Thread regarding Humana Inc. layoffs

Seriously, WHEN has the company ever TRULY CARED?! Wellness when I remember 16 hours sitting down and 6 days a week during OE. Thank gracious, I'm done. Blessings all, please get out as soon as humanly possible....

I don’t know about outsourcing for SNP or UM. But having worked in UM, I can say that it’s a miserable existence. Nurses are leaving right and left. Some are going to other areas of Humana and others are leaving the company. Metrics are unrealistic, the environment is never ending pressure. I can’t speak to other roles in UM, but some of the nurses will stab you in the back in order to meet numbers. Those nurses also happen to be the favorites of the leaders. That should tell anyone all you need to know if you are considering a transfer to UM. That on top of having to request PTO months in advance to have a CHANCE of getting it off, mandatory OT, no answers to questions when help is needed, MICROMANAGEMENT like you’ve never seen before, is just a fraction of what needs addressed by senior leadership.

SNP just hired 25 RN's and posted reqs for another 40. Tell me again how all SNP work is being outsourced? Please have a seat. At your new job. Not saying it's perfect around here, far from it, but we've definitely turned a corner.

This is an RN HCM that was in the recent layoff. I am so glad I got hit with that layoff.

It was seriously a blessing in disguise. There is life after Humana. Trust me there are more nursing jobs out there than you know. I had several that I turn down due to different benefits or pay so trust me you can get another job and be happy. I love our a.m. now and want to stay there forever.

Now for all the SNP and UM nurses keep your eyes peeled for a lot of changes because Humana is looking to outsource both those areas they are putting in bids and companies that do SNP and UM. I am telling you this because I have seen it in writing. Get out of that company as fast as you can they are snakes in the grass and will not tell you they are going to cut your department they will just catch him at the knees and leave you to bleed out. They do not plan to do another layoff they plan to write people up so that they can legally let them go without having to pay severance. Get out of that company that has no morals

Meme- When you say you "did" 45 in a day, what are you referring to? Clinical reviews? Communication records? Calls? Attachments? Many UM tasks can literally be completed in less than 60 seconds so not every task counts towards metrics. There is no way possible you could complete 45 clinical reviews in 8 hours and do a good job. CM, especially HAH CM is slower paced and much different than UM. Much luck to you.

It’s not a matter of “growing up.” All places want to make money, all of us know that. But it’s not unreasonable to expect the productivity standards to be realistic. Humana has changed. BB just sold millions in stocks. I’m glad for him, wouldn’t want him running short on funds.

I agree. They make it impossible to succeed. I imagine that not many CMs will get a bonus. Who has been able to keep up metrics with all the changes? I think that was the design. They don’t want to pay bonuses and the only reason they are preaching wellness is because they don’t want to pay OT and it is employee survey time. Go figure.

V8neqfY-7npc- and go where? A competitor? They're all the same, some just hide the hoof better than others. Grow up.

MEME- something doesn't add up here. You say you did 45 in a day, the expectation is 12-15 and your manager thinks you could use some pointers on time management? Did you actually "do" 45 or are you also counting those that are d/c'd or deceased in that number? Please don't take offense, I'm just trying to understand. It's probably in your best interest to just let someone shadow you and provide feedback on whatever it is your manager thinks you're missing. Try to put the anger and frustration aside to really hear what they're saying. It could be a complete misunderstanding or it's posssible you might be missing an important piece. We're all rooting for you and want you to be happy and successful in your new position!

Do not make the mistake of thinking they ever give a c-ap about your health or members health. They are a business. YOU care about members. THEY care about numbers and profits . Their agenda is NOT the same as yours. As soon as they get the chance they sell their stock options for profit. If you cannot square that in your head and th ou s job is not working for you for another reason.... time, benefits, money... get out.

Watch those scores.... If a person is discharged or deceased, you don't get credit. It disappears. No counting. Write down every person w numbers to document your work. This is the only way you can save yourself cause the next day, some of the folks on your roster don't show up in the 'counting'. I figured that one out real quick. Manager says.. you must be counting people twice. I say NOPE. I am onto that. Manager says.. You can only count 1 person each day even if you completely build the chart with all the assessments et. They don't count. I say YEP I know.. so 45 a day I do with great audits and manager says I am doing something wrong in my counting. I say.. I have names/auth # if you care to look at it.

UM. Been w company for 6 years. Left CM to go to UM. I am dealing with 30 to 45 cases a day. Including Discharges for which I found out I don't get any credit for. Metrics say 12 to 15 a day is necessary to meet qualifications. I had a meeting with my manager who tells me perhaps I need time management education. ??What??? I did 45 one day and 41 the next. Really now, do I need time management education? No, maybe you all need to hire one more person to take on this load! And keep adding to our responsibilities and wonder why we are so stressed Be a detective they say, find these numbers to call CM at the hospital. NONE provided other than outside line. Its up to you to develop a relationship and call around. So now she wants me to have someone follow me to see how I do it so they can give me advice. Why? Cause you just said I am doing more work than anyone else but you want someone to observe me for my time management. And my audits are 96 to 100%, what more could you want. I am close to retirement and I think about it almost every day. Am I going to make it another five years? I think you need to go to classes for LISTENING SKILLS cause you sure aren't hearing a word I said.

Last poster...may I ask if you worked in UM/UR? I hear the work load and expectations are overwhelming.

I’m the person that resigned after 4 years. The tipping point for me was that I literally had days I never got up from my desk. No breaks, didn’t take lunch. It had to be that way to meet metrics. The metrics are too high to do quality work. I used to work in HAH, but transferred to another area because I was afraid of an rif. I’d also heard other areas in Humana were more flexible and better managed. Boy was I WRONG.

I just don’t understand how they can tell us each call needs to be evaluated to see if we’re making progress and if not move them to monitored. Ifthe LOI is low then justify that they need our calls and if they can manage on their own move them to monitored. After all they then tell us we’re moving too many to monitored. I haven’t received many new members or reassignments but the ones I do all have very low referral scores and are very adamant they do not want calls. The HAH program is just a huge cluster.

@V8neqfY-4hic, yes it is absolutely how they get out of pay based performances. I'm glad someone is catching on here. I posted about this in a thread a little over a month ago and people were silent over this. The other thing, and I'm in SNP, not in HCCP, but if you take partial pto one day; we are still responsible for any metrics we may have missed while on partial PTO. And if we choose to stay late one day to finish calls that need done for the day, any calls after your regular scheduled end of business time do NOT count towards your metrics. Our dept hasnt met metrics at all since we have gone hourly, yet, they still dont do anything about the requirement. With that said, they dont write anyone up about it either as long as you're close enough to them. It's because they know the metric requirement is out of range but also dont want to give those performance raises either. Its DIRTY.

Yes absolutely agree, looking as well. Had all that I can take. Unrealistic expectations. Contact average on score cards have been in the 7s for months, yet minimum expectation still says 8.8. Is this a way for them to get out of paying the performance based bonuses?

I would like to start off by saying I am not being a negative nelly. This is my honest opinion based on all the changes. We were recently informed management will start to monitor which members are being moved to monitored and if PCS members are being called 2-3 times per month. I feel like they are searching for ways to increase revenue and if open enrollment numbers are down....well we all know what may happen. I am amazed about how unorganized this program is. I will continue to do my best for my members and try to adapt to the ever changing policies and expectations while I figure out my next career move.

"Ride The Wave"--Excellent post. This describes so many of us including some associates on my team. I am not far behind you. Best of luck to you in the future.

Hcmrn... I put my notice in as well (3+yrs) I have not felt this good in so long.

I am excited to get my life back. To improve my wellbeing, reduce my stress and not feel so uptight all the time.

Not my 🎪, not my monkeys 🙈🙉🙊 any more... I don't even care that they are changing the expectations 2-3 times a week. I don't care that they can't communicate with eachother. I am just riding out my time trying to do the best for the members. I have integrity, I will continue to uphold my personally set standards.

Sad thing is I am an excellent employee, exceptional in regards to roster managment, quality scores, retention and personal participation in projects. I am a team player and enjoy my members.

Oh well. Humana was a great stepping-stone for the next step in my career. Onward and upward. Blessings to you all.

Humana is a Joke. I’m glad I was rif’d. However it took me 5 months to find a job that aligned with my career goals. I’ve lost weight since being off the phones, overall healthier, and most definitely happy. Good luck to you all whether you are looking to leave or stay with the company.

It hasn’t started yet. Coach just gave us the run down of how it will work yesterday

This is a good idea. Does that work for your team? On our team we have to complete all scheduled moc calls and utcs prior to taking our vacation. We have no coverage.

Basically 1 coverage nurse for every 5 on the team. That persons roster is decreased to 75% capcaicty and unable to receive new members. That person manages their own roster and any alerts forwhen a teammates are off.

What does team based coverage look like

We weren’t told to stop moving to monitored, just that we are moving too many. We were also told about the team based coverage and were asked for volunteers to do it.

3 teammates have quit in the past two months. The programs are poorly ran, understaffed, and all about the bottom line (hint; not the staff and not the members)

What was your breaking point that you decided to leave after 4 years

HCM RN here. We have not received any directives to stop moving members to monitored. We have a change with the coverage team (HCCP) though. Sounds like they are embedding more coverage RNs into the teams. Also sounds like we are expected to schedule our calls around our PTO time. Curious as to why we are not all on the same page.

Four years

To the person who gave notice how long have you been with Humana?

I had enough today and gave notice. I’ve not been this unhealthy in a long time, and it’s all due to the stress of working for Humana.

Why cant humana get good management!?

Huh wha??

We were told the same thing last week. I was shaking my head the whole time. Now they are going to start monitoring how many times we call members to ensure we are contacting new members 3 times in the first month and thereafter twice per month. Members barely answer monthly. I am hanging in here doing the best I can for my members. Who knows what is next.

HCM-RN here. We were told today we are moving too many to monitored. They cannot enroll the amount needed to replace the monitored ones. Imagine that. After the push to move as many as possible, now they realize. This place is a complete mess.

Agreed . This place is a nightmare. Hoping to leave asap!

Can’t agree more. Trying to get out!!