emergency medical technician

paramedic

radiologic technologist

receptionist

patient access representative

Total Access Urgent Care (TAUC)

As you might have heard, TAUC’s mission is to be the solution to the broken ER by providing "fast, friendly, and affordable healthcare". 

When I was a prospective applicant first hearing about TAUC's public mission, one of my fears was the risk of burnout getting into a demanding clinical job with the emotional labor of a service job. My fears were put to rest in my time at TAUC. The more experience I gained, the more engaged and happy I was with the job that had a clear purpose with opportunities for learning and growth.

"Fast and affordable" healthcare is made possible by the extent of responsibility all clinical staff combined with team-oriented patient care in the TAUC workflow. As a simple medical tech, you are entrusted to complete a wide range of medical procedures and patient assessments. You work with a team of techs alongside the physician or APP each shift. There is strong emphasis on patient care as a team effort - everyone is held to the same standard in the minute-by-minute workflow. It makes taking care of patients straightforward and efficient. It rewards people who put in the effort to help the team thrive. The "friendly" part of TAUC's mission becomes easy with this structure. With a sense of teamwork, you feel less alienated and can spread the feeling to patients. I have met the most positive and helpful coworkers that you feel great working beside. I feel the positive environment produces far less workplace toxicity that plagued my past job experiences. Everyone is able to tap into the simple sense of purpose of being friendly and doing quality clinical work with your team. 

There is a fair but rigorous system of training, accountability, and advancement. The TAUC workflow is maintained by quality leadership and management made up by people that have worked and advanced in the same system. They are also always striving to improve the system in response to criticism and suggestions. As a new medical tech without any past clinical job experience, I felt I had the support needed for me to feel comfortable starting out because some had gone through the same thing. You notice how people are rewarded for fair reasons like hard work and effort and never by nepotism. TAUC makes it easy to work with purpose and be rewarded for it. 

From starting with no experience, I am now fully trained in the skills a CMA is able to do from starting IVs, administering medications, removing sutures, collecting lab specimens, and applying splints. I have gained a strong foundation of clinical knowledge in handling patient assessments. With CT and lab capabilities, there are more serious clinical cases that TAUC can handle than one might assume from an urgent care that are informative clinical experiences. Exposure to quality clinical providers has given me perspective and wisdom on medicine in learning how they treat patients.

The hardest part of the job may be the difference in lifestyle doing clinical shift work. You do not have a perfectly balanced 40 hours per week 9-5. People with rigid schedules with commitments outside of work may struggle. You won't have a normal lunch time sometimes. However, you quickly adapt to the schedule. As a rapidly expanding company across a lot of communities, TAUC has a large diversity of people and that you don't get to see long enough to know everyone. You probably won't work at the same place with the same people every shift. 

This job is best for people who are happy working with a purpose even if that means working hard. You really get what you put in and strive to achieve in your time here. TAUC gave me the structure to work with purpose that has been an antidote to burnout (endemic in my past job experiences), and look towards a future career in medicine. 

TAUC *could* be a great place to work. The people who work in the clinics are great coworkers and the work is interesting. Employees who have been there for years say it used to, in fact, be great. However, at some point, the corporate culture of this place really took a bad turn. These clinics are perpetually understaffed and under-resourced. I have actually never worked for an employer that ran people into the ground the way TAUC does - they seem to honestly not know the difference between using a bunch of HR consultant buzzwords and actually caring about employees. There are certain types of people that can still excel there but you have to know some things going in:
1. You will never get a break or a lunch. They will tell you to take them, and take a half-hour of your pay every day, but you pretty much never have enough people to stop working for more than a minute or two. I actually have coworkers that think they're doing something WRONG if they GO TO THE BATHROOM, because they have been so conditioned to believe that thier insane work environment is somehow an efficiency problem on their part. They don't even have chairs in the "break" room, because, you know...no one gets breaks. 
2. Your days will usually be about 13 hours and you will get ridden like an animal straight through them. There is so much more work to do than can be done in the time expected. 
3. If you are hurt or sick, too bad. REALLY hurt or sick? Also too bad. In addition to not having time to treat YOU like a human being, they seem to be not so concerned with the real possibility that you could infect an elderly, pediatric, or compromised patient with something that might put them at risk. If you have ever read The Seven Habits of Highly Effective People, then you remember the importance of protecting production by protecting production CAPACITY, i.e. your ability to do the work. That book has only sold about a bazillion copies. Might be something useful there. 
4. This is not all of it. I don't want to type it and you don't want to read it. Just know that this is a company that is very focused on expansion - cutting expenses and maximizing profit. They will give you lots of talk about integrity and passion and hashtag-all-the-buzzwords, but in the end, it is all about that dollar, and you are simply a vehicle for that. It can be *very* demoralizing if you can't get past that. 
5. That being said, depending on your personality type, you might still be able to make a go of it there. The tasks are interesting. You learn a lot and work with (mostly) great people in the clinics. And sometimes you actually do make a difference in a patient's day, or condition, which is rewarding. If you are very type A, very motivated by competition, very ambitious in terms of ladder-climbing, and frankly, just used to a work-life balance that heavily favors work, you might actually do just fine at TAUC. Those people do exist there and they like the place fine.

I learned about Total Access Urgent Care one random night while scrolling through job listings. As soon as I started reading, I was interested. I had no intention of applying for any positions that night, but TAUC's posting immediately resonated with me. Something told me this was a fantastic opportunity, and I'm glad I listened because almost two years later, I couldn't be happier.
This company puts people at the forefront of its goals. Who are these people? Patients and employees. When I go to work, I know that I'm going to make a positive impact on someone else's life and I know that Total Access will continue to do the same for me. They care just as much about their employees as their patients. Leadership is constantly looking for ways to improve, which is incredible considering how well we're taken care of as it is. 
As an employee, I have access to free (exceptional) health care, compassionate coworkers, supportive management, flexible hours, incredible benefits (overtime, 401k, PTO, free gym membership), internal reward systems, and advancement.  Every employee has the chance to succeed, all you have to do is realize it. All of these advantages come at the simple price of hard work and compassion.
Working in an environment focused on these attributes is inspiring. It has a ripple effect starting with coworkers and leading to the patients themselves. I have been told countless stories from patients, delivery people, passersby-that Total Access saved their life or their loved one's life. I consistently feel rewarded as patients boast about the care they receive each time they check-in with us. People have stopped me in stores to thank me because they notice the "Total Access Urgent Care" logo on my scrubs. That is the difference between TAUC and every other healthcare organization.
If you want to work for an organization that will push you to be the best version of yourself and then reward you for doing so, you should apply. If you want to wake up in the morning and look forward to going to work, TAUC is for you. If you want the opportunity to make a difference in someone's life every single day, that is what you will do with us. 
From the time I was hired, I have been supported and encouraged to be all that I can be. Management has invested in me and helped me develop skills that I will take with me throughout the rest of my life. I am grateful for every opportunity, relationship, and advantage TAUC has given to me.  I couldn't ask for more, and I plan to stay here as long as possible.

[+] Excellent learning opportunities: Techs are trained and then entrusted with a remarkable amount of responsibilities.  In addition to initial assessments (not just vitals), we can start IVs, administer meds, and apply rapid OCL splints.  Once we have a solid foundation of the above, we can then apply to be trained as a physician facilitator (PF) who works closely with providers as a scribe (and learn about physical exams, medical decision making, and assessment & plan).  We are still part of the clinical team, however, and we seamlessly switch between being a tech or PF depending on patient needs (hence why the job title is PF and not just scribe).  Finally, we can also apply to be team leads who are in charge of a site, gaining valuable leadership, resource management, and problem solving experiences.

[+] Collaborative environment: The people at TAUC are why I look forward to working each day.  TAUC has a fairly extensive hiring process that spans multiple stages and visits, but the end result is a team that is a joy to work with.  People are friendly, helpful, and positive even in the face of unexpected challenges.

[+] Well-defined advancement paths: There are multiple paths of advancement that are clearly laid out with formal application processes on the team website.  And the rate at which you advance is largely dependent on how motivated you are to master your current responsibilities before taking your next step; your fate is in your own hands.

The following aren’t necessarily cons, but they are potential sticking points for some people.

[-] Alternating weekends and holidays: Everyone, even the physicians, work alternating weekends and holidays.  TAUC is open every day of the year, and everyone shares the load evenly.  For example, Dr. Dinkel, our Chief Operating Officer, worked the same Christmas Eve shift I had last year.  You can always trade shifts with your coworkers if you have plans for a particular holiday.

[-] Fast-paced environment:  As patients arrive on a walk-in basis, there are times when multiple people check-in all at once.  Extra hustle is greatly appreciated by the entire team as taking care of the patients is our number one priority.  Team leads do their best to make sure everyone stays healthy by rotating people out for their breaks and food, but it is a delicate balance.  Please carefully consider this if you are used to appointment-based clinics.

I love working at Total Access Urgent Care (TAUC), for a multitude of reasons. Most importantly, this job allows me to make a significant impact in my community. I feel genuinely fulfilled being able to help so many people find affordable Healthcare. I get to see the fruits of my labor as initially distressed patients will often leave with a smile upon their face, and gratitude in their hearts.

Aside from the fulfillment that comes along with doing truly important work, the benefits are incredible! TAUC offers fantastic insurance, employee Healthcare (free TAUC visits!), extremely flexible hours, PTO, employee reward programs, a free gym membership, and phenomenal leadership.

I particularly enjoy the schedule at TAUC. As a full time member of the Reception team, I'm only required to work 3 shifts a week. That means that I have 4 days off! I'm free to pursue all of my personal interests AND complete a full work week with time to spare. If an employee ever needs to earn a little extra, TAUC also offers the opportunity to pick up extra shifts. These factors create the absolute best work/ life balance that I've ever experienced.

The compassion at TAUC extends beyond patient interaction. Management is extremely supportive, and wants each employee to succeed. I've never felt more taken care of at a job. There's not a single member of management that doesn't deserve to be in their position. Each leader at TAUC is a wealth of knowledge, and they use said knowledge to help every employee advance as far as they want to go. Management will always recognize and commend your hard work. No great deed goes unsung, and TAUC wants to see you advance.

As mentioned above, making an impact is an aspect of the job that I find very rewarding. As a member of the Reception Training Team, the impact I can make is magnified tenfold. I get to help others grow into a job that I love, and by extension- I get to touch the lives of even more patients. I love my coworkers, and bringing new trainees into the fold means that I am actively working on giving said coworkers more support. 

If you value helping others, enjoy a flexible schedule (with tons of time off!), are in search of great benefits, and want to work with some truly amazing people, - I highly recommend Reception at Total Access Urgent Care.

Work Environment & Culture 
Working at TAUC is a one-of-a-kind experience for someone who wants hands-on patient care opportunities and the chance to work with a tight-knit team of healthcare professionals in a collaborative environment. You are encouraged to develop as a leader and there are clear paths for promotions. 

Typical Shift
This isn’t your typical urgent care. TAUC offers IV fluids, X-ray, CT Scans, sutures, and on-site lab work, to name a few. As a clinical team member, you get to hone your skills and work with providers on a variety of procedures and interesting patient cases.  

Scheduling & Hours
You work 12 hour shifts, but that means that you only need to work 3 shifts a week to be a full-time employee. I love getting my hours completed in a few days and having the other days free. The company is large enough where there are plenty of team members who are willing to swap shifts. I have never had an issue finding someone who is willing to make a shift trade, and the swap can be done easily on their scheduling app without having to call/email a manager. 

Benefits 
When applying, I looked into other positions in the area and TAUC’s benefits are unmatched. You get free care at any of the 28 locations for you AND your spouse/children. In addition, there are several (very reasonably priced) insurance plans that have covered my regular primary doctor visits. I also get vision and dental insurance, a 401k, and PTO through the company. You can opt in for a free gym membership that includes unlimited workout classes and a sauna, as long as you visit the fitness center once per month. 



3 years into my time at Total Access Urgent Care (TAUC), I have learned a lot about medicine. I have learned about how physicians, physician assistants and nurse practitioners (providers) can treat patients with compassion. I have learned how to contribute to a healthcare team. And, most importantly, I have learned how great working in healthcare is.

Work hours are flexible. If you want to work regular (36-40 hours per week), full-time hours, you certainly can. You can also easily pick up over time. 12 hour shifts are fantastic, because you can easily batch a considerable portion of your work week into just a few days of the week.

Coworkers come from many different backgrounds. Some are just starting their careers and are eager to learn and train alongside you. Others are seasoned healthcare professionals looking to pay their experience forward to both coworkers and patients alike.

The breadth of locations presents plenty of opportunities to make your commute a manageable one. Furthermore, this diversity gives way to a large range of patient populations.

Specifically, the Physician Facilitator (medical scribe + certified medical technician) role provides fantastic opportunities to engage with providers and patients. This is a unique opportunity in healthcare; often times, scribes are only allowed to interact with the provider under whom they are working. However, without interaction with a patient, training in the social aspect of medicine is missed in traditional scribe programs. This autonomous exposure to patients is what sets the Physician Facilitator role apart from a traditional scribe position, and has been another contributing factor in the valuable experience of working at Total Access Urgent Care.

This is truly the best job opportunity for my licensure in the greater St. Louis area. I have been with TAUC for over one year and I continue to find new ways to improve myself and offer up solutions to help improve the company. TAUC is one of the only companies I know of that genuinely cares about its employee's feedback and tries to find the best way to implement that feedback. 
TAUC sets you up for both personal and professional success by first investing in you, so you can, in turn, invest in them and their Mission to provide the best, most friendly and affordable healthcare to the people of St. Louis. I personally have grown both personally and professionally in such a short amount of time, that I am now adequately prepared for my next career steps. 

The work environment is consistently positive, supportive, and engaging, despite the often fast-paced and busier days. Our teammates know how to best support one another and delegate tasks to best help our patients. There are no shortages of learning opportunities, and your time here is really what you make it. I find that, those who decide TAUC is not for them, they aren't always willing to see the forest through the trees and see that TAUC is one of the best health care jobs you can have in St. Louis because they really do care about you and your success. 

The opportunities here are what you make it, and TAUC has no shortages of those! I would recommend working at TAUC to anyone.

Total Access is a company that is growing quickly for a reason. I am nearing a year of employment with the company as a Physician Facilitator, and I have never before been privileged to work with such a positive, motivated group of co-workers. The members of the leadership team are approachable and dedicated to improving the experience of patient and staff alike. Hard work is required as part of the team effort, but the environment is one that makes work a cooperative, team-based effort with the mission to improve lives. 

Most clinical staff shifts are 12 hours in length, and many people are hesitant to work these long shifts when considering this job, but the teamwork among the clinical staff and the growing number of patients make these hours pass very quickly. Every shift feels very rewarding. 

Opportunity for advancement is the best aspect of employment at Total Access. This company has an incredible on-the-job training scheme that allows even new (<6 month employment) members of the team to expand their own knowledge and clinical capabilities. Staff members that demonstrate their capability, positive attitude, and motivation can develop their own skills in numerous ways and earn pay increases along the way.

What is the best part of working at the company?
Adequate compensation for the hourly rate. You will definitely work for every bit of your paycheck.

What is the most stressful part about working at the company?
Constantly being watched, videos and audio recorded, surveillance. The company encourages everyone to snitch on each other. The gestapo state mentally and culture along with putting every new EMT/medical assistant/paramedic hired into charge position after only few weeks on the job are the reasons for the high turnover rate.

What is the work environment and culture like at the company?
Toxic work environment. Gestapo state mentality which the company encourages everyone the snitch on each others. Employees are setup like a “mock military division.” Favoritism is routinely utilized as a key part of the evaluation.

What is a typical day like for you at the company?
Long hours, fast pace, high patient volume, short lunch break often eat on the go. Start your day at one clinic, getting “rove” and expected to drive another clinic. Sometimes, you maybe getting “rove” multiple times throughout the day and ended up at another clinic which can be 30 to 40 miles away from your home. Working beyond closing time due to influx of patients are common. Go home exhausted physically and mentally, rest for few hours, get up, and repeat again until your off days to rest and recover.

Top Job Titles	Average Salary
Emergency medical technician 30 salaries reported	$18.32 per hour
Paramedic 26 salaries reported	$24.19 per hour
Radiologic technologist 23 salaries reported	$33.01 per hour
Receptionist 11 salaries reported	$17.45 per hour
Patient access representative 48 salaries reported	$17.50 per hour

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