Emphasis is on metrics and less on quality. Policies are not evenly applied towards all nurses. Nitpicking style of management. If you have twenty cases not closed in the computer system out of several hundred over a few months they call you in to the office and tell you in an aggressive manner. Like to threaten nurses with performance improvement plans: 1. If you disagree with your manager and tell them so behind close doors- no swearing, name calling, or yelling, but yes I was angry. 2. If you miss more than 3-5 unscheduled absences in a rolling 6 month period. This includes: being late, going home early, or even time for an urgent appointment to see your doctor to take care of a developing health problem so you don't miss more work! 3. Low metrics- but the standards are very high.No I was not put on a performance improvement plan- but a number of people were on one- again nitpicking.Two nurses just walked out the door with no notice within a few weeks of each other- that's pretty rare. They give you a hassle about getting a legitimate FMLA. Forget about health insurance it's very expensive- and you can't use it because they won't give you time off to take care of yourself without a hassle. Business hours written in stone no flex time. You rarely hear that you do a good job. The director is nice- but likes to nitpick on performance issues.Other regions and types of work for nurses are may be better- this was my experience. It was so bad there that one of the nurses went back to direct patient care- again fairly rare. Poor work-life balance. Forget about professional growth or opportunities to do something else- it's not here. Revolving door with nurses and they don't seem to care about retention- throw away culture just hire another one. This results in a high turn over rate. Promotions are on who you know- little opportunity for growth.