My schedule is only full over the next 2 weeks. After that, it starts to be 1/2 full at most. How is everyone else’s? I’m guessing I’m on of the ones being laid off? Texas FNP.
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@6ew I believe it
For sure : true story was in a house one day, two men were there. One was on the phone telling someone in Spanish he needed to get out of town because he shot someone in the face with a shotg-n and they were dead. They did not realized I spoke and understood Spanish. I got myself out of there and called in to let manager know it was unsafe situation because I overheard a confession and no kidding they wanted to know if I had finished the evaluation. That what was important to them.
@6aq does anyone have beyond that?
@6a9 same as you I only have counties listed up to 4/16. I am east coast
@69k same. Counties scheduled until 04/16. West coast. Not sure if that’s normal or a bad sign
@699 I relate to this as I am the breadwinner for the family. Difficult situation to be in and constantly feeling threatened.
@69k I don’t have any members scheduled past 4/2/26
what does everyone’s schedules look like? i have counties assigned through 4/16 currently. basically full next 2 weeks and then it’s sporadic with some days full & others not. is there a way for us to know how many members are in each county?
Exactly.
And imagine you NEED this job. You have a disabled kid and you and your husband work different shifts so one of you can care for the child. And your last two month metrics were affected hard by holidays and you know you'll be put on a CAP if you're less than 85% again. You ignore that inner voice that tells you the member was creepy on the phone. You ignore the adult son who lives with the member who is pacing in the living room and won't settle down. You ignore all the things because you desperately need your job.
@67p yup. They say they care about safety and make us log on our buttons every shift. But at the end of the day if we cancel a visit due to feeling unsafe or try to DNV the patient it counts against our metrics for the month. Disincentives APCs to cancel when they don’t feel safe.
@67p they really don’t give a f-ck about our safety.
Holy bloody he-l.
And they make it SO painfully hard and punitive to cancel a visit for safety concerns.
Metrics are affected.
And you have to climb through a million hoops on your own time to file a DNV.
@67h Do you mean the rule not to allow hour amount change?
@677 around the time of last summer I was told an APC was trapped and escaped through the window of a man’s house who had locked her/him inside, in Texas. Ever since then is when they started making us do the monthly safety button checks.
@676 CTMs were telling APCs you cannot change the hour amount you work when 2026 started. It might be different now that the first lay off round happened, also heard a rumor that rule will be over come March, but there was a hiring freeze and an hour change freeze.
@676 Looking to do the same. Currently full time salaried. Want to diversify given constant layoff threat.
Can you please expand on the APC who was trapped in a home? I did see a post on Reddit about a Housecalls APC who is on short term disability due to the trauma from a "visit that went very bed." Housecalls isn't transparent with us about safety and things that happen so let's just put it out here!
I have a friend who is hoping to drop to 20 hrs in the next year. He is currently 40 hrs per week. Are you saying these requests are being denied now?
One time I was literally curled in bed after 14 hrs straight of vomiting/Norovirus and managed to dial my CTM to call in. I was then told to call all of my members and reschedule. While I literally couldn't stand up or even move.
spot on
@5xn I wholeheartedly agree with you. I feel the longer I do this the more incompetent I feel when it comes to actually practicing. What I did not, but should have said in the previous post is to not trade comfort and convenience for temporary challenges of a clinical role. However, I understand and respect million personal nuances that affect one’s decision where and why to perform a particular role. Remember there is literally zero job security here. To be fair to them, they did say that “you” will be laid off.
@5xh I couldn’t agree more. I don’t think what you said was disparaging at all, it’s just the truth.
Personally I started this job shortly after a previous specialty job that I disliked as a new NP, and now I don’t feel prepared to enter back into the clinical world as an NP. I feel like I pigeon holed myself career wise.
Here is my take. Please understand this is in no way meant to degrade, diminish, or humiliate any of my colleagues. This is simply my personal, subjective opinion.
For someone early in their NP career, this feels like a dead-end job. Period. What was the point of advancing our education only to step away from truly practicing — prescribing, diagnosing, treating, and developing care plans? Instead, it becomes doing the same exact thing day in and day out. At times it even feels like we’re trying to “sell” point-of-care testing that could have simply been ordered if clinically indicated. We go out of our way to see their members, generate significant revenue, and yet we’re penalized for metrics, cancellations, patient refusals, incomplete tests, OSVs, or some other requirement. No matter what you do, it never seems to be enough — and somehow it can still be turned against you.
Growth and development? Please. By design, this system isn’t set up for you to win. Every misstep feels scrutinized and capitalized on.
And frankly, it’s embarrassing at times. We are healthcare providers, not salespeople — yet that’s exactly how it can feel when confirming visits, rescheduling, or pushing to complete encounters. Add to that the pressure to perform a barrage of tests on patients who may not need or want them. Why? Because of constant pressure around layoffs, corrective action plans, rigid metrics, and monthly bonuses that often feel nearly unattainable. I have never seen APCs micromanaged to this degree. It’s excessive.
Again, I apologize if this comes across as harsh or offensive — that is not my intention. They took something that could have been simple and meaningful and turned it into something unnecessarily complicated and stressful. Personally, I don’t see myself continuing in this role long-term. If I were closer to retirement, maybe I’d view it differently. But at this stage in my career, it doesn’t align with what I worked toward becoming.
Can you elaborate on when you say you feel humiliated? I’m curious.
Because I feel the same way. I think part of it is being associated with an insurance company, and the general public is not a fan of. The other part is the p-e/po-p/smells/dangerous homes and people/people on dr-gs/bugs/etc. we deal with going into homes. Feels degrading. I’m in a large city majority not great neighborhoods and often enter homes with baseballs bats or knives next to their doors. I often think of the APC in Texas last summer who was trapped in house by a man, wonder how they’re doing…the reason they hire NPs and PAs is because no doctor would do this job with these circumstances and this pay.
I’m at the point where I don’t care much (about the job or metrics). If we call out sick of family emergency it counts against our metrics. If call out sick, I shouldn’t have to call every single member and attempt to reschedule them. That’s not calling out sick, and I want compensation for the time spent contacting and rescheduling all those people. If someone cancels, it’s not my job to reschedule them. If someone doesn’t want to take an eye exam or kit, I can’t force them. If I can’t make it to everyone on the schedule I’m not going to stress myself out over it. APCs with years of doing the job don’t need to be micro managed with a ride along every 6 months. Add on documentation reviews every month too.
Decreased 401k match, decreased incentive visit pay and rarely offered anymore, rare QVC bonus due to impossible metrics, same day scheduling that no one wanted, more tests and kits in the same hours in a day. Interpreter visits used to count as 2 patients, now we might have 2-3 in a fully schedule day.
We are all being stressed out over made up metrics that only benefit the company. I think most of us would rather have no QVC and instead have actual raises above inflation and stop being attacked by the metric police.
Most of us are here because we wanted/needed the hours and schedule flexibility, we don’t want/can’t do a clinic job, and/or don’t want to be in a prescribing role.
I would love if anyone wants to share or has advice on what to do going forward. I am burnt out beyond belief, but for the life of me cannot imagine working a clinic seeing 30+ people a day. Considering applying to RN roles because every NP job seems like you work insane hours with high caseloads and make 1/4 of what the doctor in the same clinic makes, not worth it to me. Any recs for work/life balance jobs or flexible hours would be greatly appreciated.
Man I wish I was tech savy enough to form a forum so we could all find each other and support each other. I am so humiliated by this job and have started putting in applications. I'm hopeful for those who were laid off that they can pivot and find a happier world and job.
How are housecalls APCs doing that were laid off? Sorry to hear this…wish they had an option for those who want to leave to get let go first.
Do we expect more layoffs in March?
@3my is your friend still employed?
We had 2 NH APC layoffs this morning. Surprised it was not more. And then the corporate email. So sorry, we had to do it.
@4zv I’m sure there are more. They just aren’t here. Things will be buzzing at the end of the week. 😞
So just 3 states seem to be affected? Seems like there should be more ..
@4rw NH also! Pretty clear message yet they cannot be open and tell you ahead of time.
@4n3 The 0 or 1 is just your daily zone. You have a 0 if not working and a 1 if working. Your future zones are in Availability dropdown.
@4nj so CA and PA affected so far, any other states?
@4nk omg that’s crazy. I’ll double check but last time I looked I still had scheduled patients beyond that. In AZ. What other states are affected so far?
@4nj I'm so sorry. If the last day with scheduled patients is 2/18 or 2/19 I think you've likely guessed correctly.
@4na in CA. Checked portal and all members "cancelled" (removed) after that assignment end date. I think this is it.
@3n8 the no zones assigned after 2/19 is ominous. Circle back and let us know what happened.
@4na State?
@4n3 what state?
No mine, still has patients and zones until end of March. My CTM hinted that our team was safe for February layoffs.