the communication and management (or lack there of) makes the job really hard to want to show up for. the management lacks professionalism and clearly hasn't gone through any type of training, and from what i could tell weren't promoted based on merit, but favoritism. things are constantly changing which isn't a problem, but the lack of communication makes it frustrating especially when management holds you accountable for information you hadn't heard. it is very clear that the company takes on more than they can handle by the large influx of new clients and volume for them to turn around and lose them all in only a few months. they never fail to sacrifice quality if it means they will have more volume. they go through a never-ending cycle of hiring a hoard of temporary employees for the volume increase and when they lose volume because of the many mistakes that follow, there's a mass firing i think it is safe to say that it is more about the bottom line than the patients or the employees.