Impactful Work, Dysfunctional Leadership - Risk Manager Duke Health Employee Review

1.0
23 Jun 2026
Recommend
CEO approval
Business outlook

Pros

The work is meaningful and the team consists of some highly skilled professionals who are dedicated to supporting patients, providers, and the organization. The role provides exposure to complex issues and opportunities for professional growth.

Cons

The department suffers from significant leadership and culture challenges. Employees are hired as experienced professionals but are given little autonomy to perform the work they were hired to do. Leadership frequently inserts itself into routine matters, creating unnecessary delays and fostering a culture of micromanagement rather than trust. Communication is inconsistent and often lacks accountability. Important decisions and changes are frequently communicated verbally without written follow-up, creating confusion and shifting expectations. Employees are expected to remember evolving guidance, identify leadership mistakes, and compensate for communication failures. There is a noticeable gap between leadership messaging and employee experience. Work-life balance, employee engagement, and professional respect are regularly discussed, but many employees do not experience those values in practice. Concerns raised by employees do not appear to result in meaningful change, contributing to low morale and diminished trust in leadership. Leadership often responds to issues by implementing department-wide restrictions rather than addressing the specific individuals or situations involved. As a result, high-performing employees are subjected to increasing oversight and reduced autonomy because leadership is unwilling to address performance concerns directly. Turnover, employee dissatisfaction, and leadership credibility have been ongoing concerns. The department would benefit from leaders who are willing to listen, communicate transparently, accept accountability, and trust the expertise of the professionals they supervise.

Explore other reviews about Duke Health

5.0
16 Jun 2026
Recommend
CEO approval
Business outlook

Pros

Scheduling is quite flexible working 3 12s

Cons

Holiday pay is only for major holidays not Christmas Eve

3.0
1 Jun 2026
Recommend
CEO approval
Business outlook

Pros

It's a pretty good starting point if you are wanting to get your foot in the door working on the administrative side of healthcare. Engaging with patients can be very rewarding and if you enjoy customer service (especially hospitality or food service) this can be a great role that feels similar to interacting with patrons, but you don't have to work weekends, there's very good benefits, and you don't have to work 12 hours a day.

Cons

There are a lot of issues both with Duke Hospital and the Eye Center itself. Duke University Hospital is on the college campus so you will have to pay for parking. You aren't paid well, even with the $20 minimum wage increase, it's still only about $40,000/year but with having to pay for parking... even the cheapest garage at $95 a month, that's $1,140 a year gone from your check. There is no "free" parking even close to the hospital, so they really screw you there. The Eye Center has struggled with processes in the clinic and management is run ragged. There are too many employees that don't care much for the job they are doing and Duke makes it incredibly difficult to hold those employees accountable and for management to make proper layoffs.

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