The Director of Rehab
I have been promoted to DOR. Now when something goes wrong with therapy (minutes not being met, coverage, squabbles etc.) I am held accountable. The bulls-eye on my back just grew. This arrangement should not change how I perceive patients and pay sources but it does. I will emphasize that quality patient care should take precedence over insurance and pay source but it can skew my vision about what a good financial steward should be. Sometimes tough decisions should not have to be made.
On my first day, I wanted to come in like chef Gordon Ramsay and start to change the place to fit my view of how therapy should look. But I have been employed as a therapist long enough to know it doesn't work like that. I have also witnessed too many newbies do that very same thing only to have a department crumble. My first objective was to figure out how to do my job in a new role. I think it will take longer than I anticipated. There does not seem to be enough time in a day to accomplish everything I need to or want to at work. Time management will be my BFF.
And to top it off I continue with my caseload of patients (Do I sound like I am complaining?). Actually I enjoy the new challenge to organize my day in such a way to get as much done as possible and put off decisions that do not need immediate attention. The only thing I really need to find out is where to file all the reports and paperwork. Then I remembered Doug. He was straightening his desk and I gave him a written report about patients I had seen one weekend. While we were talking, he inadvertently picked up my report and stuffed it in the shredder.