registered nurse

social worker

nursing assistant

patient care technician

registered nurse manager

University Health KC

A typical day at work begins with me preparing my work station for the variety of customer/patient concerns that I will encounter. Addressing billing issues,reviewing insurance coverage and plans, scheduling appointments, accepting payments and/or making pay arrangements, working with internal and external departments along with preforming research and analysis on management reports encompass a regular day. Periodically, I will be requested to work on a special project that will afford me the ability to gain knowledge about the ever changing world of healthcare in 2014 and maintain my analytical skills. I love the business analysis of the lob. I have learned various applications including: McKesson's STAR-records management system, E MOmed-Missouri HealthNet for Medicaid recipients, ECare's internal scheduling platform and Instamed, a real-time medical payment system just to name a few. Once the phone starts ringing the fun begins. Although many of the concerns are the same, no two calls are alike.  

One of the highlights at TMC is the group of ladies that I work with. Our primary object is to serve the customer. Each one has an expertise in various fields of administrative healthcare and we all glean knowledge from the experience on the team. 

The most challenging part of the job happens when a patient calls and I am unable to help them for one reason or another. Most people don't understand that the "rules for the uninsured" have changed and they have to change too! Many are returning and appreciate the service provided while others seem to be melancholy. 

The most enjoyable part of the job is experienced when I receive appreciation from those who would not have completed their transaction without my assistance. I can hear the smile in their voice. It also helps when they call and can pay off thousands of dollars in medical debt and they are set free. 

I do a quality job, have a respect for people of all backgrounds and enjoy finding better ways to make a persons life easier. I won't stop until I can find a solution.

The Good: Salary and benefits are comparable and equipment is sufficient, the provider community is strongly pro coding education and feedback, the schedule has some flexibility for personal needs, and you start accumulating PTO immediately. 
The Bad: Insufficient/minimal training from leaders for a new hire into this organization, the entire system is lacking structure for remote workers, minimal internal resources and support, and there is a 90-freeze on using PTO.
Important things to know about this department are that the billing software requires manual import daily which will consume approx. 2 hours of every workday (including holidays and weekends), the number of meetings aren't significant but the functions and expectations are beyond what's feasible in a 40 hr work week (direct leaders work an extensive  number of hours and the expectation is that this role does the same), there is a high level of micromanaging resulting in minimal autonomy to structure your team based on needs you've determined through communication and observation directly with your team, there is no leadership, period. Threats from management and last minute schedule changes and demands also became the standard making stess rise to an unhealthy level while also never hearing any sort of recognition for goal achievement. Overall, this role ended up being very different than discussed during the interview process, including the promised leadership style I would be working under/with, and the atmosphere became toxic.

Typical workdays were from 0800-1630. I checked in patients, set them up with surgery if required, provided education, worked with the ortho tech applying and removing splints, casts, sutures, and staples, and provided telephone triage's and medication refills or appointment adjustments.
I learned a great deal about orthopedics and ortho injuries not learned in nursing school. I learned the best ways to apply casts and the rationale behind the different types.
I was under a great manager who let me "do my own thing" as I was the lead nurse in the clinic. I worked with several part-time nurses and float nurses and was responsible for orienting them to the clinic when necessary.
The hardest part of my job, aside from learning the daily workings, was the initial orientation and freedom to run the clinic the way I wanted. Also working with the residents could be challenging as well at times, but I countered that with the knowledge acquired while there.
Unfortunately, the clinic was the only ortho clinic in a 600 mile radius that provided care to Medicaid, low income, and a culturally diverse population, which did not allow for overtime or pay adjustments that were beneficial for me.
I really enjoyed working with the residents in a teaching facility. My first nursing job was in a teaching facility as well and I often found that I was the one teaching the residents at times.

I highly enjoyed working with patients. In my eyes, especially in healthcare, you must do your best for the patients, which ultimately is the best for the corporation you work for. You must be earnest, loyal, compassionate, and above all place the needs of the patients first. Working in ICU and the Emergency room I was responsible for 80 beds, and I have seen some grave situations, but I never lost sight of the need of the patient, and at times I would go beyond what I needed to insure that I was truly helping them. The true reward in my eyes was actually being able to help patients. Some days were very sad, but even on those days, I went home with the knowledge I truly did all I could do for each person I counseled. I met a host of employees who held that same view, truly caring and trying from the heart to help those in need. When I trained anyone, I would tell them from the start, treat your patients as you would want someone to treat you or someone you loved. I worked with some of the finest Nurses, Doctors, and people from almost every department including DFS, and found some kindred spirits who I not only admired, but will hold in my heart all my life.

A typical day was checking doctors schedule, and making sure all employees had made it to work. Next would to be check the supply closet and make sure things were in stock, and ready to go for the day. After I was finished with inventory , I would pull all phone messages off and answer them in the order they were received. During the last part of the day I would check the physicians schedule/request they have placed for time off and block the schedule. Then I would work on the unit clerks schedule/ request they had submitted for time off also. (build a schedule every three month for the physicians)
Make sure that all encounters were placed on my desk at the end of the day for accounting/billing. Therefore, at the end of each month I would review and make sure that insurance information was placed, or if they were self -pay the information we needed to file a financial income based for the patient. If employee were ill I would fill in the position myself and complete the duties that I had to at that time. Most important part of my job was to help with customer complaints and resolve any issue that has occurred during that patient visit.

Everyone has a different flow of managing their day so reveiwing a typical such thing in Nursing ) is  difficult .Howerer;day abd night shift both begain with a hudde /meeting that starts at 0645. The purpose of this meeting is to adresss anything of importance (i.e., incidences, medicaton errors, CEU opporyunities, and whathaveyou) The other reason for the  daily meeting is to tll staff where they will be workinf. After that is done, it is time to get your assingments, get report, meet patients, assess, etc. 

Overall the workplace cultureis very team oriented and the leaders make themseles available to anyone no matter how busy they are. The staff are expected to greet anyone and everyone with a smile and; if they so choose, a good morning/evening. This puts people more at ease when they might be at a low point, plus the power of just a smile is magical. Uniersity Health  also has an environment that fosters teaching which I believe that as nurses the gift of knowlege and experiance are ubdeed thr most magical and orecise gifts we can give to new nurses. 

Was used for 90 days exactly, then conveniently let go for a confrontation involving a 'more favorable' employee.  I was sought out, preyed upon, and after 90 days of exceptional patient care and supervision, discarded instead of defending myself as an individual and the good work I did (and would be commended on several occasions for my intervention methodology. Multiple of my legal rights as an employee were infringed upon and I will soon be seeking litigation.  The entire place has a culture of indifference & if you don't share their sentiments that each patient is disposable & that you should actually put in effort to help them, you will be targeted. The nurses and the upper management are stuck in the past and the belief systems and mindsets to match (if you get what I mean.) If this company wants to grow it needs to evaluate and change how it qualifies its employees. Out with the old, in with the new.

Overall, I am happy with my time at UH. I have learned a lot, the schedule is flexible, the benefits are amazing and the majority of my coworkers are wonderful people. My job is straightforward and easy to exceed in, with fairly respectful pay considering what I do is straightforward and does not require any degrees or certificates. My manager is also great at helping employees succeed at their goals which is nice.

However, the higher ups need to get it together. The Executives are paid exorbitant amounts of money while the rest of the hospital is facing extreme budget cuts in order to meet budget goals. HR does not help when it comes to coworkers that are blatantly disrespectful and toxic, and management does not often make us feel supported with these issues, and at times can make it worse.  There is so much drama in the workplace here that I am considering leaving because I no longer feel comfortable working here despite raising red flags to management and higher ups many times.


A typical day at work consist of helping patients with  daily needs rather its with meals, bathing, blood sugars for those that need it, coping methods, or social skills. We also do rounds on each patient every 15-20 minutes. I learned that you cannot judge anyone on what they are feeling because everyone is different and has a different story. I also learned that team work is the best in the behavioral health work environment. There was very little management during a shift unless a manager was needed, we were trusted to do our jobs without micro-management. The hardest part of the job would be communication with nurses, as a mental health tech we are front-line and hands on with the patients every single shift and if we see a patient escalade we would have to communicate that with the nurses, there have been times when people has gotten hurt because the nurse wouldn't listen. The most enjoyable part of the job was having a patient "Thank" me because I made them feel better or help them view things different to cope better.

This Medical Center is a very diverse working environment. On an average day there is a team meeting at the beginning of shift. Then we go to our areas that we are assigned to go. I normally work the floor the first 8 hours. This entails assisting Emergency Room Physicians and the Nurses with procedures. The procedures range from obtaining vitals to setting up for sterile procedures. Paying close attention to detail is very important. This prevents the patient from acquiring any infection. The management makes sure the staff is following guidelines that keep everyone safe. These protocols/guidelines are to ensure that we are paying close attention to their health concerns. The most enjoyable part of my job is being a support for the patient. It is wonderful to be able to reassure patients/family. When people come to the Emergency Department they are not always in the best state of mind. To be able to help them get to their baseline is such a special treat for me. I really love helping people.

Top Job Titles	Average Salary
Registered nurse 3 salaries reported	$36.67 per hour
Social worker 5 salaries reported	$66,880 per year
Nursing assistant 2 salaries reported	$19.41 per hour
Patient care technician 5 salaries reported	$15.20 per hour
Registered nurse manager 3 salaries reported	$92,333 per year

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