registered nurse

health screener

order picker

registered nurse - emergency room

nursing assistant

Steward Health Care

Steward seems to be run by a bunch of intellectually arrogant bullies. They are convinced that they know the best way to run a health plan despite that fact that they've never run a health plan.  This seems to be leading to the rapid demise of the Health Choice (the health plan they acquired).   Some days, I seriously wonder if their goal is actually to self-destruct. With management choices this poor, the only logical explanation can be that this is intentional corporate suicide.

But it's not just Health Choice.  In department after department, state after state, the story is the same - Steward employees feel micromanaged, bullied, overworked, their experience disregarded.  They don't have faith in decisions of upper leadership, let alone faith that leadership actually cares about patients.  Turnover is incredibly high, and for excellent reason.  When employees aren't voluntarily running for the exits, Steward is forcing them out with threats of demotion or termination and completely unreasonable performance expectations. Highly competent professionals are seeing the writing on the wall, they are tired of the abuse, have no more trust in leadership, and are leaving in droves to pursue other opportunities.  

It's likely too late to reverse course on this implosion.   Entire departments have been decimated and no-one wants to walk into that, or stick around for worsening torture. The situation at this company is quite possibly unsalvageable, unless they have the foresight to recognize the value in their employees and invest in the future of the company by showing a little support and respect for those few team members who are left standing.  
TIps for upper management:  
Treat people like human beings.
Change the culture of blaming and bullying.  
Stop the nepotism and favoritism. 
Reward the good managers, not just the sycophants. 
Staff to appropriate levels so that employees aren't unsustainably overworked.

A typical day at work consists of taking care of 12 patients and sometimes up to as many as 24.  The shift starts with getting each patient's vital signs and glucose reading if necessary; making sure all proper equipment is brought in and used on each patient as it differs with each individual.   When working day shift there are three meals to chart, three blood sugar checks, sometimes Q4 vitals depending on the individual, helping with showers, bedding changes, answering call lights, helping patients with their needs and assisting the nurses and doctors with different projects.  

What I learned working as a CNA and a Psych Tech was that I love people and I want to work in the counseling field more than working as a nurse because I see a great need and people have a tendency to open up to me.  

Management changed at Mountain Vista about 4 times since I started in March of 2009.  Today the management team is at their best.  They keep track of inventories, they take care of employees, and they have a professional and caring team in charge, always checking with the staff to hear about concerns.  

Co-workers have been great.  I like working with everyone and I get a chance to work with many people because I work different shifts and different days.  Everyone is helpful and works together as a team.  In my experience, since I started working for Mountain Vista, I have met some of the most talented and interesting people. 

The hardest part of the job can be the non-stop schedule at times.  Some days are non-stop for 12 hours on the feet and having a hard time charting before the end of shift.     

The most enjoyable part of the job was meeting people and talking to my patients.  When people are bed ridden they want to share their life story and that is always fascinating to me.  Some people are calling out for help and some are just wanted to talk and share.  I love people and I love learning about people's experiences and life stories.

I worked in the Home Care Division 9 yrs.  When calling out sick, we were interrogated about the reason for the sick call & asked to make up the sick day by working on the weekend, or next scheduled day off.  As a result I stopped calling out.  I went to work sick & finally left the company with 173hrs of sick time on the books which I was told I could not use or cash out so they were just forfeited.  When I resigned I had finally just had enough of being given a greater distance to travel daily, then having to come home at night to complete documentation for another 3-4hrs.   I had the most seniority on my Team, but was increasingly given last preference for scheduled time off, even with asking for summer or holiday time off months in advance. The compensation seems good until you factor in all the time you spend on the phone or at home completing documentation.  There ends up being no balance between work & home life.  Family time suffers, as well as your health & general happiness.   As Clinicians we strive to provide excellent care to our Patients, but it cannot be done at the risk of our own health & well being.  Having a Director that has no Interpersonal skills or Managerial Training & yet remains in the position after numerous resignations of Skilled Clinicians in hard to fill positions, reinforces the belief that it’s all just about the bottom line.  There are positions posted frequently because Nursing & Rehab Staff retention is still horrible for all the same reasons as I have heard first hand.  I left Steward 4yrs ago and was recently asked to fill a Contract position, my former position!  I said absolutely not, not for any amount of money!

When looking for a new career, this is not the place to shop. This corporation was the worst experience of my career. This is an environment that condones and allows bullying by upper management, therefore local management assumes the same attitudes and behaviors. They bought the facility I worked for from another corporation just as shady and have progressively destroyed the hospital's reputation within the community and with physicians. Relationships with local administration, staff and physicians are nothing but negative. Staffing is compromised in every unit of the hospital and this is reflected in what is becoming a catastrophic decline in census and embarrassing reviews on social media. They keep laying off people with no intention of replacing them. There's nothing in place for retention of good employees and never any reward for exceeding expectations. When there isn't a layoff or a threat of a layoff, newer and long term employees are looking for any excuse to leave. Local administrative personnel are the perfect minions for a larger corporation with deteriorating morals.
Steward blew into town with promises of being the be all of healthcare in this area, touting that they are "all about the patient". Wrong, on so many levels. The sheer volume of patient complaints tells just how bad this place is managed. Morale had reached a pathetic level and former co-workers tell me it's only getting worse. Employees that have been there for years have told me that this hospital has never witnessed such a hostile takeover. It appears that Steward wants the hospital to fail. 
The best part of the job is that I had the opportunity to work with long term, experienced employees with a lot to teach. The hardest part of the job was watching this new management destroy capable, loyal employees. What I learned is not to ever recommend employment at any facility owned by Steward.

The company was moved to Texas at the end of last year and management promised that working for this company was better than any other company in the area but as time went on their true colors were shown. If you would go and discuss a problem with the management team somehow everybody in the company found out and others in for me that management talk badly of me behind my back to other members of the team. We were given our work schedules two weeks at a time and was only released for us to view a few days in advance. The shifts that we had requested were moved around and management informed us that they did not care about our personal life to work or switch with somebody and then it was our problem. They were not very accommodating for people with children in tight schedules. When the payroll department accidentally overpaid a few people they took the money out of the next few checks without discussing what the amount was that they were taking out and when brought up to management that it appeared that they had taken too much money out it was never addressed or handled. There is no chain of command we are not given any emails or phone numbers to call anybody above our leveled management if we have a problem with that particular manager or a problem in general. When I put my notice in and work my last day even though they took out money out of my last paycheck they still shut the benefits off immediately as of the last day worked. The sad part is the majority of my coworkers are smart and amazing people but then management makes this such a toxic environment that multiple people are jumping ship quickly call. Even though the pay is OK I cannot work for a company that treats its employees so poorly. I honestly wish I would not have wasted any of my time and effort in assisting with the new growth of this company in our area. 

Managers, Leads & Directors are friends with HR on their side even IF they are 100% wrong when it's related-to how employees are being treated, also you are not allowed to speak up for yourself or voice your opinions about things that you don't agree with because you would be labeled as insubordinate . Sick time is offered separate from PTO but..... IF you use your sick time with Steward you will receive an occurrence which goes on your attendance record. New employees are not allowed to take a vacation until after 6-months of employment . IF you are placed on a write-up at Steward or a final it will stay on your file for 365 days. Mandatory overtime policy created, Steward will not match 50% of your 401K until close to or around 2 years of employment. Steward does not offer the day off after Thanksgiving as a paid holiday, Steward does not offer paid holiday for Christmas Eve. This organization is not structured, turnover is high. It's no respect from management, no unity, no peer acknowledgement, poor leadership, bad communication, there are no legitimate policies and procedures in place which also changes constantly due to being uncertainty unstable workflow) their processes for account resolution is not effective, AR accounts are always being out-sourced. Management never acknowledge their experienced valuable employees to help them because they are too focused on their mistakes and flaws to make themselves look more valuable, important and feel better about their own positions that they are actually not qualified for. 

What is the best part of working at the company?
I’ve worked there twice. There will NOT be a third time. The level of disrespect from admin towards the floor nurses is unbelievably horrendous.  Smile to your face like they’re your BFF, stab you in the back, roll their eyes, and keep on going.  In their eyes, Nurses are a dime a dozen, but what all these big wigs fail to realize is WITHOUT COMPETENT NURSES,  YOU DON’T HAVE A FUNCTIONING HOSPITAL OT YOUR CUSHY, OVER-PAID JOBS!

Orientation: Left hand doesn’t know what the right hand is doing. It’s very unorganized, unprofessional, and tedious.

Pay: Nothing exceptional about it. Nothing to write home about. Average, at best, and don’t expect raises, or any sort of, “Thank you” (unless you’re in administration), because it is NOT going to happen. Ever. 

Staffing: Cannot express this enough—HORRIBLE!  Always short-staffed and only ONE CNA—for the entire unit—IF you’re lucky. And that’s the norm!!!!

Overall: Two thumbs way, way, WAY DOWN!

What is the most stressful part about working at the company?
ALL OF IT! Please read my previous statements.

What is the work environment and culture like at the company?
Broken equipment, never enough supplies, no one helps anyone, and those that do want to help, don’t have the time nor motivation to help others.

What is a typical day like for you at the company?
Clock in, get report, and start running—for the next 13 hours.  Because 12 hour shifts, are NEVER 12 hours.

Oh! And breaks to use the bathroom, or shove food down your throat on your 30 min UNinterrupted lunch break??? FORGET ABOUT THEM. Because those are optional.

But you WILL BE DOCKED 30 minutes, even when you never got one!

A typical day for me was calling insurances to status claims.  If the insurance company felt there were errors or problems on the claims preventing payment, it was my job to find a resolution to the problems and have them fixed so a claim may be reprocessed.  It was my job to ensure prompt claims processing and payments by the insurance companies.
I learned how building relationships with the people I work with was important.  Once you established yourself on a regular basis and spoke with these people more and more they would offer more help and ability to get the claims processed in a more timely manor. 
My coworkers were always polite, and willing to help out if I needed it.  And when they had questions for me they always knew they could come to me for an answer.  Together we learned and together we succeeded.
The hardest part of the job was finding an ultimate resolution to some claims processing problems.  Sometimes you would find the insurance company would have every excuse not to pay a claim and it was my job to find a reason to validate why payment was still expected.  You have to know what you are doing and always finding new resolutions.
The most enjoyable part of the job was finding the resolutions to errors and claims problems.  Knowing you found the reason a claim was not processed, getting it fixed, and receiving that payment was like a game of chess, in which the end resolution was check mate and you are the victor.

I worked here for about 2-1/2 years. Management was horrible. Never a manager around when you needed something. Hospitals are filthy. Plan on getting at least one call a day to cover shifts on your days off or during your vacation when you are thousands of miles away. Asked to work 18 hour shifts and then treated badly when you were too exhausted or had plans and couldn’t pick up extra hours for them. Yet taken for granted when you did pick up extra hours/shifts. Managers had their favorite employees and they were definitely treated as such. The favorites were allowed to come in late everyday, disappear from the floor for hours at a time, and were not required to follow policy and procedure. It was a very cliquey place to work, which adds a whole new level of anxiety to an already stressful job. Most shifts I was asked to care for more patients than we were supposed to have. There were never enough nurses or aides on duty. You run from the moment you get there until you manage to get out the door (sometimes hours after your shift ended). Tons of drug seeking patients here. They will admit any patient who refuses to leave the ED. This has a lot to do with the fact that they are a private hospital and don’t have to follow the same admittance standards as other facilities. Lots of nice employees but management couldn’t care less about employees. If you attempt to call in sick with a contagious illness they will tell you to come in anyway and wear a mask. Oh, but make sure you don’t tell your patients you are sick tho because that “looks bad”.

This is a struggling hospital with several long time employees who have not kept up with advances in medical/pharmaceutical therapy who really affect the performance of this hospital.  There are many caring and hardworking doctors, nurses, support personnel and technicians, most relatively new hires.  Unfortunately  there are some bad apples, most in supportive care roles, that have no business working at a hospital..... without exception these are long term employees who feel they are untouchable.      Unfortunately, the bad apples decrease morale and make everyone else's day harder and negatively impact patient care.  The hospital is struggling financially and relies on part-time people to cut costs.  Continuity of care suffers greatly.  .  Since the employees who have been there a long time have full time schedules they can dictate what happens as there are too many part-time employees who can't really can't keep track of the "bad apples."  
I would suggest everyone's job description and duties be reevaluated.  Many long time employees need more work or their schedules cut as they don't have enough to do and spend their time foisting off their work on someone else, while everyone else works and works and works.

Salary is way below market.  Unless, of course, if you are a long time employee.

Top Job Titles	Average Salary
Registered nurse 4 salaries reported	$32.08 per hour
Health screener 9 salaries reported	$20.00 per hour
Order picker 8 salaries reported	$29.41 per hour
Registered nurse - emergency room 2 salaries reported	$50.47 per hour
Nursing assistant 1 salary reported	$23.66 per hour

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