I loved my job at Ascension working precert, but then R1 came in. It went from being about the patients to being about the money. The higher ups would never acknowledge when we (many people in the office building) asked a question and when they did, they would talk down to us and belittle us. They allow 4 sick days a year, with anymore being write ups, and do not accept doctors notes. Vacation time and sick time come from the same bucket. So if you call in, you're using your vacation time. When Ascension brought over R1, most of the people in the department were making 14/hour and then they raised the trainees, no experience, to 16+. What did they do to even out the paying field? They gave us a 7, let me repeat, 7 cent raise and told us that we have to wait a year and a half for the chance to see if we would get a raise. If you're in it for the patients, do not work for them. If you want money and to be constantly talked down and and in constant fear of them sending your job overseas, they're the perfect place for you.