I was 90% in SNF and assisted living. I did a few contract rotations that took me to acute. I went through the medicare payment changes which really made clear how admin was just working to manipulate metrics to get paid more (and yet the rehab department was a “loss” because we were a different branch of the company, so staff never got raises, just cuts) rather than accepting recommendations from the treating team. Being in a SNF during the height of Covid (find a side story/complaint below) really finished my burn out.

I went to a coding boot camp, and then got recruited by a friend turned coworker. It’s a nice, niche field if you can get into it, but a LOT of it is government work, so how important they find accessibility varies with the election cycle. That said, it’s probably a good time to get in. I work under the rehabilitation act of 1973, but a recent-ish ruling based in Americans with Disabilities Act is requiring that State and local government entities with a total population of 50,000 or more also have a baseline level of digital accessibility. Spoiler, most are not ready.

Side story: Covid was announced a public emergency or whatever in March 2020. Our company offered us a “hazard bonus”, but didn’t specify that their small print was that there had to be diagnosed covid in the facility. They also didn’t announce that they were only offering the bonus for six months. So when our building had covid sweep through in December 2020 (before vaccines were available), I was told to be providing physical therapy (close contact with heavy breathing) to people who ended up dying the next day with no vaccines and no hazard bonus. They also decided that some staff was not essential, so I totally got paid physical therapist wages to mop rooms and change linens.

I’ve had a cumulative 6-ish years of weekly therapy (over three bouts, with 5 different therapists)