Pros
PTO is excellent as is the flexibility of management positions. Direct care positions have some flexibility (some remote options and slight flexibility in schedules) but have more rigid structure. Lots of opportunity for cross training if you are willing to pick up PRN shifts. High level of team cohesion, very knowledgeable colleagues, and a mission driven org. Pay is mostly fair. Interesting clinical work with a diverse population. Above average LBGTQ+ friendly, though somewhat behind on accommodating gender diversity needs.
Cons
Tone deaf C-level leaders who will rarely, if ever, admit mistakes or attempt repair with staff. Almost toxic belief that there should be no barriers for consumers to access treatment that ultimately translates to dangerously high caseloads for clinicians, and then clinicians and managers are blamed for not managing caseloads or churning cases fast enough. At one time there was amazing diversity in programming for all levels of acuity and need, but closure of programs, spats with state and local partners, massive staff resignations, and unnecessarily difficult internal referral processes have diminished higher LOC options to the point of outpatients and school based services drowning in high risk, high acuity consumers being served at inappropriate levels of care. As mentioned, pay is mostly fair but still lags behind competition with poor internal equity, no incentive for additional licensure (e.g. no differential for LAC), no incentive to attract LP or LCSW that’s are needed for Medicare billing as they are paid the same as other licensed staff, and no incentive to develop clinicians interested in supervisory or management tracks as they are not offered differentials to supervise other license candidates. I’m short, everyone is overworked and constantly on the brink of burnout, so it’s a good thing the PTO is so good. Low cultural diversity - mostly white, European ethnicity workforce; few bi-cultural, bilingual clinical staff despite serving a large proportion of Spanish speaking consumers.