Pathways Home Health takes many high acuity patients, for which it does not have adequate staff. Case manager loads are 35-40 patients. They have admit nurses with no home health experience, who perform admits set with problems & then hand them off to case managers who are too busy to follow up with most of the patients. Their newer electronic medical records system is a disaster, which only makes a horrible work load a disaster to manage. Don't expect to be paid for all the extra time spent on Pathways dysfunctional status. They expect 15-20 hours of your time donated to their dysfunction in lost wages(unpaid overtime) per pay period. The majority of new hires quit in the first month. It's not just me. It's other nurses as well. Don't believe me, check Medicare.gov, Pathways is rated in the bottom percentile.
Job Work/Life Balance
Recent changes in management with subsequent culture change
Director of Quality Improvement (Former Employee) – Sunnyvale, CA – September 2, 2017
Daily activities varied in my position. Most staff worked 9-5. I learned a lot due to change in EMR system. Most enjoyable part of the job was then people I worked with.
LVN HOSPICE VISIT NURSE (Former Employee) – San Francisco Bay Area, CA – June 27, 2016
At Pathways Home Health and Hospice I learned the true meaning of holistic health care and collaboration. This company fosters team work with the sole goal of giving the best patient focused care in the hospice industry.
Home visit case manager (Former Employee) – Sunnyvale, CA – June 12, 2016
Being with the company for several years, I started when management was adequate and the work load was fair and stress was minimal. Over the last few years, changes in management led to very poor working conditions for home visiting nurses. Expect management to make you work overtime whenever they want, expect to work well over 8 hours and not get paid overtime, expect a dictatorship style of management where your input on anything is not appreciated and be addressed in very derogatory manner on a regular basis. The job stability is good as they are often understaffed.
Job stability, room for promotion often
Work overtime without pay, must work overtime, horrible management
I feel blessed for the on-gpoing support I recieved at Pathways
RN, Case Manager (Current Employee) – San Jose, CA – December 14, 2014
Pathways starts you off with an excellent training program and continues to provide an ongoing supportive atmosphere. Our medical directors are ands-on and take extra time to explain and educate on disease process specific to our patients. Our nursing team is truly dedicated to patient comfort and will always go above and beyond to do whatever is necessary for our patients & families.
The down side is we often do not have enough nurses to cover PTO and special circumstances, which tends to be frustrating.
Exciting place to work with such compassionate people
Home Health Aid Scheduler (Current Employee) – Sunnyvale, CA – September 13, 2014
Pathways is truly a rewarding place to work. The people there have such a "willing to help" attitude. Management goes out of there way to make you feel comfortable and apart of the Team. Because we are a Hospice company, the hardest part is when my patients pass away. The most enjoyable part of my job is knowing that I am helping someone in need.
Management needs a serious reality check and overhaul
Small Cog (Former Employee) – Sunnyvale, Ca – July 20, 2014
Pathways has been in business for 3 decades. Their business model and practices have not changed. There is a culture and climate of fear that eminates from the CEO and VPs on down through the chain. That there are so many people with a long tenure here makes it difficult to bring in new ideas and make any changes whatsoever. The company is very 'nurse centric.' if you are not a nurse, you may as well be a martian as your ideas and input is not listened to or valued. Raises are given as a lump sum or 3% per year which means if you started at $15.00 an hour, you'll still be at that amount years from now. There is no formal Training program to speak of
Some of the people are nice. Some.
Management out of touch, culture of reprisal and fear, benefits lacking
Medical Records Technician (Former Employee) – Sunnyvale, CA – March 18, 2014
very busy you never get time to relax. I have learned how to use excel with spreadsheets. The management is ok but they seem like the don't want to deal with some of the problems with certain people. I get a long with most of them but it seems like there were problems with one of them in the department. The hardest part of the job is that they wanted me to get the jobs done with the staff when there is so much work. The most enjoyable part of the job is that I learned something new with the job.
Account Manager (Current Employee) – Oakland, CA – September 6, 2012
The company has been a staple in Hospice care in the Bay Area since 1977 and was established by Stanford physicians in the 70's. In the mid 80's, they partnered with Sequoia Hospital and El Camino Hospital to serve patients in the San Francisco Peninsula. A typical day consists of calling on accounts like Physicians, Hospital Discharge Planners, Nursing Homes, RCFE's, and networking with other companies that service the senior community. Majority of the upper management staff have been with the company on average of 10 years, which is proof that although the company deals with patients who have 6 months or less to live, the working environment is amazing. The hardest part of the job is is also the most rewarding which is supporting a family who is grieving and stressed.
friendly working environment and my immediate manager is amazing
the intake process and lack of staff make admitting a patient difficult.