Whoa....anyone have questions about job future now after the tele modularity training?
28 replies (most recent on top)
HCM RN here. I am doing my surveys as we were told. Most of my members have not qualified to move to monitor status. I would not hold someone back if the were appropriate to move to monitored. I guess the chips will fall but my members are going to be put first, no matter what.
If they qualify just move the members. We have always been member focused throughout this whole program. That is something we can all feel proud of.
If we don't move the members to monitored it will trigger the alert in 80 days to reassess. If we don't move them now we are only prolonging the process.
Believe or leave?? How about pay bills or don't pay bills! That is the real question. Humana pays well for working at home and it will be hard to find another. I don't believe in Humana, but I will ride this roller coaster as long as I can to make sure I provide for my home.
I think we should be very careful about the number of members we move.
How are we getting paid if half the folks are monitored? This just in not logical.....poster, you may have hit the nail on the head...maybe the payor source/criteria changed, that's why it's happening, the reimbursement isnt enough for the program, so it's scaling back. I think CMs are next..
Believe or leave......
I agree with the poster below more of us than what they lead us on to believe will be key go. I always knew it would affect the ss's, rn's, and fcm's. There was no way around it.
Hcmrn here. We were told not to do the graduation survey on members that are utc! So confusing and the fact that they did not give time for the training and it was done so poorly makes me wonder - why the rush?Seems like they are rushing this so they can move members fast enough to lay us hcmrns off by the end of the year. Sad that in 3 years, the way we do business has changed 3 times. Our leaders obviously have NO IDEA what they are even doing. What happened to "we don't get paid by the regions" if we don't contact 70% of these members? How are we getting paid if half the folks are monitored? This just in not logical.
HCM RN clarifying my earlier post: The surveys I was talking about are the HCCP Graduation Survey and if the member is on the phone, the Healthy Days Survey. We were told to do the HCCP Graduation Survey on all calls whether UTC or successful, unless we have never spoken to that member. If they are new to us, then we wait for an alert to fire in 80 days.
New model states any RNs leaving to a new role or leaves the company will go to the triage queue. When (I am not sure if they still are) HCM RNs were leaving in droves, we usually got dibs at their roster. That has not happened in a while, but I think it was to see in the pilot for tele-mod how many of our mbrs we could roll over to monitored and how many we would call per day to set new baseline on reaching mbrs. A few yrs ago we were told to reach as many members per day, (not to worry about the numbers) as long as we put in a full time effort. That lasted what seemed like a mo. and then they ramped us up with got to call more!!! Secret sauce and all that competition and NO DECLINATIONS! Gone from about a yr. ago from equiv. of 240 to less than 100 actual mbrs. and still dwindling! This place is so bipolar, we are walking on egg shells and everyone is afraid to state the obvious.
Well, if the PHCs are going and the HCM-RNs will be reduced then no need for RSs and CHEs. Is there any plan to open enrollments again? So much for saying no position will be eliminated. I guess we are the roles that no longer add value.
HCM RN here. I only get reassigned members when another HCM leaves.
Glad I am not the only one feeling the squeeze out with our members with this new 'exciting' model of care that has our members go suppressed. HCM RN, anyone getting new members? I wonder if all new members get weeded through by Triage and assigned out if they can't solve the issues in a call.
“Training” was awful. Everyone is confused. I’m a a phc and going by the criteria for eligibility to move to monitored, I will move more than half of my roster this round of calls.
So I’m just rolling with it and probably making mistakes along the way, because I can’t help but feel my remaining time as a phc is short, and worrying about the details at this point is senseless.
HCM SS here....we were told if they were monitored and called us for.help, we need to move them to managed ourselves...I'm so confused !
Hcmrn here and told to that if utc, we are to follow utc process and not graduate members to monitored status. There is no way they will need all us hcmrns once everyone is moved to monitored. I see layoffs coming for the holidays for hcmrns!
HAH RN - my team was told to move members even if surveys were not completed if they were approved for graduation. I'm confused about you having to complete them before closing. We do have to close the care plan goals. It would be nice to know what's expected from us. Why not have a meeting about how to complete the movements appropriately? I don't agree with moving members to monitored if we don't talk to them.
To the HCMSS poster: Our training included a step to check for open tasks or referrals and we were told not to move members if there were open tasks with other associates. But, we found out today that some steps were missed because there was a lot to remember in a short period of time from last week's training. We also were not given any clear word that our productivity expectations had been decreased so I assume some people skipped checking for open tasks.
HAH RN here. I honestly don't know how many members I will move to monitored. It is a slow process as the training was inadequate. Trying to call members that are due for calls and the if they do go to monitored, we have to close all care plan goals. Surveys need to be completed in order to move members. Frustrating day for me!
I really do believe they are just stringing us along making us believe we are not losing our jobs to keep us until we are done with this movement. I wish they would just do it already!
I am a RN with HAH and my current roster is 200. I expect to move more than half the managed members to monitored status. It appears that the goal is to move most members to monitored which can only mean massive reduction in workforce. After this month the moves should be completed, so expect to hear about lay offs soon and we'll be gone before we qualify for holiday pay. I have not heard this from management, but I know how to count. If I only manage 20 members what good will I be to Humana?
As an HCMSS, we don't have a lot to do with moving members, but several co-workers reported missing tasks from their queue most likely due to these member movements. Can I ask how many members you have moved already and/or how many more are anticipated to be moved??
I agree. At first I thought it was great that I would only be calling members who want to be called, and the monitored members will be called by me when alerts come up. Not so. There's a nurse triage team that handles those alerts. They don't show up on our PHC rosters. Seems an easy way to phase us out eventually.
After starting this process today as a PHC my only thought is we are toast.
I don't think they will need as many HCM RNs either.
Agreed. I am a PHC and after finishing the training I feel I will start the process of working myself out of a job starting tomorrow. I can’t get comfortable and I can’t stop sending out resumes and interviewing elsewhere.
It’s not so much I have questions as I don’t see any need for most of us 6 months or so down the road, with 2.0.