mobile phlebotomist

nurse practitioner

medical assistant

health center manager

physician

Premise Health

Alabama CareHere offices are totally unorganized, understaffed and congested. I started to walk away the first day due to unorganization.  I was 15 minutes early and the staff would not let me in the office because they did not know that I was coming. I received good orientation from a very nice team member but it could have been much better if she had all of the material that she needed and if the task of orientating me had not been dumped on her suddenly.I was told by the recruiter that I would be orientated by the Staff Education Nurse. I also spoke with her but she told me that she had never been to Alabama and would have to orientate me via skype but the system did not work and she spoke with me via telephone. I do not think that corporate really understands how difficult it is to operate a business in another state when they have poorly trained managers (if they have been trained) that are only concerned about the themselves, the power that they have, only satisfying the clients and patients and looking forwards to the bonuses that they will receive. They have no concern for the employees who are the ones doing the work and saving the clients millions of dollars. CareHere, nor the managers think enough of the employees to acknowledge nurses week, your birthday or even Christmas with a gift. I was a very loyal, dedicated and hard working employee for CareHere that was overworked with doing the job of 4 people and when brought to the attention of the DCO/VIP of Operations, he informed me that he knew exactly how much work I was responsible for doing. He often bragged to me and other staff members about what a good job I was doing and how well organized I had the office. I was doing such a great job until I guess that is why he terminated me on the day that he was suppose to have been giving me my annual evaluation (which was 4 months overdue). We both know that the job has been promised or given to someone else and I was in the way. The team members were great to work with. The problem was some of the spoiled, demanding and disrespectful patients that would go from clinic to clinic demanding different things and when they could not have their way or you did not agree with them, then you were being rude and management would agree with them each time they would complain instead of using common sense and realizing that sometime people will lie when it is convenient for them and to make themselves feel good when actually they were the ones that were in the wrong or had been rude. Management only come to the clinics when they have a write up or termination slip for you and they like to micromanage when they actually do not have a clue about what is going on or the medical profession. Several of the team members feel the same way that I do but they will not speak up for change or improving the system because they are afraid of being fired. Corporate should get more involved and meet with their employees yearly, also send the managers to training classes and have the employees evaluate them on a yearly basis. The most enjoyable part of the job for me was working with the awesome team members and providing the best care that we could. The hardest part of the job for me was trying to satisfy some of the difficult patients that did come through from time to time, also dealing with management whenever you did see them. Managers really give it some thought before you decide to take away a person's lively hood. Please do not forget that you have to live and have families to provide for too! I have never seen right and wrong walk hand in hand. Just treat people right and you will feel good about yourself when you look in the mirror. We do reap what we sow.

What is the best part of working at the company?
After several decades with Premise Health, I find myself incredibly grateful for the journey.  This organization has provided me with so much more than a career—it has given me meaningful experiences, lasting friendships, and endless opportunities to grow both personally and professionally. What sets Premise apart is its culture—supportive, passionate, and truly committed to growth. I’ve had the privilege of working alongside inspiring colleagues who care deeply about making an impact, and leaders who invest in people and possibilities.  I’m proud of the path I’ve traveled here and excited for what’s still ahead.

What is the most stressful part about working at the company?
At times, the most stressful part of working at Premise Health comes from the responsibility we carry—whether it’s supporting clients, leading teams, or ensuring we’re delivering impactful outcomes.
In a fast-moving, growth-oriented environment, there are moments that require balancing competing priorities, driving results, and supporting people through change.
But what stands out is how the organization meets those challenges—with strong leadership, teamwork, and a culture that genuinely supports one another. The same passion that creates pressure is also what fuels innovation and growth.


What is the work environment and culture like at the company?
Premise Health has a culture that is truly people-first—both in how we serve our clients and how we support one another internally.  The environment is incredibly collaborative and relationship-driven, with a strong sense of camaraderie across teams. Over the years, colleagues become friends, and there’s a genuine spirit of encouragement and celebration of each other’s successes.  It’s also a growth-minded culture, where curiosity is welcomed, ideas are valued, and there are continuous opportunities to stretch and develop. The passion people bring to their work is contagious.

What is a typical day like for you at the company?
If there’s one thing I can say about a “typical” day at Premise Health—it’s that there’s no such thing!  Each day is a mix of team connection, client collaboration, strategy, and a little bit of problem-solving magic. I get to support an incredible team, partner across the organization, and help drive meaningful outcomes for the clients we serve.  It’s fast-paced, energizing, and full of opportunities to learn, grow, and celebrate wins along the way. And honestly, it’s the people that make every day worth it.

The management in this company from the local clinic all the way up the ladder to corporate is absolutely terrible.  There is no mutual support.  The culture is terrible and borderline hostile.  On site manager has no idea how to do own job, tasks are constantly delegated down to nursing staff. When management is given a job by supervisors it is always dumped on the nurses. Local management is rarely here for a full week, taking multiple out of state/country trips leaving the clinic without a manager or provider.  The directors above that position have no idea how incompetent the onsite leadership is despite being told repeatedly by staff.  Local management has created a hostile work environment by gossiping about staff to patients, spreading rumors, lying to staff, and even yelling at staff.  When complaints are made about hostile work environment, the employee making the complaint often ends up being retaliated against. Upper management is out of state and never comes to check on the clinic but once every couple of years.   Quite honestly, this is the worst management I have ever worked under in my years as a nurse.  

Staffing is bare bones.  Employees cannot use up accrued PTO because there is no staff to cover shifts.  We are only allowed to roll over 40 hours of PTO at the end of the year or we lose it.  And most of the time it is lost because there is no coverage.  Company will not bring in agency nursing to staff so that regular employees do not lose vacation time.  We work 24/7/365, yes even on CHRISTMAS, and cannot get a few days off for a family vacation.  And don't even think about getting sick because you are not allowed to call out.  A nurse was forced to work with strep throat  and raging fever because no nursing staff was available and the manager would not come in on her own time.


Also, hope you don't mind working 12.5 hours and not being allowed to take a break.  Meals are done at the nurses station and since there is only 1 nurse on at a time, if someone walks in, your lunch is over.  You are required to answer the phone, respond to emails, and attend patients while you try to eat.

I've worked for this company for over 5 years in different sites as a nurse.  Each site is very autonomous and clinics are small. That can be good or not depending on the personalities within it.   

These are small clinics imbedded in large corporate client sites, focused on providing care to the employees only.  Depending on the site contract, that can be primary care, acute episodic care, emergency response, case management and/or workmans compensation cases. Generally, there are only 1-2 staff members on site for a shift at the New Mexico sites, so managing priorities is important. 

Coming from a hospital setting, I enjoy working in a safe, secure environment with patients who are reasonable and polite. I've found the clinics to be well stocked and very patient focused. I like that there is time for patient education.  You aren't rushed to see X number of patients a day like a conventional clinic and you aren't overwhelmed by the competing needs of other patients like in a hospital.  You can connect with people and help them make decisions about their health concerns. 

Policies and protocols are actively documented and communicated.  Most everything is done electronically because of the many small locations.  Charting is done using EPIC or the client provided software. There is less hands on nursing than any other job I've had because the majority of the time, the nurse is the only provider and we work within a very limited scope: no IV's, blood draws, BLS only, minimal medication administration. 

Management is off site, so there is a lot of autonomy (and responsibility) in managing workflow, scheduling, inventories, etc.  I've found next level management to be responsive to site issues and active in helping to solve problems. 

Pay is good compared to hospital rates, but without shift differentials. Schedules are stable and you either work days M-F or you work nights/weekends. PTO accumulation is consistent with the local market but Premise offers paid holidays as well.  






A typical work day at Premise is very dynamic - no two days are alike and that's what I love about working here! Though I came to my role with a rich healthcare management background, I've learned so much through my tenure with this company. I've been here for many years and that is because I believe in the leadership team here, have some amazing colleagues and direct reports, feel valued and supported, the company continues to evolve with the industry, and basically because Premise is a great workplace. 

Premise is a great place to work - especially so if you're a self-motivated, high performer who is in it to help others get, stay and be well.  You will be amongst your peers here. I learn from my colleagues every day in different ways and usually have a lot of fun along the way. I've gained some great friends working here and have built a strong network despite being remote.

In my opinion, Premise is by far the best in the onsite industry. My direct leader is highly engaged, knowledgeable and available when I need them. As a leader in the organization, I have the autonomy needed to get my job done, and feel very supported when I need my leadership support. 

The internal support resources are there for you at all levels within the organization and knowing how to navigate them is a key to your success here. If a breakdown in communication or support occurs, I have found that leaders are eager to identify the issue and rectify it. 

There are multiple initiatives in place to ensure not only patient satisfaction, but also employee satisfaction. Leaders and HR take employee satisfaction seriously and poll us very often to ensure they are in tune with the team member perspective.

I love working here!

Working here often feels like being expected to operate as a one-person army. Lab staff are responsible for running POCTs, managing mounting paperwork, drawing patients, and resulting tests immediately — all at once, all without delay. The expectation isn’t just efficiency; it’s perfection at full speed. Burnout isn’t a possibility, it’s the predictable outcome.

There is little sense of genuine teamwork. Instead of addressing concerns directly and professionally, coworkers often escalate minor issues to management. This creates an environment where people protect themselves rather than support one another. Being “right” seems to matter more than being collaborative.

Leadership communication is inconsistent at best. Expectations and policy changes are not always clearly communicated, yet disciplinary action can appear swift and unforgiving. It can feel like you’re expected to intuit rules rather than be clearly informed of them. Attempts to boost morale — coffee, potlucks, small perks — don’t meaningfully address the underlying issues of transparency and trust.

Patients are frequently given wide latitude in their behavior, and staff are left to absorb difficult interactions with limited backing. Because the clinic serves employees of a contracted company, there can be a noticeable sense of entitlement that adds to the strain. When complaints arise, staff may feel they are presumed at fault rather than supported.

In short, the pace is relentless, the margin for error is nonexistent, and the support systems are thin. If you thrive in high-pressure environments with minimal guidance and are comfortable advocating for yourself constantly, you may manage. Otherwise, it can be an exhausting and demoralizing experience.

Working as a Medical Assistant at Premise Health has been one of the most rewarding experiences of my career. From day one, I felt genuinely welcomed into a culture that prioritizes both patient care and employee well-being. The organization truly lives out its mission of delivering high-quality, patient-centered healthcare, and it shows in every aspect of the workplace.

What stands out most is the level of teamwork and support. Providers, nurses, and administrative staff collaborate seamlessly, creating an environment where everyone’s voice is respected. As a Medical Assistant, I’m empowered to take an active role in patient care—whether it’s assisting with procedures, educating patients, or helping improve clinic workflows. Leadership is approachable and invested in our growth, regularly providing feedback, recognition, and opportunities for professional development.

The work-life balance here is also exceptional compared to other healthcare settings. The predictable schedules allow me to maintain a healthy balance between my career and personal life, which ultimately makes me a better caregiver. Premise Health also invests in modern tools and technology, making it easier to deliver efficient and effective care without feeling overwhelmed.

Most importantly, I leave work each day feeling like I’ve made a real difference. Building relationships with patients and seeing positive health outcomes is incredibly fulfilling. Premise Health has created an environment where Medical Assistants are not only valued but truly set up to thrive.

I would highly recommend Premise Health to anyone looking for a supportive, forward-thinking healthcare organization where you can grow, contribute, and feel proud of the work you do.

What is the best part of working at the company?
I am fully supported by my line of service management team. The salary for my role is far superior compared to other companies in my area for the job type.  

What is the most stressful part about working at the company?
Some of our operational leadership does not fully understand the different lines of service and how they support the health center. Sometimes we're asked to do more without increasing staff support. Like most places of employment, internal conflict has been challenging and went unresolved leading to higher turn around within our providers. We did have some challenges with benefits this year as well but our company leadership heard our experiences and made changes that was satisfactory.

What is the work environment and culture like at the company?
The direct work environment can be challenging with conflicts between staff but overall I have great relationships with my coworkers. As  a larger company, the culture is good. I am fully supported by my line of service management team.

What is a typical day like for you at the company?
As a care manager, I work with members on chronic disease management and weight loss support as part of a weight loss program. The average caseload is 250-300 members/care manager, I manage over 615 members to date. As one of two RNs in my health center, I support staff with vaccination administration, reading TB tests, reviewing labs/test results with members, and managing member emails/phone calls.

Premise health is a leader in on-site work place health centers for large employers across the USA. They have hundreds of clinics and are growing fast. 
Great work life balance if you structure and prioritize well and your manager doesn't make life difficult with their own inadequate performance. 
One difficulty is that clinics are spread all over so corporate has no idea what happens in the field because they are rarely there which allows problem employees to rot away and create a dysfunctional work environment for others just trying to do their jobs. 
To try to deal with that and other similar problems they micro policy and procedure yet if no one is watching/managing at the clinic those policies are not followed creating chaos. Managers  re allowed to work at home the majority of the time and only come in to the clinic for a couple hours a week. They do not answer emails or follow up on things that need to be addressed much of the time. makes it hard to work on your own stuff when having to wait for the manager to sign off on things.  They have meetings and come late or don't show and don't have anything ready for the meeting. May be at only our small clinic, but it happens here so I guess it could happen anywhere. And when you let higher ups know, nothing happens to fix it. And, how could they not know and not see it at their end too.....I left because the management was terrible and it impacted my work.

In my years of experience, I have not run into a more corrupt and ill equipped corporate team. The HR team here is laughable and does not have the most basic of ideas on how to create a collaborative, knowledgeable, and functional team that actually works as intended for those who are doing the work at the corporate office and across the county. 

HR Leadership at the Director and VP level is a joke at best and at worst it is unethical and poised for the same type of credible lawsuits they have lost in the past.

For a company that has been around for this long you would expect for the most basic of systems and resources to be in line. However, leadership is a gang of underqualified corporate lackeys that are glorified supervisors at best while the rest of the team suffers through their lack of judgement and asinine decision making processes. I use the word processes very lightly.  

There is no redeeming qualities at the corporate level that I would offer as a reason for anyone of sound mind to suffer through the intolerable buffoonery that passes as management at CareHere. 

As titled, run. Save yourself the time and your sanity. Ironically, CareHere could not be a more thoughtless. 

I will give them a few accolades. CareHere could not be more exemplary of all the reasons why people distrust Human Resources,  a master class of how to fumble onboarding/training, a guide of what terrible HR leadership looks like, and lastly the best place in all of Nashville for your career to die. 

Congrats.

Top Job Titles	Average Salary
Mobile phlebotomist 14 salaries reported	$28.64 per hour
Nurse practitioner 18 salaries reported	$145,782 per year
Medical assistant 18 salaries reported	$24.56 per hour
Health center manager 17 salaries reported	$119,973 per year
Physician 17 salaries reported	$283,430 per year

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