, etc. The biggest issue I have with the company is they do not factor in time to deal with IT issues and socioeconomic issues of some of the most complex patients. 

Detroit is a heavily diverse area and lots of patients are in need of not only medical care but also psychological, social, and economic assistance. APPs are often working more as case managers than providers. I often do not have time to address all the issues in a single visit. 

Lots of things get pushed back onto the providers. Schedulers do not schedule with efficency in mind. Therefore, my team takes the burden of reworking my schedule and then we all get behind. IT issues are constant and the EMR seems to never work. Missing visit notes, faulty software where I can't close notes, or an IT service desk that prefers to dismiss complaints than handle them directly. EMR is a nightmare to put it bluntly. Wouldn't be so bad if it was more user friendly, but with the Optum intergration they have released multiple new metrics we must fill out and each metric is basically its own screen. They also expect APPs to continue seeing their normal patient load while not having access to the necessary tools, i.e. a working EMR and medical history. 

I believe this role provides vital services to people in need, and could be a great place to work.  I do have days where I feel I have made a difference. I have a better appreciation for what the daily struggles of my patients are and how to better address them. However, I'm grasping at straws and feel overworked and undervalued. This role is not meant for the long term. If you want to gain a good foundation of patient care and their struggles, highly recommend for the education you will learn. Could also see provider oversight good for newer providers, but could hinder APPs if you don't have a good relationship with your supervising physician. 

Landmark is an interesting place to work. Every day is different so employees have no choice but to be flexible. Leaders in Massachusetts say they want the best for the providers and other employees. They always ask for more. There is no administrative time to complete all the required training, phone calls, documentation, etc. And we drive, a lot. Call is too intense for a proper work life balance. I appreciate the ideas and ideals, but the follow-through is lacking. The members are great, geriatric and very ill but home care gives us a chance to become a big part of their lives which is really fulfilling. There is an unwritten rule that we need to be available all the time which wreaks havoc on our time away from work because emails, texts, urgent visits come through from leadership and it does not give a chance to destress. I like the job and I like the members. I also like being autonomous but there is no distinction between work and personal time on many days which is difficult. I like my actual work, and just deal with the rest because the patients are near and dear to me and I believe in the value and impact we have on our members. Leaders overlook employees and play favorites when it comes to growth. They say we can change our role, grow, or be creative and innovative with ideas, but only certain people can do that. Nurse Practitioners see more members and get no administrative time, unlike the physicians who get administrative time so they see fewer members, and a couple of favorite Nurse Practitioners who are surpassing well seasoned senior providers because they are friends with leadership, not because of skill, knowledge, or experience. It is easy to feel worthless here even when you are doing your best. Leaders only look out for what benefits them and their agenda which is shameful. It is a toxic culture hidden under a facade of fancy dinners and free gifts. Do not be fooled!

When I first came to LMH i thought i was applying for customer service / outreach specialist but it turns out this is more a sales job than anything. We need to schedule appointments for members of various health plans, they are urgent services at home at no cost (except a plan they have small copay). I soon found out training is poor we are pretty much on our own to find out different ways to work and how different people like to be contacted, there has been frequent changes in scripts as well. What I have come to realizing though the idea of this company is to provide better care for member but in the call center aspect of it they are looked more like a number. I came into this company thinking I was going to impact their quality of life but I find myself worrying more on scheduling an appointment and trying to meet my goal for the month. Also they put you in a probation program if you do not end up meeting your goals for the month which is something never explained upon hiring so please be aware there is no job security here. Also other colleagues here have tried to move up to other departments but its becoming difficult to even get that opportunity to grow. There is fun things that come with it like free lunch Thursday's, quarterly events off work, free snacks in the break room (slowly though seems like management does not want to restock). There is a lot of office drama which is typical and gossip too, management does not know how to control this and sometimes sadly it comes from management the own gossip also have to beware who you really vent to.

I feel after 3 different medical practices I finally found my dream job. As a physician it is partially administrative and partially direct patient care which I feel is the perfect mix. Please understand the work is not always easy. We work with a difficult patient population that are very sick in a broken healthcare system. I believe Landmark has the key to transform healthcare. It is not about the number of patients but the quality of care. All the previous jobs I have had focused on how many patients you see a day, not the quality of care given. I got burned out after only a few years at traditional primary care practices because it felt like a patient mill, move them through as fast as you can and bill the highest you can. Landmark is totally the opposite. There is a lot of autonomy but support if you need it. The bonus is meant to be just that, a reward for doing a good job. It is not meant to be super easy to get but in my opinion it is much more attainable than other jobs. Charting is time consuming anywhere and I think the policy of completing 80% of charts within 7 day is very generous. Yes the company is growing fast, but that is because what we are doing works! If you are bothered by change this is not the place for you. Coworkers are great, people are genuine and caring. Benefits and PTO are comparable to most medical practices. Overall a great mission driven company that is actually helping people. Oh and the comment about everyone even the CEO leaving is not the complete truth. Our CEO was asked to work for CMS and he left so he can hopefully bring better healthcare to the whole nation and impact the most people.

This use to be the best job I ever had however, things have changed drastically. It once was about providing quality care but it quickly became about making money and numbers. Very little work life balance. You chart half the night just to keep up with documentation. What they do is dangle a big bonus in your face and string you along by saying how well we are doing in reaching our goals. But usually 2 days before the bonus is to be paid out, they come back and say we didn't make certain numbers so we wont be getting the amount we had been anticipating. The NP's do most of the hard work but get the least amount of respect. The NP's answer to RN supervisors who often tell them how they should be managing their patients. The management team will initiate all these incentives for the NPs to complete, just to make their own resumes look good and before you know it that person is promoted to higher position. NO room for growth for anyone other than management. Operations change almost every 6mos. Quarterly they set metrics to base the bonus and your performance off of. These metrics are nearly impossible to meet however we struggle thru sleepless nights, tears to meet them. Once you have finally met that metric, the next quarter, although we barely met the last metric, they will increase the metric. Making it more and more difficult to meet. I think this is done to again make management look great. However, this have resulted in a very stressful work environment and a high turnover rate. The mission and vison is great if only it was truly followed. I could go on and on but Ill stop here.

I have been with LM for 2 years and am honored to be able to see patients in their homes. It’s a much more personal relationship with the patients and their caregivers than what is possible in an outpatient setting. Having cared for patients in a variety of settings including long term care, acute care, office practice and long term acute care, I find this extremely rewarding. It’s a luxury to be able to spend an hour with a patient, being able to really delve into their medical, social, functional, emotional and environmental issues in a way that can’t be done in any other setting.
As a Geriatrician, this is the ultimate way to practice and Landmark Health gives us that opportunity. The current leadership team is committed to making sure staff have work/life  balance, are very inclusive and care very deeply about the happiness of their employees. There are expectations of course but leadership gives staff every opportunity to meet or exceed them with handsome financial incentives and they  express their appreciation every chance they get!  
The Massachusetts Market is run with a firm but gentle hand and keeps staff focused on the mission and the value we bring as a team to the patients. There is emphasis placed on communication, teamwork and innovation in an effort to make a positive impact on patients lives who are enrolled in our program. 
I would highly recommend this employer to anyone who wants to be part of this dynamic team that is transforming healthcare to a higher quality, safer and more comfortable venue.....home.

Community Health Advocates (CHA) focus on scheduling initial visits for eligible patients.  Landmark is a great no cost service for very chronically ill patients, so it's rewarding knowing that you are helping patients. Very metrics focused role, that initially seem resonable and attainable, until you figure out that your metrics are not totally in your control.  The visits that you schedule are completed by someone else (a provider). Some providers have very low visit completion rates. So, you could potentially work very hard to schedule appointments and end up not meeting your metrics because the provider that is performing your scheduled visits is unable to obtain signed consents or overcome basic patient objections to complete the visit. CHA metrics should be based on scheduled visits, not completed visits. Providers should be held accountable for metrics on their completed visits. Also, CHAs metrics are not pro-rated...so if you take a two week vacation you are still expected to  meet your metrics for the month. There is no possible way to do this unless you work overtime. This does not promote a culture of work life balance. These inadequacies in the metrics have been brought to the attention of management who agree the system is flawed, but have made no movement to correct it.

I'll keep it a buck with you here. I had to practically go out my way to make multiple contacts with the hiring team just to schedule three interviews for this position. This is an indication of how many unnecessary meetings you'll be subjected to. The position was for Landmark medical and they go far out of their way to hide that fact every step you take until you get hired. What you have here is basically an Amazon type of process where your job will be as congested as possible so that patients that latch on from the attention and come to you for every problem they have.
Upon hire there were months of being so overly positive about their progress that it comes across a fake. That's when the passive aggressive behavior starts to show itself if your market isn't growing at a rapid pace. Before you know it your position will be cut underneath you if you're not perfect and fitting to their mold. Be prepared for the kind of oversight that will tell you to head to the office while they're at home walking on a treadmill right in your face.
Don't expect overtime because they run a tight ship and if you do work to catch up after hours expect to be told to fix your hours back to "normal".
Lastly, they don't pay out pto as an end of year option or pay it out if your position is eliminated.
On a positive note, if you enjoy feeling alone in your job, go for it.

Landmark New England is an innovative, mobile medical group that is comprised of a team of dedicated health care professionals who work together to provide high quality medical care to a frail, medically complex, geriatric population.  At Landmark, the patient’s health is always the mission.  Seeing 5-6 patients a day for Landmark instead of 5 patients an hour in an office setting leaves much more time to spend with each Landmark.  There is plenty of time to provide comprehensive health care and to build a proper patient relationship.  In fact, our patient satisfaction rate is over 95%.  As a provider, I am fully supported by a staff of nurses and trained clerical staff.  The Landmark IT system is state of the art as is the EMR.  The mobile communications are wonderful.  We are provided with a laptop and company phone.  We have IT support available 24/7. 

Landmark is a company that I enjoy working for.  The patient population is challenging.  As a PA, I do get to work autonomously, yet I have immediate physician accessibility when needed.  The work day is about 9 hours which is not bad considering the complex patient population.  As for management, I could not say enough good things about them.  They foster a culture of excellence. My supervisor in particular is a great person.  He sets an example by always working tirelessly to improve things and to make Landmark better.  He is kind and patient.

Top Job Titles	Average Salary
Health screener 9 salaries reported	$42.20 per hour
Screener 36 salaries reported	$31.85 per hour
Nurse practitioner 2 salaries reported	$145,000 per year
Attendant 10 salaries reported	$39.50 per hour
Technician 8 salaries reported	$39.50 per hour

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