Select Medical Reviews

Pros

Management is nice and helpful

Cons

Not paid enough, management is disorganized.

Advice to Senior Management

Pay more.

Pros

-generally flexible schedules
-benefit package is decent but also costly compared to other plans of similar quality, recently raised prices considerably.

Cons

-unethical: directors and upper management turn a blind eye to grouping then billing individually.
-profit over patient welfare: pressure to make everyone an "ultra," which sometimes leads to inappropriate therapy minutes...some patients noticeably decline due in part to therapy they cannot tolerate. the alternative is to bill while the patient sleeps.
-not all patients are equal: Med A minutes must be met. when the caseload is too high, told to skip Med B patients (for days at a time when the orders indicate 5 x per week) before shortening Med A minutes or calling/adding prn therapists.
-unrealistic expectations: 90% minimum on an 8 hour day (including breaks, leaves you 15 minutes to go back and document on the gym computers). 89.4% and you're in trouble the next morning. Occasional pressure to hit 95% (illegal expectation due to mandated breaks) and 100% (that should be a red flag, not a minute in the facility unbilled? I mean really...)
-the only news is bad news: meeting expectations and excelling are never praised. the only time we hear anything from management it's negative....work harder, profits aren't high enough, change the way you treat to make more money, etc.

Advice to Senior Management

Volunteer to take pay cuts to decrease pressure and make the company more ethical. There's no reason the VP should make enough money to live in one state and fly on a weekly basis to another to work.

Pros

pay is decent, but you work very hard for every dime

Cons

RN's and CNA's spread way to thin 6 heavy patients= 1 RN and 12 patients to 1 CNA, too heavy of work load to be carried out safely or the way they promote what they can do for your loved ones.. scary medical decisons being made by MD. Senior Nursing management does not have a clue about how hard the job responsiblilities are. always knowing you can be fired at any time for just about anything minor...management does not worry about if you get a lunch break or not, long day for 12 hour shifts with little or no breaks. do not have the appropriate equipment to handle pt's that come in weighting over 400lbs, very hard on the staffs body when you have to get these folks up and turn every two hours. the charting and medication cows are a joke....sorry just saying

Advice to Senior Management

send out surveys to allow staff to be open about what REALLY is going on in their facilities, 99% of the staff will not talk openly about the issues because of NOT wanting too loose their jobs..point and simple

Pros

The only thing is that the pay is decent, otherwise there are NO pros....

Cons

Benefits suck
Management shows no compassion for employees with families
Bottom line is their profit margin over patient and staff safety and satisfaction
Unsafe CNA and nurse to patient ratios due to the complexity of care required
State should do a "spot-check" often especially on night shift ex: ONE CNA to 28 patients and/ or 4 nurses to 28 patients with high acuity levels on ventilators etc??
Wilmington facility has surpassed $$$ with some of the corp. highest profitable months, all done by the hard work of CNAs and nurses, but no recognition or bonuses for us little ones. CEO receives big bonuses, creating very selfish and greedy administrators.
And soon much more......

Advice to Senior Management

Has it ever crossed corporate HQs mind on why the best top skilled nurses were ALL fired within a 3 month period?? Thats why reputation and word of mouth is the best advertisement.

Pros

Good salary and benefits: (401k), medical insurance

Cons

Managers preoccupied by emails.....more company oriented to make profits than patient oriented...no recognition for good things you do for the facility....no maintainence or upgrade of new equipments as compared to new centers....no perks or motivation to work for the company..no team management

Advice to Senior Management

Quaterly meetings/discussions with the team, some perks to improve both the company's recognition and employee skills/expertise, improve on communication between the senior management and the employees

Pros

- Short work weeks, no set time to be in/out of work, as long as you put in your time.
- Decent benefits (medical/dental/vision) & 401(k) Matching. Price escalates unreasonably as you add dependents, etc.
- Nice campus/buildings.

Cons

- Terrible compensation package; awful "bonus" structure. Compensation is WAY below the market average, and the "bonus" is pathetic if you're not senior management.
- Ineffective work. The work is monotonous, boring, tedious, and many of the "projects" are just time fillers that don't amount to much of anything. Also, everything is hard copies. You will literally print thousands of pages a month and file them away. Company is entirely too cheap to go paperless. If they spend money on a paperless system, efficiency would increase tenfold. But any unnecessary expense would cut into the bonus pool for management, and we all know how that works.
- Communication between management and staff is terrible.
- Many of those at the corporate office are incompetent and cannot complete their assigned work. This is a direct by product of the company not being able to retain or attract any real talent. Underpaying and overworking those who actually can complete the work and be of value to the company isn't really a good way to do business. Look at employee turnover rates.
- There is zero career development at Select. Absolutely none. Don't plan on making Select a career, because they won't take care of you.

Advice to Senior Management

- Bring your compensation up to market; you'll find that you can attract better talent, retain them, and be more efficient (i.e. .
- Don't be afraid to cut the fat. There are far too many incompetent people working at the corporate office, and those who are competent have to carry the load.
- It's 2011; go paperless. Seriously. It is mind-numbing how inefficient and expensive it is to print thousands of pages per month per employee.
- How about a career development department? Are you seeing a trend here? You underpay your employees, you don't treat them terribly well, and you don't help them to develop into an asset to the company! Honestly, it's embarrassing.

Pros

Learning, colleagues, small size, 2 locations in Denver

Cons

poor pay and expensive benefits

Advice to Senior Management

If you drink their Kook-aid, you can advance

Pros

-Excellent patient care

-Continuous training for care givers

-Clinical staff genuinely care about their patients

-Proper emphasis placed on patient safety

-HIH facilities can easily transfer to host ICU(s)

Cons

-Noticeable change in patient care strategy when SEM became publically traded.

-Daily Patient Conversion meetings became focused on financial income rather than patient outcomes.

-Patient marketing and admissions prioritized by "pay for performance".

-Extreme pressure placed on case managers to discharge patients in order to receive full reimbursement from Medicare.

-Core values do not apply to corporate executives. Specifically: “We treat others as we would like to be treated” and “We are team players”. I’ve experienced several teleconferences in which our well educated and extremely knowledgeable local executive team had been berated and belittled by a Senior VP when profit margins and census were not met. Soon after I watched the entire team trickle out in a span of three months and move on to different ventures. The corporate office has since replaced our dream team with inexperienced, power-hungry, reputation-damaging androids.

Advice to Senior Management

I don’t have any advice. I just have a simple quote from Douglas Adams:

“To give real service you must add something which cannot be bought or measured with money, and that is sincerity and integrity.”

Pros

lots of growth, an overall good learning place

Cons

sucky pay & bad benefits..paid time off for hourly employees suck as well.

Advice to Senior Management

nothing..keep up the good work

Pros

Good benefits, some departments have flexible scheduling, PTO and EID better than a lot of hospitals, no mandatory overtime in all departments

Cons

Management very poor and most not qualified for their positions but promoted because they will follow orders of top two running the company at the local level. Complaints to the Compliance hotline and HR hotline have gotten employees no response even though Select assured us when they took over that they would always be available. Serious issues with payroll since Select took over Regency. Quality of care is no longer the primary focus and there has been a mass exit of clinical employees.

Advice to Senior Management

Listen to what your employees are telling you. You will get the hard work and loyalty you expect if you show them respect and praise them for jobs well done.