Please guys something is happening
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I have to agree the telephonic program was heavily flawed. When I started as a Phc two years ago I said then the program was not going to last long. The model was not effective too many people calling the members. It was a terrible model and now so many of are being affected by rifs. Some executives have no clue when to leave well enough alone and MF was one. He really should have been fired instead of moved to another department.
Over it all, you got it! The telephonic program was heavily flawed and not working, hence the reason they are doing away with it. I am surprised the members have not banded together and filed an harassment suit.
The last two posts about our "beloved" UTC policies are spot on. I was never more frustrated with "chasing" members who did not want to be caught. It took leaders and above how long to listen to us about our UTC harassment calls. Whatever reductions and when the RIF happens, we did the best we, the worker bees did the best we could with the flawed telephonic program.
True, before merger failure- they cooked the books with a harassing UTC policy. (These folks did not want to be called as much as we hated trying to get them to pick up the phone) This tactic was making it look like HAH was so successful having that many people in the program. What terrible leadership and when the brilliant leaders got an out/early retirement. The program started to take a complete opposite way of operating amid fiolettsk.rus.
That's funny. Many of these higher LOI members came from nurses in the first place because they were UTC. Have fun trying to 'support them and managing them with care' if you can't contact them. That's why this program has gone down the crapper. They had us waste so much time trying to contact people who just don't care. To make 10 contacts I have to make between 30 and 40 attempts and document each UTC. I spend about two hours on the phone each day, maybe the same amount of time documenting and waste the rest of the day chasing voicemails. You couldn't make this up.
HAH RNs to PHCs last talking points, 'Congratulations, you have done such a great job managing your health, we are going to need to move you to the other program and they will call you less!' Something like that. HAH RNs told when the Monitored alert comes on the roster- no need to call mbr and re-do the assessment. If you feel they are ready to go to monitored- 'move them'. Yep, something is up across the board.
PHCs, were you given those ridiculous talking points to tell your mbrs? Just curious- Clear something big is coming. Wishing you all the best in all depts. Sad everyone has to find out the reason they are getting more on a site like this. However, that is why it is good to share and keep the conversations going.
There are many members with a nurse level referral score just as there were a ton of live healthy in nursecristers that we moved last year cause nurses were hanging on to those members
Don’t worry we will support them and manage them with care.
The definitions for HAH care management say CBA above 24000 is High Severity telephonic nurse, not Live Healthy PHC. That's why we PHCs have been told to move as many members as appropriate up to nurses. I don't agree with all the moves but we have little choice (or voice) in this process. Please, nurses, take the time to assess these members and don't just assume they should all go to monitored right away. Many of these members have had relationships with PHC care managers for years; this was not their choice and they should not be discarded because of an algorithm.
What the heck? A bit of over dramatization? So because PHCs are losing their jobs and their members are being moved to you, you think you are not working under your license? I'm so confused by that
I'm contacting the Nursing Board. I don't want my license affected. Are we even legally acting under a licensed company to perform our current roles? This is scary stuff. Yes. I need to contact the Nursing Board. I want to keep my license.
1/3 of the hcmss wouldn’t work due to issues with licensing in restricted states, but yes, there will probably be cut backs to a basic group...how many hcmss, PHCs and CMs were there when the program first started?
Sorry just an educated guess based on last rif
Last poster, is that an educated guess or do you have actual information?
They would have to cut HCM-SS A and CHEs. Less need for them. All PHCs and some RNs = skeleton crew of support staff. My guess is they would cut CHEs in half. One team. Cut 1/3rd of SSs
How can they cut RNs when needed to take over PHC members for now? Will HCMSS, FCMs or CHEs be affected?
how about FCMs??
Will HCM RN reductions start next week? Thanks for the heads up!
Please confirm your info as to how you know that
Just confirmed....PHC will be gone and HCM RN reductions in next month.
Wow, Moving members again.. Layoff number 5 coming soon.. just keep moving.. so typical. .
I am not sure where that are moving to. We just move “up” for higher level of case management. We still get a typical alert fired for LTIH members which doesn’t happen that often.
Are they moving members to LTIH?
Just to clue you in, you’ll be getting a lot more. My team alone has about 50+ each we are to contact & move up. Just got lists. With that number hinted at rising. Also, been told move up regardless. Friends team says move up if they want to.
Can’t believe they didn’t tell nurses this was happening, oh wait, yes I can
My team was told to move the members up regardless if they agreed or not. Sorry RN’s, some of these members are not happy about this and I know how tough it is trying to put them at ease with all of this bouncing around.
This is tough for everyone - members too. :(
Oh great a lot of members that do not need an RN and will be moved to monitored. That is good for engagement. I guess that is not the focus anymore
Yes we were instructed to move the members up if they agreed.
Same here, HCM RNs on my team received lots of new mbrs. Coach say CBA score came back too high for PHCs role.
Are you a nurse?