patient access coordinator

patient coordinator

licensed practical nurse

psychotherapist

it technician

Rural Psychiatry Associates

You are told all of the information below is "normal" and is standard for the field.

Onboarding:
This clinic had potential; however, they mislead you from the beginning. This clinic will sell you an image of a nicely paced environment with plenty of support staff and a manageable caseload so you can focus on “just being a therapist”. It was also mentioned that they don’t accept “high needs” patients and you have clinical discretion to refer out if you feel they are not appropriate for the clinic to prevent burn out and maintain a certain image for the clinic. The process to try and remove a patient in this situation is nearly impossible.

Culture:
There are many good support staff members in various departments who are helpful and generally good to work with. But the majority are rude and don’t reply to messages and then act shocked and appalled there was some kind of error despite asking for guidance. 

For example, I only encountered nursing staff a few times, and they were incredibly unhelpful each time. Almost as though they were upset over providing nursing support. There was a patient schedule coordinator who would leave passive aggressive messages similar to “X person was the only one to reply” or “thanks X for getting back to me when nobody else did”. There was a day it was announced that this employee was no longer with the company, this is ongoing pattern for RPA. There were several therapists and other providers who either generally resigned, got fired upon putting in their notice, or simply did not sign into work. The amount of turnover this clinic is severe.

There are the favorites who are treated differently than the rest. If you are not among the favorites, you are essentially cast aside and forgotten about. Several therapists were flown out to Alaska over the summer and the opportunity was only offered to a select few.

Therapy department specific:
You are told you have a “senior therapist trainer” (this is whether you are independently licensed or not) that acts as a clinical supervisor. When you start, this person "shadows" calls and goes back to the medical director to criticize you. You are also told you cannot speak to the medical director or any other “higher up” admin official, you have to communicate through this 
trainer" person. You can try to get ahold of the direct report boss but messages go unanswered for days, weeks, and sometimes not at all. 

The expected caseload is astronomical. For example, I had 12-13 patients scheduled per day and was expected to meet a quota of 38-40 sessions a week. The pay is grossly low compared to this expectation. They don't use direct deposit, you get a paper check.

You are also required to work until 8pm CST several nights a week and you are not allowed flexibility with your schedule despite being told at the beginning you can create a flexible schedule. This was not communicated to me until after I started.

Regarding continuing education and professional development. You have to take your own PTO if you want to do any continuing education or professional development during work times.

If you are looking for a short route to burn out and overall job dissatisfaction, this is your place. 

A Toxic Work Environment Masked as an Opportunity

My experience with this clinic has been deeply disappointing and frustrating.

Here’s why:

High Turnover: This place seems to have a revolving door policy, with new hires joining and leaving at an alarming rate. None of them seem to stay long, which is a clear red flag.

Unprofessional Support Staff: The support staff is outright rude, adding unnecessary stress to an already challenging environment.

Absent and Unresponsive Leadership: Communication with higher-ups is either nonexistent or unhelpful. Messages often go unanswered, or worse, are met with condescending emails criticizing employees for not doing enough—without offering solutions or support.

Toxic Culture: The workplace is riddled with bullying and favoritism. Unrealistic expectations are set, and management frequently contradicts itself, leaving employees confused about what is actually required.

Impossible Quotas and Arbitrary Standards: The quota system is nearly unattainable.

Patronizing Behavior: Leadership seems to think employees should feel "lucky" and "privileged" to work there, despite the toxic environment and lack of support.

Ultimately, this job has been more about navigating a dysfunctional system than contributing meaningfully to the organization.

RPA was an excellent place to work. Employees are not treated as just another number, like many places are now days, you were always treated like a person who was a valuable member of their team. Management always had an open door policy that allowed employees to go to them with anything they needed and always made you feel validated and heard. They did not micro manage and were happy to provide their employees with any tools or training needed to help make them better and more efficient at their job. I would highly recommend them to anyone looking for employment.

Do not work for this company if you value your mental and physical health even a little bit. They will tell you all of the right things to get you to join the team, but all of that changes once you actually start working. They have no interest in providing a good working environment for their employees or good, compassionate care to their patients. They only care about money, and if you don’t do everything to help them meet (or exceed) that bottom line, they will set you up for failure and take no accountability when you do, in fact, fail. Run away from this company as fast as you can.

I worked for this company for 2 years, and it got worse as the time went on. “Management” will talk about people behind closed doors, do nothing when staff ask for help/advice in a situation, and praise the bullies. So many people shoved into tiny offices and is probably a fire hazard - no way that is legal. Nursing staff is absolutely horrible. They will essentially shun you, make group chats without you to talk about you, and make passive aggressive comments in front of you to other coworkers. Management was made aware of what was happening, and nothing was done. When I gave my notice, I was told “I figured this was coming”. Highly recommend anyone to stay away from this company. 

I was optimistic about this job when I started. The people seemed nice and training started off okay. After being trained on setting up appointments it flipped those in the office were not quite as friendly, going as far as to say I felt like I should leave. If you thought you’d training on all the other things think again. You have to reach out to ask. I was told to ask a specific person in the office for help and I did BUT one of the things they said at a 60 day eval is that though they were their not to go to them. And absolutely do not do as they do! They’ll say you’re doing so, you’ll get in trouble outright. 

workplace culture is not good, nothing is consistent, management is absent. received very little instruction or micro managed. we get told to do something and when we try, we get push back from the providers. especially the therapists, and it's hard to keep track of the medicaiton providers, the MDs are mostly okay.  small office space with way to many people crammed in and has a very 'clicky' vibe. very little incentives, they manage this office with fear of being terminated, coworkers are in a revolving door because of a handful of rude long time employees that run the ship. 

I enjoyed my job itself when I actually something to do. Pay and benefits are good and PTO is given pretty generously. However, management is nonexistent, there is no room for advancement, I was either micromanaged or forgotten about, and offices are way too small for the number of employees. There is a very obvious "in-crowd" and those who are not a part of it are spoken about behind closed doors. Ultimately, my boredom and the poor company culture led to me quitting.

Remote work with rural clients, credentialing, scheduling and set up support, weekly supervision with a senior therapist, monthly therapist meetings, solid insurance, and good pay. The hardest part of the job was adding additional licenses before starting. The most enjoyable part of the job is having work/life balance, scheduling support, minimal email traffic, and the opportunity to be licensed in new states, learn more about different cultures and visit Alaska.

Just don’t do it. Absent management, lack of incentives, paychecks are mailed checks and always late, PTO is subpar, no learning opportunities, caseload of 40+ people a week with a quota of 34-36, inconsistent staff treatment, and poorly planned and executed clinic growth. This is a therapy mill with overworked therapists and new hires will be expected to work several days a week until 8pm. Evidence of staff burn out is clear by the extremely high turnover rates of clinical and professional staff.

Top Job Titles	Average Salary
Patient access coordinator 23 salaries reported	$18.26 per hour
Patient coordinator 16 salaries reported	$18.00 per hour
Licensed practical nurse 7 salaries reported	$20.00 per hour
Psychotherapist 12 salaries reported	$80.00 per hour
It technician 8 salaries reported	$52,000 per year

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