clinician

medical assistant

case manager

registered nurse

support specialist

Terros

I worked as an SMI case manager (CM) and in Aug. 2015 Terros took over three CHOICES SMI clinics. Terros has unrealistic expectations when it comes to "documentation." There is so much to do when working with the SMI population; and when a client has a crisis the CM has to drop everything to attend to the clinic. Not only did I have 60 SMI clients on my case load; 15 clients were on COT (which is a joke because the client still does not participate in their treatment) and the CM had more work to do if the client did not come in for their appointment with the provider. CM's spend more time chasing down clients because of missed appointments, having to reschedule when they would not show up again. The behavioral health system is not for the client who wants to get or feel better. 
The system does nothing but enable the clients, majority of SMI clients do not take their psychotropic medications as prescribed; instead, they self-medicate. AHCCCS does not regulate how many times a client fills their medications. Majority of the population are med seekers. One client visited 71 different providers in 36 months for benzo's and opiates pain medications. How is it that AHCCCS allows this to happen when hard working citizens of Arizona pay taxes for this abuse. Working citizens who pay for their own health care, cannot med shop and go to different pharmacies to fill opiates and benzo medications if it is to soon to fill. Before employment a new applicant needs to do a drug test by doing a UA. This is completed in a facility where you cannot take anything in with you, they put blue dye in the toilet, and you cannot flush the toilet when you are done. The government welfare is a broken system whereas if someone on AHCCCS or SS had to do a UA every month before they receive their monies and health care; the government would have money. Individuals who have a dirty UA from medications or drugs that were not prescribed by a license medical provider would not receive their benefits. AHCCCS needs to make it mandatory for pharmacies to check the universal drugs site to stop med seekers from receiving a new Rx and getting it filled every two weeks. 
These individuals and AHCCCS needs to take responsibility for abusing our tax dollars. 
Terros is eliminating the RN's at the SMI clinics, and replacing them with medical assistants, in order to save money. Terros, WAKE UP! If you do not care about your employees and you treat them like dirt; they will reciprocate your behavior towards others. This is not Mexico, so stop paying your CM's and other employees like they do not matter. If you request individuals to have an education such as a Bachelors  or Masters degree than pay for it. An education is not cheap and the cost of living keeps going up too. Working at McDonald's is about the same pay.

This role may be challenging for individuals who prefer a supportive and collaborative work environment. In my experience, management was highly hands-off, and feedback often felt excessive rather than constructive. There was a strong sense of incorrect oversight from both peers and direct supervisors.

Raising concerns or advocating for oneself did not feel well received, and doing so sometimes led to tension in the workplace. I also observed what appeared to be inconsistent treatment among employees, which affected morale and trust within the team.

Compensation did not feel aligned with the responsibilities, education, or experience required for the role. Promised incentives and bonuses were discussed but were not realized during my time there. Time-off flexibility was limited, making it difficult to plan personal or extended leave.

The company held frequent meetings focused on improvement and progress; however, many of the issues discussed did not appear to result in meaningful changes.

There was also an incident involving a safety concern that I felt was not adequately addressed at the time, which contributed to my decision to leave.

Overall, I would encourage prospective employees to ask detailed questions about management style, compensation structure, workplace culture, safety protocols, and time-off policies to determine whether this environment is a good fit for them.

Working reception at an SMI clinic, I think I was able to get a great look at the general processes in this particular psych field. While I did not do any clinical work, I do think this was a great foundation to start at, as I do deal directly with patients via creating appointments and gathering necessary information. 

You definitely learn how to communicate to a wide variety of people here, patients and coworkers alike. Coworkers and supervisor were kind and there to answer questions no matter how silly you might think it is. While you may see the same faces among patients, no day is the same. You might need to call a code one day then smooth sailing the rest of the week. Hardest part of the job is probably ensuring you're not taking it home with you, emotionally or mentally, as the patients at my clinic could be quite sensitive and personal, and you are basically on the frontlines handling it unless case management or a clinical coordinator comes out. Timeliness was also not a huge priority here for some case management and that definitely created problems. PTO is generous and encouraged to use when you need it, though.

If you want to find out whether or not you're built for the intensity of the psych field, I think this is a great place to start, and they are very quick to hire internally if you want to move up the company. Though, I would call to ask for more clarification before applying, as some positions are listed differently than what it may actually be.

A typical day is not an average day. Work is high paced and no time to slow down as management throw tasks on your schedule frequently. 

Want to grow and pursue more within your job? Management is unreceptive to the importance of growth and job satisfaction. This is a 2 years and done job. If you want to be told what to do and have no purpose outside of their agenda stay. 

There is no positive work culture. The director is inept in his ability to help foster a culture of team cohesion. We have lunch breaks on Fridays but since covid most stay in their offices. He never has positive things to say and the manager is rude towards my colleagues behind their backs. 

The hardest part of working in Terros is meaning. Management is happy to ensure you make your productivity but lacks to ability to understand the importance of self-growth in a job. I have heard do something that gives you a niche but on the backhand will reject it. What made working at Terros the hardest was the management not the clinicians. 

The most enjoyable piece of my job was supporting my clients and working with my coworkers. I left to pursue an opportunity more in LinE with my goals. Had things been more open and my director been caring I would have stayed. I thank Terros for the opportunity but this was not my forever fit.

Since Terros bought Choices contract, there have been many negative situations to outweigh the positive. Not only did Terros roll out a new data base about seven months too early, they expected their employees to maintain the same level of productivity as if they provided us with the tools to do so. The most recent change that our clinic is undergoing is telemedicine, which completely takes away the human aspect of our job. Terros also announced that they will be spending a ridiculous amount of money to revamp our clinic, yet there are employees not getting the proper compensation or promised yearly raises. They had our clients take a survery on if they wanted telemedicine or not and despite a while 100% of them stating they did not want to see their doctor via television screen, they still chose to do so. Their complete lack of compassion is a true disservice to our clients. The turnover rate for case managers is through the roof due to Terros overworking and underpaying their employees while bragging about the profit made in 2015. I would NOT recommend working for this company. Employees who have been with this clinic for 15+ years are on their way out of the door. Save yourself the frustration.


Working at Terros was an eye-opening experience, but unfortunately not in a positive way. The site leadership frequently engaged in abusive practices, using disciplinary actions as a means of retaliation rather than a tool for growth or accountability. This created a culture of fear among employees, stifling innovation and open communication.

Instances of violent or aggressive behavior by certain employees or clients were often excused, overlooked or minimized, which not only compromised the safety of staff but also undermined any sense of professionalism. Leadership's interactions with community partners were marked by rudeness, further tarnishing the organization's reputation.

Employees' rights to voice concerns were routinely disregarded, with complaints either ignored or met with hostility. This blatant violation of workplace rights left many feeling powerless and demoralized.

While the organization's mission may be commendable on paper, the toxic culture and unethical leadership practices make it difficult for employees to thrive or feel valued. I hope for the sake of future employees and stakeholders that the leadership reevaluates its approach to management and workplace ethics.

Terros is a speacial place that offers up of many different things to it's community. Terros offered HIV testing, out patient rehabilitation for substance abuse, crisis intervention, educational groups and team support. In the short time before leaving I was able to be a part of opening a center for the homeless. They were given breakfast, beverages, and had the option of staying for the educational groups. Those who stayed for groups were afforded the opportunity to shower and be given a fresh set of clothing.
HIV Outreach was going out into the public to offer and educate the homeless population about HIV and other programs available in their community. One part of the targeted population was IV drug users. It was believed that, if we can not stop the users from using at least educate them on how they could do it safely. Things like clean water, bleach to keep safe from HIV, the use of condoms, and always the number to the crisis department.
Having the opportunity to educate this population, and listen to their stories brings about a certain piece of civility in all of the employees.

I worked as a BHT for over one year. The pay was 16 an hour (Bachelors Degree) but for all the work I did and the tremendous amount of responsibility it should have been closer to 20-24 an hour. Had to work 2 nights a week and one weekend day while half my team mates we're not required to do either. There was obvious favortism by the supervisor; the lazy coworkers were never reprimanded while I was punished for going above my duties because I cared about my clients. Terros also does not provide a personal work space for employees unless they are therapists, we all had to share desks. The company splashes out funds for the clients big time however; no expense is spared for the lobby furnishings and accessories, group rooms with high tech equipment etc. The clinic was in a bad neighborhood where employees cars were vandalized. Also when covid first hit we were still meeting clients f2f but weren't provided with ppe until April.  All in all I loved my program but colleagues and mgmt were unprofessional and unsupportive, it wasn't worth all the stress and low pay.

I was at Tempe clinic when it was taken over by Terros. Never have I experienced an upper mgmt team with such poor insight into their half baked (then reversed) decisions and the employee dissatisfaction which resulted from it. 
"We're losing $700,000 a month" is their rallying cry. Their answer is to provide extra services  (and thus bill the State of AZ more) whether the patients want them or not. 
They have concluded that case managers have seemingly endless billing abilities each week. One case manager billed for 8.5 hours in one 8 hour work day, in an attempt to keep his job. 
Daily breaks (or even trips to the bathroom) are things mgmt implies employees don't need and can do without. Even driving time to clients' homes is something mgmt  won't allow time for. 
Every week mgmt announces a future change which will solve the lack of realism in their current procedure. Still, they are just thinking about a cure that might someday happen..Until then they are simply firing employees that aren't making the quotas. Or employees who refuse to exaggerate their billing. Same difference.
 This is no place to work for if you're current employed elsewhere.

Day starts with a meeting where the supervisor compares billing hours of employees and are belittled if they didn't make their production hours, leader doesn't even talk about helping clients or how staff are feeling. The atmosphere is competitive, stressed, moral is low, no laughing or happiness or work events because everyone is trying to get billing hours with clients. There are multiple incidents of fraud where employees are lying about how much time is spent with a client. There are also monthly meetings where the director tells you how to make more money for the company by billing different codes and employees are terminated if they cannot meet these standards. Clients are unhappy and don't get better because case managers can't concentrate on them because they are just thinking about how they can get more billing hours for the company so they don't lose their jobs. Employees are not valued unless they make the billing quota and management won't even acknowledge you or say hi in the hallways if you are not making the company money. The most enjoyable part of the job is helping the clients and to help them get better and when they appreciate you.

Top Job Titles	Average Salary
Clinician 127 salaries reported	$18.46 per hour
Medical assistant 59 salaries reported	$19.56 per hour
Case manager 46 salaries reported	$19.33 per hour
Registered nurse 13 salaries reported	$85,385 per year
Support specialist 35 salaries reported	$17.94 per hour

Working at Terros: Company Overview and Reviews

Terros

Terros Ratings

Popular jobs at Terros

Salary Satisfaction

Job Seeker Tools

Employer Tools

Browse

Stay Connected