office clerk

chief executive officer

receptionist

admissions clerk

surgery scheduler

SCA Health

There is not much of a schedule at all, or notice of hours in any direction. The hours can be short or incredibly long. The expectation is that you are supposed to be ok with the hours no matter the time and without any notice. You find out what time you are coming in or low censused the night before. This is not only a financial concern, but a balance/life outside of work concern. Without notice you cannot plan for back up work, or back up plans for child care. You cannot make appointments or have any sort of outside of work commitments. It is just not realistic, long-term. Without ever knowing when you are done, it is essentially unpaid call, daily. You are expected to be available to start at 5AM, and even stay as late as 10PM.  It is not daily, but you never know or have any say on when those days will happen. Even if you think you know how the schedule looks the night before, they treat it as a call center. The surgeons are able to add on last minute, at any time or move cases later and later. The times scheduled for cases are also not accurate. It is not uncommon that certain surgeons run 3-5 hours over their time, chronically. In my experience, they have never denied a surgical case, it does not matter when you started for the day.  Many times this far exceeds 8 hours and no one ever asks, or even lets you know that this is going to happen. 
In both directions of hours, you do not have say, nor are you ever asked.  Low censusing has also been threatened against you if you do not go along with new rules and changes as the day progresses.
There is no relief staff if the surgeons are behind or there was too many cases scheduled for the day in comparison to the available staffing. There is also not a guarantee of hours, if it is slow. The rules change by the day/by the hour and are also different per the individual.  The disrespect from direct management and HR is by far the most concerning of it all. It is obviously why the scheduling issue remains a problem.  The way cases are scheduled is the root of the vast majority of their problems, period. 

Bullying is a normal culture there. There is forever dismissiveness when concerns are brought up. People are yelling at each other, frequently. There is just a lot of animosity across the board among all members of the OR.  All of these issues seem to only be the concern of the OR and not other departments. Other departments stagger shifts, have more respect, and much more realistic expectations with known or very close to “known hours”. There are much more robust staff who also seem moderately happy in this company and location outside of the OR.  

Providing breaks and lunches seems to be a reward versus a standard/law. Even when brought to managements attention, they were reluctant to just claim that it’s the nature of the job and that laws surrounding this matter do not apply. Another direct statement is that breaks need to be taken in between cases, many times there is no break in between cases, just immediately opening for the next case and rolling back into the OR. There have also been claims that if it’s a “slow day” as represented on paper, ignoring the reality, that we do not need breaks. Some days are so busy that breaks and lunches are hard to come by, other days, even if possible to get them, you still may not get them. 
They have even sent our float staff that we finally had for a day to another center on many occasions to give them breaks and lunches, while we still don’t get them. This was by far the most mentally abusive job I have ever held. The lack of schedule and mental abuse just make it very not sustainable and not worth it. Originally, I would have said only take the job for PRN or part-time, especially regarding hours, but, it’s not worth the mental health concerns and disrespect. This is specific to the OR, not the PACU or over night stay. 

Everyone is telling you something different, and all upper management tells you to do is ask questions, which makes no sense, how do you think I got my information in the first place. There is no formal training it's just sporadic and unfortunately to little too late for me, you need to ask for everything the tell you if there are an exceptions to the rule you may have forgotten to tell me.  They played down how painful and pushy we are required to be in recovery. Anesthesiologist get to come around and sound like the good guys and tell them how well their pain will be managed and such, then the nurses come across as insensitive because we're being forced to be the bad guys making them get out of the stretcher sometimes when they are still so out of it they can't even follow instructions.  And pain management is ofirmiv Tylenol IV. They don't listen to the type of pain they're having. I've been instructed to give meds to early or at to high of a dose without being able to show proof that it is with in protocol for that medication and I have shown them documented drug info showing them the correct dose and timing.  You can never find the anesthesiologist to get approval for medication recommend and even if you do they disregard your recommendation need on the patients particular pain and give an order that is only a sedative had no effect on pain just makes them feel drugged up men while still in pain. Horrible patient care, yet promote to the patients prior to their procedure how well they'll be taking care of. And the nurses take all the blame for the lack of it up when their hands are tied and unable to care for their patients as they see fit.


In my time working here, the strongest part of this facility was absolutely the clinical team. The doctors, nurses, and CSTs consistently supported one another and did their best to provide safe patient care despite very difficult circumstances. Their teamwork and dedication were often the only things keeping the day running.

Unfortunately, my overall experience was heavily impacted by serious management and organizational problems. From my perspective, the environment was extremely chaotic with very low morale. Sterility practices often felt compromised, equipment was frequently unsafe or unreliable, and inventory shortages were a regular issue. These problems made it challenging to maintain consistent standards in the OR.

Breaks and lunches were often delayed or missed entirely due to lack of staffing and coverage, which contributed to stress and burnout. In my experience, management demonstrated favoritism and did not communicate transparently. I did not feel that integrity or accountability were prioritized.

Additionally, the DON does not have OR experience, which made it difficult for her to provide hands-on support or effectively manage an operating room environment. The CEO response to our concern about that lack of experience was,( direct quote)  working in the OR is not rocket science! This disconnect contributed to ongoing workflow problems and a lack of meaningful guidance.

Overall, while the clinical staff is truly exceptional, my experience with leadership and operations was extremely disappointing. I hope the organization addresses these issues, because the team deserves better support.

A typical day begins with the phones ringing off the hook!  The patients are calling and anxious to have their questions and/or concerns answered.  That is where all of us at SCA Regional Business Office come in.  We are all professional and courteous and try our best to put them at ease and find the answers they are  searching for.  When it comes to dealing directly with insurance companies to get the claims processed fast and accurate; we are relentless.  We are confident that we have the knowledge and the tools to get it done. 
I have learned more of working as a 'team' instead of and individual.  What ever one department does flows right into the other department and finally to the end which is my department ... collections.  If we do not function as 'one' team, there is a break in the chain and all departments may suffer.
Management.  Unfortunately, we have had some issues in our office concerning management. We are currently without an office manager and there is some chaos still behind from her unexpected dismissal.  Corporate fill ins are there now until this position is filled.
The hardest part of the job is to balance everything at one time but it comes easy to most of us at work since most of us are mothers.
The most enjoyable part of my day at work is being able to help people find a solution to help them with their financial problem and paying back a sometimes large amount of money for their medical bills.  They are always so appreciative and it makes me feel good.

SCA’s website presents the organization as a strong and appealing company to join; however, the experience upon starting did not align with those expectations. At the Flower Mound facility, the administrator demonstrated limited experience in effectively managing financial and business office operations. The business office team, many of whom had been with the organization for over a decade, showed significant resistance to operational changes necessary to efficiently manage surgery scheduling, insurance verification, patient access functions, medical records, and accounts receivable.

This resistance frequently resulted in strained—and at times intentionally unproductive—collaboration. Long-standing personal relationships between the administrator and certain staff members contributed to a breakdown in trust, undermining effective leadership and employee management. The work environment was heavily influenced by workplace politics, requiring excessive placation efforts that were disproportionate to the low salary offered for the scope and responsibility of the Business Office Manager role.

SCA Flower Mound has the potential to be a welcoming and successful environment for new employees; however, meaningful improvement will require organizational change that begins with leadership and extends through the business office support staff.

When you come in as a new assistant against people who's been there for years, they already look down on you. They get away with doing stuff that should not be done but if you make one little mistake , they are telling on you and management is pulling you into the office. Nurses lie . They talk about you behind your back. Alot of them talk about eachother behind their backs. People play both sides. Its a toxic work environment. They favor certain people here at the Dover location. When you first join everyone will seem so nice but once you get a few months in you will see its not worth the stress. Yes its good having weekends off but the work load can become alot for 1 assistant in an area. The doctors/surgeons talk to you however they want and they will also rudely talk about patients in the nursing area no matter if  patients are listening. They do not care. The biggest down fall of it all , no matter how hard you work , how many good things you do, how much you help others , they will focus more on mistakes that any normal person would make even if you learned from them. They will give you occurrences  simple mistakes. My advice is to run. Completely not worth it. And not to mention the pay is low while others are getting paid way more than you.

Days aren’t too strenuous which is great, and management generally work with my schedule and needs. Can see that the overall company is moving towards a more corporate, money-hungry approach - limited to no raises or bonuses, saving money on mundane supplies cost, turning down Medicaid patients.
SIGNIFICANT lack of cultural/racial/ethnic/LGBTQIA+ diversity. 
A lot of staff seem out of touch with the overall state of healthcare and society at large.

Management is very corporate and will give you slaps on the wrist for small insignificant things just to keep a paper trail and quota, or for voicing concerns.

Don’t seem to be interested in change or improvement unless at the hands of management or surgeons.

Faced abuse and unfair treatment repeatedly. Went away shortly after I just decided to not voice my concerns - not a great sign, but worth the personal peace. 

Job is manageable and pay is decent, but noticed little room for raises, etc. 

Each location has their own culture and style - may be worth trying to see which one fits your style best.

Patients overall are kind and grateful. Have never had an issue with them 

This company is ran by clicks and favortism. Management are the worst they have no idea what they are doing or how to run a company, let alone a team. People are advanced by who they know not what their qualifications are or ability to perform successfully at their job. Management preaches about SCA values but are the first to not follow them. Working for this company is like being a crab stuck in a barrel full of crabs pulling each other back in. It sad because there was potential now I'm just waiting in amazement everyday to see that the doors are still open. It is not a good place to work if you are used to structure, professionalism, integrity, ethical standards. They hired a new director, however it's just a new body in the same filth. Management team is back stabbing, sneaky, they lie and that is on other  core leadership. What they do to employees is unheard of. I have never been at a company where upper management pick with their employees to the point of them quitting. They are untrained flying by the seat of their pants. The board might want to clean house and revamp Carmel RBO other than that it's just a matter of time. 

Carmel RBO Closed for business

*on my way out*

I should have listened to all of the negative comments prior to being hired.
There is a reason the turnover is so high.
The employees are provided a 6-week schedule that you must adhere to. The company on the other hand can change it at a drop of the hat.
The Friday before the upcoming week you are sent your actual weekly assignment. That means they can change your day off or your hours. Your schedule is sent to you via group text somewhere between 3:00 and 5:00 on a Friday.
Training is minimal and poorly organized.
Always short staffed!!! No breaks are offered. The majority of the coworkers are unwilling to help each other. There is one particular coworker who creates 70 to 90% of the problems at the facility and yet receives no disciplinary action.
There's no set time that you leave. You can't even guess by looking at the schedule what time the day will end. It's not uncommon to have 10 plus hours a day. So don't make any plans after work. You're never going to be able to go for dinner, see your kids school activities or make it to your pre scheduled appointment.


I am currently employed at an SCA surgery center as a Pre-Op/Post-OP RN  and the variable working hours are really taking a toll on me. Some days I start as early as 4:45 in the morning and other days as late as 11am. Working 5/8's makes it difficult to have work/life balance.  I do appreciate that I am given a guaranteed 15 minute break and a 30-minute lunch especially having come from floor nursing where I would be lucky to kick back and take a breather.  

The workplace culture has been tense at times.  There are not a ton of employees and already there have been moments of confrontation, deep-seated cliques, and gossip.  There also seems to be a high turnover.  SCA doesn't pay as well as major hospitals, but you are given paid holidays and no weekend work so that is a trade-off. The benefits are so-so.

The paperwork is horrendous - no electronic charting system and loads of paperwork and loads of logging and auditing charts.  SCA needs to get with the times. 

As with any place of employment, there are dependable employees, passive-aggressive ones, and lazy ones.  

Top Job Titles	Average Salary
Office clerk 189 salaries reported	$20.10 per hour
Chief executive officer 6 salaries reported	$148,750 per year
Receptionist 118 salaries reported	$19.20 per hour
Admissions clerk 70 salaries reported	$22.22 per hour
Surgery scheduler 69 salaries reported	$22.19 per hour

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