Thread regarding Humana Inc. layoffs

Lots of talk about behavioral health, pharmacy and in home services.

It sounds as though they don't feel telephonic managed care is where it's at any more, yet we are hiring telephonic nurses at present.

What really made me laugh was when he gave the example of a member getting calls from our pharmacy, then 6 weeks later from a care manager. He said the members complain about that. No kidding! We have been saying that for 2 or more years!

Just tell us if there are plans to eliminate the PHC or CHE role. The company would actually save money in the end as many would seek jobs outside of the company before a layoff. Severance saved. There would probably be equal numbers holding out for severance so it would balance out. Enough people left to finish the work.

My sister's company outsourced the whole processing department last year and told everyone 6 months in advance. Employees were very appreciative. Just be up front with us rather than keep us in the dark. I feel like we are all on the bus but they painted the Windows black and stole the tires. We are just waiting for someone to open the door and kick us out.

by
| 1564 views | | 20 replies (last June 7, 2017) | Reply
Post ID: @OP+NEKE9h4

20 replies (most recent on top)

The last poster is certainly correct I was FCM that was impacted two years ago because my degree was not a social work degree and the same will happen with the PHC role.

by
| | Reply
Post ID: @1yvq+NEKE9h4

Some hcmss were transitioned to PHC 2 years ago because they didn't have a license, then some of those were impacted again and laid off because it wasn't a social work degree....best bet? Get yourself in school to start getting the social work degree if you're wanting to stay in health care? Seems that is what CMS wants to see. In reference to the things being sent out by the CHEs? That could be outsourced, like the claims roles were. There are lots of roles listed on the website, like learning consultant, grievance and appeals.... those may be safer roles right now

by
| | Reply
Post ID: @1ubz+NEKE9h4

Oh ok thanks for responding.

by
| | Reply
Post ID: @1vrw+NEKE9h4

Yes, all are degreed, in a variety of areas. Everything from gerontology to psychology. Not all are BSW, but everyone has a bachelors in something.

by
| | Reply
Post ID: @1svc+NEKE9h4

When u say background do they have degrees?

by
| | Reply
Post ID: @1vwk+NEKE9h4

The majority of my teammates (PHC's) do not have social work backgrounds. I do, and a couple of others do, but most don't. I guess we will see. I'm pulling for all of us.

Some have told me they are going on interviews. I wish them luck and just hope for the best for everyone.

by
| | Reply
Post ID: @1rlz+NEKE9h4

I'm a Phc and we all seem to have valid concerns and many of us are speculating since no one tells us anything. PHC's will probably be needed but the educational requirements are probably gonna change. Just as they did to Fcms in 2015 when the changed the educational requirements I see this happening with the phc role. At minimum PHC's will probably have to have at least a BSW. On my team everyone left since the layoffs have at minimum a BSW except for maybe 2 or 3 and it's about 18 of us on the team. So let's just wait and see.

by
| | Reply
Post ID: @yuq+NEKE9h4

I am a PHC. Our coach told us that they had a leaders meeting recently, and we were assured that there will "always be a place at Humana for non licensed PHC's," and we had "nothing to worry about." Were any other PHC teams told the same?

by
| | Reply
Post ID: @aha+NEKE9h4

Interestingly Humana has posted a position for personal health coach with a required social work degree.

by
| | Reply
Post ID: @uln+NEKE9h4

If they do phase out CHEs all together, that will mean we will either stop offering educational materials or we will have to send out our own information. It would be really stupid financially to put a licensed person in a role that has zero member contact. It would cost more in payroll. From what I understand, CHES no longer call the members. No offense to PHCs, but the CHE role is a bit harder to completely get rid of unless the plan is to get rid of the education portion. PHC rosters are dwindling and can easily be rolled into SS or HCM rosters. Who knows. Pure speculation.

by
| | Reply
Post ID: @qpr+NEKE9h4

I agree with the last poster CHE's and PHC's will be impacted. I agree to start looking for a job now and not waiting unless you want to wait it out. However, I do believe for those PHC's and CHE's that do have MSW's they will be offered a position that will allow them to remain with the company for others layoffs are in the forecast for the start 2017. This is just my interpretation from what I have seen and this new care model that is so secretive. They are trying to make sure they have enough staff to meet the needs of the mbr once our roles are phased out.

by
| | Reply
Post ID: @rqt+NEKE9h4

It looks as if PHC and CHEs are going to be impacted, on some level...they aren't licensed, so home visits aren't an option and with the CMS regs and prior layoffs? If I was a Che or PHC, I'd want to get into a role in Humana where licensing doesn't matter (education, wellness, claims, appeals) or use the time to find another job...the problem with waiting for a potential layoff is that the market will be flooded with applications from people with the same background and training, which will make it that much harder to secure employment. Humana pays well, and that's an adjustment that's going to need to be made in re entering the workforce, but better to have no competition than to be competitive with 100's of your co workers

by
| | Reply
Post ID: @vyo+NEKE9h4

I agree those who are not licensed or a social worker at some level will not fit into this new care model. It doesn't take a genius to see that. With that said a lot more PHC's will be let go.

by
| | Reply
Post ID: @tod+NEKE9h4

Contracted FCM's already make up 80% of the program . They said that in a previous town hall meeting . If they have contract workers and decide program is to expensive or want to change direction of the program it is much easier to do with contract workers. They will not hire current Humana employees as contract workers.

by
| | Reply
Post ID: @bev+NEKE9h4

So who do you think will be providing the care in the home? Contracted FCMs or the currently licensed telehelp?? Most scenarios sound less than desirable, but it would be nice to plan one way or another.

by
| | Reply
Post ID: @sap+NEKE9h4

In 2015 fcm that were not Rn or licensed msw were layed off all overUS. They had opportunity to apply as PHC. They arent going to offer non-clinical staff those positions in office or work at home. They will keep telephonic support but will change criteria who can deliver it. So more than likely it will be nurses and licensed social workers doing that. Big changes are coming... And i dont think a majority of telephonic staff will fit into those changes

by
| | Reply
Post ID: @ndt+NEKE9h4

Below poster, you are probably right. I have to stop taking what is said at these meetings at face value.

by
| | Reply
Post ID: @zpp+NEKE9h4

I don't think anyone writing to the board or complaining has made a difference. They just must not be getting reimbursed as much as they were previously.

by
| | Reply
Post ID: @gsn+NEKE9h4

If telephonic roles are out, they may skip severance either way and offer an office or FCM position within 60 miles. I guess we wait until August for more information.

by
| | Reply
Post ID: @xoh+NEKE9h4

Well said. And yeah, members have been complaining about too many calls for years. It took a member writing to the board of directors to get acknowledged. That annoyed me as well, considering how we have tried to bring this up over and over at all associates calls.

by
| | Reply
Post ID: @qaf+NEKE9h4

Post a reply

: