I really just have to know if I’m being gaslighted by this company. Because they keep telling me this is how it’s done in the city where I just moved, but I’ve worked for 3 agencies in the past and never been required to perform so much work for free or so many administrative duties. I’ll preface this by saying my company primarily accepts managed care plans that require continuing auth for everything we do. So first off, if I have an SOC, I have to confirm the following MD. As in, we have no idea who it is, I have to track them down based on the patients statement of who their pcp is and get them to verbally confirm they are following the POC. If the patient hasn’t had a F2F or has no pcp, I then have to do all the leg work of coordinating with the liaison and patient to send a mobile MD so that they can follow the patient for the POC. additionally, if I am assigned an SOC and the patient doesn’t discharge on time from the hospital, I’m responsible to continue to follow up and coordinate with the patient/hospital/facility/case manager, obtain delay orders, etc. some of these patients never end up being admitted after I spend an hour or more working on the case for which I am not compensated in any way. So I make no money to perform that work. We are a large agency with an intake team who I’m told doesn’t do any of these functions because once I accept the patient it’s my responsibility until they are either admitted or a nonadmit, at which point I make $0 for anything I’ve done. It’s also a big monumental issue every time I am assigned an SOC on a Friday who doesn’t discharge from the hospital as expected. I either have to see them on Saturday or “get permission” from the clinical manager to have the patient reassigned. Why would I need permission not to see a patient on my scheduled day off? It’s very strange to me. Most of these things were functions of the intake team or liaison in past agencies I have worked for. How can I be asked to continue to follow up and perform administrative duties with no pay for SOC that don’t work out or fall through? Am I totally losing my mind or is this not normal?