A bittersweet lesson about life, death, and money. - Anonymous employee Select Medical Employee Review

1.0
Oct 8, 2011
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

-Excellent patient care -Continuous training for care givers -Clinical staff genuinely care about their patients -Proper emphasis placed on patient safety -HIH facilities can easily transfer to host ICU(s)

Cons

-Noticeable change in patient care strategy when SEM became publically traded. -Daily Patient Conversion meetings became focused on financial income rather than patient outcomes. -Patient marketing and admissions prioritized by "pay for performance". -Extreme pressure placed on case managers to discharge patients in order to receive full reimbursement from Medicare. -Core values do not apply to corporate executives. Specifically: “We treat others as we would like to be treated” and “We are team players”. I’ve experienced several teleconferences in which our well educated and extremely knowledgeable local executive team had been berated and belittled by a Senior VP when profit margins and census were not met. Soon after I watched the entire team trickle out in a span of three months and move on to different ventures. The corporate office has since replaced our dream team with inexperienced, power-hungry, reputation-damaging androids.

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5.0
Mar 26, 2026
Recommend
CEO approval
Business outlook

Pros

Salary is comparable to others

Cons

I cannot think of any cons

2.0
Apr 4, 2026
Recommend
CEO approval
Business outlook

Pros

The pay is better than most places- but for a reason. Rehab team fabulous.

Cons

Greedy for-profit system. Benefits are terrible. Unsafe patient assignments. This patient population is critically ill, unstable, and often come with infections, pressure injuries and other conditions they acquired at the sending hospital. Most packed ICUs send patients here when they aren’t progressing fast enough or about to die. You often have 5 of these patients at a time on ventilators, critical drips, complex wound treatments, etc. Due to high staff turnover you are often working with a staff who was rushed through orientation and hired with no acute care experience. Their clinical liaisons often withhold or fail to assess for pertinent information prior to them arriving and they often make promises to the families and patients that are untrue (they get paid bonuses to bring in patients- regardless of their outcomes). If you become a charge nurse expect to have a full patient assignment while rounding with providers, running codes, and doing admissions. Don’t expect support from your local leadership team as their expectations from the regional team are too high and they are also overburdened with responsibilities.

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