Thread regarding Optum layoffs

We are dreading fall and worse January in WA. Our DCO is like talking to IT on the phone, just prepared script and no follow up. Every year we get jerked around by way too many enrollees in Jan and no staff to deal with, we don’t have enough jobs posted for that. The only person to actually post our open jobs is the ISNP DCO. Why do we have this out of area DCO? We drown and she looks blankly at us in the camera.

Oregon here, our CSM quit, well she went per diem. We thought we’d be ok with our other CSM that was really good, but we didn’t get him instead we had some fill in and now the new one is horrible. The higher ups ruined a great team in Oregon. The other team is worse off their new CSM used to be a DCO, total liar and egotist. Everyone is trying to find new jobs.

I work in IESNP in WI, we are better off as one of the originals, but it’s a total cr-p shoot. Poor planning and growth focus is new to us in the way they want it, mass exodus expected

So scary, I work in IE on the west coast and it’s not the same as it was at all from a year ago and keeps getting worse, no one can stand Sue. All the good leaders left. I wish it would go back to the old model that actually worked :0

Bye bye IESNP, Landmark, and NaviHealth.

IESNP is a version / sister born out of ISNP, instead of providers managing patients in nursing homes on a UHC special needs plan IESNP has an assisted living plan. It’s more complex as ALFs aren’t as staffed to prevent utilization.

The original work was in 4-5 states for years, WI and OR piloted it and OR went crazy with growth and performed well, WI did ok but had slower growth.

We had been told and promised for years that IESNP was the next big thing but they took it national last year and it tanked! They have stopped selling it in all , but 4 markets.

Several issues; they changed the model for open enrollment vs only in building you contracted with so you could end up managing 15 to 20 sites instead of 2-4. They then took the teams and split the, off from the ISNP teams to report to a National IESNP team with an unventted DCO never before in IESNP or managed other leaders before and a VP notorious for being a blow hard failure.
It’s a joke now about how poorly managed it is, yet no one steps in and removes those leaders.

Rs

what is iesnp and what do they do in terms of job duties? Can another team perform the same function? Did we aquire any new business partners that perform the same function in the same market?

One , month to go until Oct layoffs! Lamdmark and IESNP have been the big losers so far this year with the business failures. Landmark is bigger, but IESNP is failing at a far faster and scary way if you ask me. The leadership clinical leadership at Landmark is more respected, one was a VP for ISNP. IESNP is a hot mess, those poor CSMs and CAs. I’ve seen their DCO, you don’t even know she’s there in meetings and when she speaks she has no concept of how to manage vs parrot talking points, hate this term but she’s d-mb as a rock.

Well if ISNP gets hit hard they’ll have to raise caseloads again. No way if ISNP get hit hard will it go without tacking back IESNP members in communities and giving house calls the home members! They’ll take patient connect back too which is failing to function in a silo almost everywhere!

I see a current Patient Connect job ad that says the APN will also be cross trained to " help" provide primary care in the ISNP role ...

I heard ISNP is getting. Whacked hard this next go around. All the markets are majorly struggling to make budgets and the nursing home operators are refusing to refer enrollments. I would not feel safe in ISNP either

If you are looking for job options, best internal options would be housecalls then probably ISNP.

IESNP and Patient Connect are falling apart.

Landmark appears to be downsizing all the time.

Thanks for the info on IESNP. I’m not the DCI, don’t even know what that is. I’m a SW with Landmark, just trying to understand all the acronyms.

What is IESNP? It must be their DCI asking! She doesn’t know anything even after you’ve met about a topic for weeks or months

IESNP is a program like ISNP. Members sign up for a United Healthcare plan based on eligibility. ISNP you have to live long term in a nursing home, IESNP you have to live in assisted living or be home but qualify based on care needs matching assisted living.

They opened it up a few years to not just those living in an ALF.

They should have the buildings and teams go back to ISNP local sites and have Housecalls take the home members. The current leaders have no clue how to manage home members and the program died in less than a year under the new leadership.

Fire the VP and DCO with prejudice (the layed off the other leader developing it) and split it apart.

What is IESNP?

IESNP's national roll out was a crash and burn and patient connect is doing poorly as well. Both managed by same VP and DCO, not a coincidence.

Just put them back into the individual sites. It worked better and staff was happier. I've had to collaborate with those leaders for 18 months and it is sad to see what they've done to those teams. Employees constantly asking in confidence to switch. Buildings complaining all the time about the model changes. I don't trust those leaders and neither do either of the business VPs that I work with.

HaHa. They won't get rid of those 2 or that guy that was demoted from a DCO to a Senior CSM to a CSM. For whatever reason they are ignored it seems. I have never in my 18 years hear heard so much animosity and disgust about a leadership chain. Their VP has been pushed out of leadership roles and just keeps coming back. Their DCO, her reputation was bad before this, let along what we hear (Thank god I stayed in ISNP). That DCO also runs patient connect, our team can share horror stories.
It's gotta be obvious the failure when it was successful before they came in. All we ever heard about is how successful it was and would grow our sites like it did the west coast.

Please! Please!! Let this happen! This VP is horrible, never knows about things and brags about not being liked and constantly aggressive an obvious defense for incompetence. The DCO, is just plain incompetent!!!! Never any answer besides sending a policy that we expLAIN IS WRONG! It’s like working with a d-mbed down AI, except she laughs at things inappropriately. I don’t think anyone believes or trusts either of them. I bet they change something again this week, who allowed these bozos to manage? They change things almost weekly and then change it back the next week! Everyone is just waiting for jobs in ISNP to open up to leave.

This is probably the most commonly spoken expectation in all of Home and Community.

It was considered a punishment to be moved into IESNP. How do those leaders still have jobs?