Pros
The pay is fair and the benefits are better than smaller companies. If you make it in the sales department you are basically unable to fail. Theoretically.
Cons
Field staff overworked. In order to qualify for benefits they must meet unreasonable visit quotas. This is at the expense of quality patient care, but as long as the clinicians follow CYA protocols available in the EMR device, the outcomes still look good enough to pass. Like most Mega Companies communication is a huge issue. They have neat little online training modules and Webinars, however mid-management is highly skilled at muddying the waters. Office staff required to kick tasks back and forth. The EMR is great, but the customized settings eliminate any stream lined work flow. Too many attempts at reinventing the wheel. It's home healthcare. Every agency is required to develop QI around certain identifiers, track trends and make improvements. Not every agency scrubs OASIS specifically looking for ways to add other disciplines and has designated employees whose primary function is to call physicians all day getting additional services ordered though. Pretty much zero room for advancement. A good RN may get promoted to Team Leader but that's pretty much where it starts and stops. Theoretically.