psychologist

registered nurse

case manager

speech language pathologist

community navigator

The Columbus Organization

What is the best part of working at the company?
The best part is that there is no call and no weekend work.

What is the most stressful part about working at the company?
The most stressful aspect of this job is the complete absence of effective leadership. We recently underwent a major transition in which caseloads and territories were redistributed, yet there has been little to no guidance to help staff navigate these significant changes. This lack of direction has created confusion, inconsistency, and an overwhelming sense of instability.

When legitimate questions are raised in an effort to provide safe and appropriate care, they are often ignored, superficially acknowledged without resolution, or, at times, met with reprimand simply for asking. This environment not only adds unnecessary stress but also discourages open communication and support, making an already demanding role even more difficult to perform effectively.

What is the work environment and culture like at the company?
The work environment and overall culture are extremely challenging and, at times, feel unsustainable. There is a constant sense of being unsupported—like being stranded on an island with little to no direction, communication, or leadership presence. The level of chaos in daily operations creates ongoing frustration, to the point that it has taken a real emotional toll.

The expectations outlined in the job description do not align with reality. While the stated nurse-to-client ratio is 1:55, my actual caseload is closer to 85, which significantly impacts the ability to provide safe, thorough, and quality care. This imbalance contributes heavily to poor work-life balance, as the workload consistently exceeds what is manageable within normal working hours.

Communication from management is minimal to nonexistent. Although the handbook references monthly one-on-one meetings, these rarely occur. When they do, they often lack substance and do not provide a safe or productive space to openly discuss concerns or seek solutions. There is a clear disconnect between leadership expectations and frontline realities, which further contributes to staff burnout and dissatisfaction.

Overall, the culture does not foster support, transparency, or collaboration—key elements necessary for both employee well-being and high-quality patient care.

The most noticeable issue with working here is that the employees opinions and input are not requested and not respected, even when employees try to provide feedback on what’s working and what’s not working. Columbus feels ultra-focused on their contracts and not on their employees. Columbus does not communicate clearly with its employees. There is lack of clarity in job descriptions and expectations for my job.  It’s stressful to define your own job, since usually the employer does that through a job description and training. No to limited training is provided. The mission of the work with people with disabilities is wonderful. The clients are the reason I think people stay here. This company unfortunately just seems driven by making money from the contracts they have with various healthcare facilities and NOT concerned with quality of work performed, safety of its employees, concerns voiced by employees, perspective and opinions of employees, providing sufficient operational support, providing appropriate management or providing clarity to employees about job expectations.

The work culture at Columbus is confusion. There is limited to no communication provided from management, even when you ask. There are 1-2 “managers” who oversee all clinical employees in the company, and they are not familiar with your specific work. It’s tough to work for people who don’t know you, don’t understand the operational aspects of your work, and cannot provide feedback to you on how to improve, advance, or be successful. 

What is the best part of working at the company?
This is an amazing company to work for and the leadership is kind and gracious. I left this position at no fault of the company. I found that working from home is not for me, but the company was very accommodating while I figured out what I wanted to do. My direct supervisor was wonderful and their supervisor was very kind while providing excellent direction. If you are someone who enjoys working from home, doesn't mind a lot of paperwork, and has good time management skills and people skills, this is probably a good fit for you.

What is the most stressful part about working at the company?
There are a lot of deadlines for paperwork and contacting the assigned caseload. However, if you plan well, it really would not be bad. Some days can be stressful due to consumer crisis, but you are well supported by your supervisory staff during these situations.

What is the work environment and culture like at the company?
Everyone is kind and welcoming. Almost everyone will offer help when asked and people try their best to share information and resources.

What is a typical day like for you at the company?
Your day is managed by you. You are expected to start working around 8:30 to 9:00 am and end around 5 pm, however, if you needed to go to a doctor's appointment or had an interruption or two, it would not throw off your day. You may end up putting in some time early or later, but this is mostly a choice. They are happy as long as your work is completed on time and your consumers are properly cared for. Most days are spent on the computer at home with some days having meetings with consumers and their teams either virtually or in person. You will spend a lot of time emailing and on the phone as well.

I love being a Support coordinator. I enjoy almost all aspects of my job,  it can be a little tedious and having 50+ clients can drain you. I work sometimes all weekend long after a weeks worth, But it is rewarding business to be able to help others. Pay is not that great, but not the worst either. No mileage pay but it’s built into salary. I love love, love my boss! The best around. I do love this job, but I have to believe Support Coordinators needs to be paid more for the amount of work they do.
A typical work day begins around 7am, I start by checking my emails/phone messages. We have only a few meetings during the week. By the fifth of the month you must have checked all of your individuals Medicaid eligibility. And after checking, then you must enter a note for each person. By the 10th of the month you must have half of your billing and this includes all face-to-face visits, in combination with the ancillary notes throughout the month. You will have the yearly ISP, which is a team of support creating a plan for the individual for the year. You develop the current needs with the individual, their goals, their various service providers, life changes, and you go over their concerns and satisfactions, . The actual ISP lasts like an hour, but the work afterwards is what takes the most time to produce an in-depth and personalized ISP. all billing is due by the 20th and you are really busting it to get it all in. It is a time consuming job, but it’s worth it to help others and get them services they need.

As an employee from the year 2019, I've seen a lot of change already, for the better.  A typical week: you're usually travelling 2-3 days a week, at least.  I encourage days that are strictly for travel, and days that are strictly for working at home and completing notes/paperwork.  I've learned that you should always ask questions, no matter how silly that you think they are.  9/10, another Columbus employee/supervisor has that same question.  Everyone is pretty social with one another, and tries to learn new things about each other.  Management is there, and they do not mind if you contact them on the regular for questions; they rather you ask than not ask!  Management also encourages self-sufficiency; so it's helpful as an employee to do your own research before reaching out to management for something that may have already been addressed in a previous event, meeting, etc.  The hardest part of the job is the amount of persons that each community navigator/community navigator supervisor supports.  Time-management is a skill that you should have or want to continue to work on.  Try to make sure that your interactions with the persons you support are as meaningful as possible, as you won't get to spend the same amount of time with one as you will another, due to a relatively high volume of consumers.  The most enjoyable part besides connecting with the persons support is the flexibility to make your own schedule - for the most part.  That's why time-management is key. Well wishes.

Job is remote/field work where you can flex your schedule for meeting with individuals you support in the community. However with this comes severe mental health strain with managing large caseloads, crisis situations, housing crisis,  referrals, monthly contacts via face to face or phone/emails. Last minute tasks without clear direction or instruction how to do it.  
Annual plans that are due it becomes overwhelming to ensure deadlines are met. Company doesn’t  seem like they care about employees or even services or supports that staff provide to the individuals supported. It seems like ensuring numbers are met, plans submitted anything that involves financial gain. Staff are not being compensated fairly. They are overworked and even having time off management will still ensure to bother them with demands. At times time off requests are time staff needs to take off just to be able to play catch up on documentation without constant meetings, emails, phone calls. They expect you to constantly be available, this company does not care about the mental health, physical health or wellbeing of their staff. 

I have worked here since 2019 and I love everything about my job. It’s fulfilling and rewarding to be the person who can help make things happen for people, connect them with resources, and be a problem-solver. Columbus did take on new management in the last 3 years, and a lot of staff turned over. Much has changed to make it a great work environment dedicated to high quality service. We have some amazing team leaders and a team of excellent case workers. I feel that management listen to us and advocate for both the employees and the people we support. That said, YOU are the dealbreaker or dealmaker in this job. If you are given tasks to complete, deadlines to meet, and you drag your feet, the quality of your work will suffer. There is always something that needs to be done. You have to be great at managing your time and dedicated at long-term projects to succeed as a case manager. Compared to other case management jobs, the workload is not super heavy, you just have to take the job seriously and do your work. 

This organization is a disappointment on all fronts, especially with upper management. They clearly do not value work-life balance, expecting employees to handle unrealistic workloads with minimal compensation. The pay is laughably low for what’s expected, and they “don’t believe in raises” — something the VP has openly admitted. There’s no effort to support or acknowledge the hard work of the staff, who are already underpaid and overworked. Management is out of touch with the realities of community navigation, implementing policies that only complicate our jobs further. They’re notorious for “pulling the rug out from under you,” making sudden changes that disrupt workflow and add stress. It’s obvious they don’t care about the staff or the service recipients, prioritizing their own agendas over the quality of service. Avoid this place if you value fair pay, work-life balance, and respect from leadership.

I started with Columbus when the company first began in 2017 in Delaware. A lot of changes have occurred since then that are making our jobs easier. We have a completely new Management staff and Director that are supportive and are always willing to help, especially my supervisor. Our Director has also added a trainer who works along with our management team to make sure that we are always up to date and trained on all tasks that are required for this position. We do have a large caseload for the amount of work we have to complete however the job itself is easy and rewarding. Time management and organization is key. A huge perk of this position is that we work remote and is flexible. This helps to manage our time with our personal life and our families. Another perk is we get to work for and be part of the lives of the most wonderful population. Overall, with all the changes that are occurring The Columbus Organization is becoming a nice company to work for. I am happy to be part of the Delaware Team.

Since Columbus contracts staff everyone’s experience could be very different. While I’m very happy with my actual position, this is review is specifically about Columbus. When I started the company overall seemed a little disorganized, at least as it rated to my position but I can’t speak highly enough of the recruiters that brought me on board and supported me with things that weren’t their responsibility. If it weren’t for them, I may not have made it as a contracted employee. The company seems to be getting better organized and with more protocols in place, but the new structure has taken some time away from those that had been supporting me. They’re still available if needed, but are less proactive about staying in touch now that they have more responsibility. Overall I’m very happy with the compensation and the role I’m in is my literal dream job. 

Top Job Titles	Average Salary
Psychologist 59 salaries reported	$132,441 per year
Registered nurse 31 salaries reported	$49.19 per hour
Case manager 56 salaries reported	$30.00 per hour
Speech language pathologist 16 salaries reported	$54.13 per hour
Community navigator 42 salaries reported	$43,888 per year

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