Thread regarding Optum layoffs

Any word on a date yet??

Any insight into Appeals/Denials layoffs?

@1f0 Take your PTO people!! and Use your CE credits.

@1f0 UnitedHealth Group (UHC) and Optum generally cap standard PTO payouts at 40 hours (one week) during a layoff, unless stricter state laws require a full payout. Full balances are typically paid out in states like California, Colorado, Illinois, and Massachusetts. Check your specific pay grade and severance details on Sparq.

Anyone know the PTO payout policy if you are laid off?

Few from my team resigned. My CTM is actively looking. I have sent out 11 applications. Have gotten a bunch of Dear John letters but have also had multiple interviews w/ decisions still outstanding. CTM told us the call date is now mid October, was supposed to be end of Sept but due to some legal issue, it had to be pushed back. Morale is in the toilet. Newer employees on team are freaking out, they were just onboarded. It is what it is. Cover ya own a-s, they don’t care about you.

@1c5 same, as long as I know our patients are being taken care of and my coworkers are not affected by me.

@1az For what it’s worth, I am functioning like it’s my last month at work - doing the bare minimum. I don’t care about the metrics anymore.

I.Am.Ready.

@1as was really hoping we wouldn't have to live with this anxiety and unknown for another month.

@194 yes- they have US nursing licenses from my understanding. And they have to make calls as well which I hear has not been going well. I hear the admissions
teams and case managers are NOT HAPPY and are rude to them- can’t say I blame them but it’s not the global employees fault. There was another post on here about layoffs- not this thread though. Not sure if they were referring to this dept but a GL 29 AD confirmed notifications go out 10/29 and last days 11/12- don’t know if this is for H&C, but sounds like it could fit the timeline with the trainings wrapping up FWIW. I went ahead and put more PTO in a while bc I think they only pay out a week maybe?

@171 Are PCRs not required to call patients and providers? How are overseas employees allowed to do this given licensure requirements? You did mention that Philippinos are being trained for this role, I wonder if they hire RNs with US licenses which allows them to engage to patients and providers legally and within scope of practice?

An RIF for sure is in the works for us, SICCs. I don’t know if our roles can be outsourced, as most of us have weekly in-person facility visits for IDT and patient visits.

ADC is another role that can be affected either by outsourcing or automation (AI). It’s a dept I hardly hear anything about.

@15b
Yes- PCRs (SNF and IRF) are being outsourced to Phillipines. It appears that about 60% to 70% of our current queue cases are designated as global, while the rest can only be worked by the US domestic team. Would love to know what the laws are to lobby for the rest of the states and plans to allow domestic only reviewers. They have hired 130 some SNF PCRs and are on the last cohort group for training, I expect they will be all done somewhere in October. Queue volumes are tight right now. Just wish we knew when. For IRF I believe it is similar. They have 20 something new global hires and they will be up and running independently beginning of November. It appears they need some of us, but a lot will be let go. Worried about the therapists, because there were some comments made before in some meetings about getting Optum to value the input therapists bring. Worried they are going to keep all the nurses and ax the therapists.

I have not heard about Appeals and denials at all or SICCs.

If anyone out there has intel on exact RIF timeline, you would be a hero for letting us know when!

@15j yeah seriously. I just want to KNOW. I really was hoping end of Sept but seems like oct… hopefully the beginning at least. The waiting game is the worst part

@15f agree.. the not knowing is tougher at this point. Living in limbo.

@15e Hopefully. The sooner the notification of RIF, the better. I am actually looking forward to knowing ASAP.

@15b SICC will definitely be a RIF, probably including management too. Likely will know who and when next month.

So this is what I have gathered from the comments here:

PSC (Pre-Service Coordinators): will be outsourced and currently offshore employees are being trained?

SICC (Skilled Inpatient Care Coordinators): Humana sunset - possible RIF, no one knows when.

ADC (Appeals & Denials) : I have not heard a thing about RIFs or outsourcing.

Any other info?

@129 yes they are unfortunately

@129 I've heard that from a PCR

Are pre service coordinators getting replaced by overseas workers, is that true??

@11w that file has always been there. Each region keeps a list of departures (resignations, transfered etc), new hires, backfills, and lists of the teams. The one you saw may be tracking current numbers because thst could possibly keep down the number of people affected by a RIF

@b1 I could not agree more, I’m not sure why my supervisor is so vocal about these things as it really disrupts the team

@dj I did find a file in the clinical operations SharePoint that is labeled 2026 care coordinator departures this was created in the last month. I am unable to open it.

@m9 maybe they don't care. I would care about jeopardizing my severance. The over seas nee hires are all preservice coordinators from what I understand. The SNf coordinators may have different timeliness.

@ja perhaps the CTM knows what is coming and just does not care. I would not be surprised for end of September for SNF reviewers, since all those 130 ish plus new hires overseas are now completing their precepting (staggered, but still they are churning ‘em out)

@fr those calls have always been that way. Nothing new there. The September date has not been communicated, so that's currently not accurate. It's hard for me to believe that CTMs would risk their own employment and/or severance by telling care coordinators all this information.

@fr how does your CTM know all this? And other CTMs do not

@fr is this for SNF?

@g4 that’s the magical question no one seems to have an answer to

How many Care Coordinators impacted?

My CTM shared calls are going out end of Sept, which corresponds to end of fiscal year. Only paying out 40h PTO, no more. Use your PTO. The calls will come from level above your CTM and CTM will not be on call.

@eg because they are operating as a for profit business . They need professional medical staff that go along with that in leadership positions.

@by Perfectly said - I agree about the metrics. Metrics are meant to measure quality, not replace it. When the metric becomes the goal, patient care becomes secondary.

The more you force clinicians to perform for the metric, the less they can perform for the patients. We see this every single day.

How can leaders not see this and how can they not fight for the reasonable goals that still put patients’ well-being as the top priority? Maybe I will ask Co-Pilot.

@by I think people stay because its remote and they don't have to do direct patient care anymore. And, depending on your manager, it's flexible as far as being able to take time for children's activities, appointments etc. We've lost the reason why we chose this in this first place. The pressure and the metrics are largely to blame for thst.

@by how do you know other employees are able to make their numbers look good?

I was on the verge of tears twice today if that’s any indication.

Morale is in the gutter, at least among the people I talk to regularly. The writing is on the wall. And honestly, I’m not even sad about it anymore. If this were the company it once was, I’d probably take it as more of a loss, but it’s become increasingly difficult to find any joy in the day-to-day.

What used to feel like meaningful work has turned into micromanagement by metrics. We’ve completely lost sight of what actually matters.

There are plenty of employees who know how to make their numbers look good and stay off the radar, regardless of whether those numbers actually reflect the quality of work being done. Check the boxes, keep the board looking good, move on.

Metrics should be a tool to support good work, not become the work itself. At some point, leadership needs to ask whether this approach is actually improving outcomes or just taking attention away from the reason people chose this work in the first place.

@bj 💯 agree.

1. Global team is for PCRs, not CCs
   1. We would like to know in the next month to give us time to get our affairs in order, however, unless they need to meet WARN ACT requirements, we may not get that courtesy. Knowing we are likely transitioning Humana Jan 1, I would look at the end of pay periods to guess what our last day could be: 12/11, 12/25, 1/8 or 1/22.
   2. Looking at other downsizing threads, people on performance plans or who have performance issues will not be here. And if you are a top performer meeting all your goals, you should feel more confident. It’s us in-betweeners who are on the clock - and I am sure HR is in their ears making sure we have a random pool demographics to protect their behind.
   3. Some managers know more than others , but CTMs and senior directors etc are also on the chopping block. I just wish they would confirm a severance or PTO payout like it says on Sparq.
   4. Make no mistake- this will GUT us in half my best guess over 300 positions.

@b5 no, I just meant that we haven't been told anything, and my manager says she doesn't know anything other than what she's telling us.. so if your manager is telling you that she's probably not supposed to be.