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Job Title: CARE MANAGER
Location: EL SEGUNDO, CA
Submitted on: 05-Jun-03
Job Title Workplace Survey
CARE MANAGER CORPORATE CULTURE: IT DEPENDS ON THE OFFICE IN WHICH YOU ARE WORKING. I STARTED IN THE CHICAGO IL OFFICE WHICH WAS THE FIRST TO INTEGRATE THE THREE MAJOR COMPANIES OF GREEN SPRING, HAI, AND MERIT. THERE WAS SIGNIFICANT DIFFERENCES IN HOW MANAGED CARE BUSINESS SHOULD BE RUN BETWEEN THE THREE COMPANIES WHICH LED TO A SIGNIFICANT AMOUNT OF CONFLICT BOTH WITHIN AND BETWEEN STAFF AND MANAGEMENT. AFTER WORKING IN THE OFFICE IN CHICAGO FOR NEARLY TWO YEARS, I APPLIED FOR A TRANSFER TO THE EL SEGUNDO CALIFORNIA OFFICE WHERE I STARTED IN DECEMBER 2000. THE CHANGE IN MANAGEMENT APPROACHES WERE MOST NOTICABLE BUT THE E.S. OFFICE ONLY REALLY HANDLED HAI BUSINESS AT THAT TIME. HOWEVER, OVER THE COURSE OF A YEAR THE LOST OF SEVERAL KEY MANAGEMENT PERSON WITHIN THE CLINICAL AREA, AND HIRING AND/OR PROMOTION OF INEXPERIENCED, UNKNOWLEDGABLE, UNPROFESSIONAL, AND/OR UNETHICAL PERSONS. I BROUGHT TO THE ATTENTION OF HUMAN RESOURCES, ALONG WITH SEVERAL OTHERS, MY CONCERNS AND EXPERIENCE WITH THOSE MANAGEMENT PERSON WHOM I FELT WERE INADEQUATE, AND WHY, YET AFTER AN "INTERNAL INVESTIGATION" NOTHING CHANGED. THIS LEAD TO MY ULTIMATE DECISION TO LEAVE FOR ANOTHER MANAGED CARE COMPANY. SOME OF THE ISSUES WHICH I FOUND UNPROFESSIONAL YELLING BY MANAGEMENT AT EMPLOYEES, ALONG WITH INSULTS AND DEMEANING COMMENTS. THERE WAS ALSO A HUGE GAP OF CREDIBILITY WITH THE ACTING MEDICAL DIRECTOR AND CLINICAL SUPERVISOR REGARDING BOTH QUESTIONABLE MEDICAL NECESSITY CRITERIA WHICH CASES WERE BEING CLINICALLY DENIED, AND WHAT APPEARED TO BE INAPPROPRIATE DISPLAYS OF "AFFECTION/COMMUNICATION" BETWEEN THESE TWO INDIVIDUALS. THE HIRED VICE PRESIDENT OF CLINICAL SERVICES WAS UNPREPARED AND UNKNOWLEDGABLE IN MUCH OF HOW THE BUSINESS WAS RUN WHICH ALLOWED HIM TO BE EASILY OVERWHELMED WITH THE DAILY FUNCTIONING, THE INCREASING CLASH/SPLIT OF THE CARE MANAGEMENT TEAM, AND ULTIMATELY THE ANIMOSITY WHICH DEMONSTRATED THE INABILITY FOR ME TO CONTINUE WORKING IN SUCH AN ENVIRONMENT. WITHIN THE CHICAGO OFFICE, THE SPLIT BETWEEN AND WITHIN THE MANAGEMENT AND STAFF REACHED SUCH A LEVEL THAT THERE WAS OPEN ANIMOSITY WHICH MADE THE WORK ENVIRONMENT NEARLY INTOLERABLE AT TIMES. THE SAME MEDICAL DIRECTOR MENTIONED ABOVE ALSO WORKED IN THE CHICAGO OFFICE, AND WAS PART OF THE LARGER PROBLEM WITH FEMALE STAFF ENTERING INTO HIS OFFICE DURING BUSINESS OFFICE THEN CLOSING THE DOORS FOR EXTENDED LENGTHS OF TIME CAUSING GREAT CONTROVERSY AND DIVISION. SINCE UPPER MANAGEMENT APPEARED TO TURN THEIR BACK ON SUCH SEEMINGLY INAPPROPRIATE BEHAVIOR, THIS WAS ONE OF THE REASON I REQUESTED A TRANSFER. LATER, WHEN THE MEDICAL DIRECTOR ALSO TRANSFERRED TO EL SEGUNDO, THIS TYPE OF BEHAVIOR WAS NOT ADDRESSED AND, AGAIN, CREATED THE SAME PROBLEMS WHICH MANAGEMENT FAILED TO ADDRESS. DIVERSITY: TO MY KNOWLEDGE, THERE WERE NO PROBLEMS WITH DIVERSITY ISSUES WITHIN EITHER THE CHICAGO OR EL SEGUNDO OFFICE. DIVERSITY WAS ENCOURAGED IN BOTH AND EFFORTS MADE TO MAKE PEOPLE FEEL WELCOME AND VALUED ALONG THOSE LINES. HOURS: THE HOURS BOTH THE CHICAGO AND EL SEGUNDO OFFICE WERE STANDARD BUT MOST DEDICATED EMPLOYEES, WHICH I FEEL I WAS AMONG, USUALLY WORKED AN HOUR OR TWO DAILY BEYOND THE 7.5 IN ORDER TO TRY AND DO AN ADEQUATE JOB. HOWEVER, WHAT WAS DISCONCERTING WAS MANAGEMENT WHO HELD THE 7.5 HOUR TIME FRAME AND DID NOT APPEAR INTERESTED OR CONCERNED ABOUT THE EXTRA HOURS PUT IN BY CARE MANAGERS; YET, THESE TENDED TO THE THE SAME MANAGERS WHOSE CONDUCT AND BEHAVIOR WERE VERY QUESTIONABLE AS OUTLINED ABOVE. ONE OF THE REASONS I LEFT WAS HAVING THE ACTING MEDICAL DIRECTOR QUESTION THE CREDIBILITY OF THE WORK I WAS DOING SHORTLY BEFORE I ANNOUNCED MY RESIGNATION AT THE EL SEGUNDO LOCATION, AS IF I WAS NOT KEEPING UP WITH THE WORK FLOW. HOWEVER, MY CLINICAL DOCUMENTATION AND APPLICATION OF MEDICAL NECESSITY WAS OFTEN REGARDED AS SOME OF THE FINEST IN EITHER THE CHICAGO OR EL SEGUNDO OFFICE; I RECEIVED "CARE MANAGER OF THE QUARTER" AWARDS IN BOTH OFFICES. MY DIRECT SUPERVISOR, WHO I MENTIONED ABOVE AS HAVING INAPPROPRIATE BEHAVIOR WITH THE ACTING MEDICAL DIRECTOR, IGNORED MY REQUEST WITH HIS ACCUSATION(S). DRESS CODE: I FELT THAT THERE WERE INAPPROPRIATE GARMENTS WORN BY STAFF AT TIMES, MOSTLY TOO LOW CUT OF DRESSES OR HALTERS BY THE FEMALE STAFF. OPPORTUNITIES FOR ADVANCEMENT: THIS WAS A FRUSTRATING POINT FOR MOST STAFF MEMBERS WHO WORKED DILIGENTLY ACROSS THE BOARD. ALTHOUGH I WAS GIVEN ADDITIONAL PAY INCREASES AND RECOGNITION FOR THE HIGH QUALITY OF WORK PROVIDED, PROMOTIONS WERE MUCH MORE DIFFICULT TO OBTAIN. HOWEVER, THERE WAS ALSO THE ISSUE OF MY LACKING A CALIFORNIA LICENSE IN THE EL SEGUNDO OFFICE (I WAS ONLY LICENSED IN ILLINOIS AND WAS APPLYING FOR MY LICENSE IN CALIFORNIA). IT WAS EXPLAINED TO ME, AND I ACCEPTED, THAT UNTIL I RECEIVED MY CALIFORNIA LICENSE I COULD NOT BE PROMOTED. SO THIS WAS NOT AS MUCH AN ISSUE FOR ME AS WHEN I WAS IN THE CHICAGO OFFICE.

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