Pathways Home Health and Hospice jobs in Sunnyvale, CA

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. POSITION SUMMARY: The Spiritual Care Counselor is responsible for providing spiritual counseling and services to patients and families either directly or indirectly through local clergy or spiritual counselors. Coordinates care with other members of the Interdisciplinary Group (IDG), including the patient's physician. Title: Spiritual Care Counselor (Chaplain) Office Location: Sunnyvale Schedule: Part Time or Per Diem (24 Hours/Week) Area Coverage: Atherton - Gilroy The posted compensation range of $33.48 - $46.03/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. AREAS OF RESPONSIBILITY: * Knowledgably discusses overall history, philosophy and services of Pathways Home Health and Hospice. * Completes an in-depth spiritual assessment of patients/families assigned for follow-up care. * Maintains the dignity of the dying patient and supports the patient's and family's unique spiritual and cultural beliefs. * Develops an individualized spiritual care plan, based on the spiritual assessment and the patient's and family's acceptance of these services. The plan of care integrates input from the various disciplines to create a comprehensive interdisciplinary plan of care including goals, interventions, and projected visit frequencies. * Provides counseling to assist patients/families to meet their spiritual needs in a manner consistent with the patient and family beliefs and desires. This may be done by home visits or by telephone as needed and as appropriate. * Provides spiritual care interventions such as spiritual counseling, prayer, meditation, and sacred rituals or practices. * Assesses the impact of patient/family's unique cultural and spiritual beliefs on the patient's end-of-life needs and educates the interdisciplinary team on this impact as needed. * Conducts memorial/funeral services when requested and as staff time permits. * Consults, collaborates, and coordinates with the IDG and others involved in the patient's care all patient and family services based on the patient's and family's preference. * Attends and actively participates in IDG meetings, presenting relevant spiritual care information concisely and professionally. Also attends and actively participates in educational in-service trainings and other agency meetings as requested by Spiritual Care Program Director. * When in a facility, adheres to "Pathways Standards of Care and Practice in Facilities" or equivalent document. * Adheres to all agency policies and procedures, including updates, as communicated in written, spoken, and electronic forms. * Participates in quality improvement activities related to areas of practice as appropriate. * Assists in development of hospice protocols, procedures and policies as requested. * Demonstrates all skills of a hospice spiritual care counselor, including those skills required by the agency through competency testing. * Performs other duties as assigned consistent with skills and training and the mission and goals of the agency. * Provides spiritual support to the interdisciplinary team as desired or requested. * Documents all patient/family/facility contact in an electronic record. * Accesses electronic device during patient visit and documents during or immediately after the visit or per regulation, including assessments, problem charting, and clinical notes. * Participates in educational programs and workshops for agency staff, families and the community. * Communicates with and coordinates the involvement of local clergy and/or spiritual care resources as possible and as desired by the patient, family, or caregiver. * Maintains an on-going program of continuing professional development that may include reading in the professional field, formal educational and training experiences, clinical supervision and peer support. * Knowledgeably discusses and initiates non-pharmacologic interventions as appropriate to promote comfort, improve quality of life, and manage emotional, spiritual, and physical distress. * Prints out and files visit documentation in facility (RCFE or SNF) binder or chart per facility preference at the time of the visit. * Initiates and participates in facility patient care conferences, in coordination with other interdisciplinary team members, to discuss and clarify hospice care goals and roles of team members. * Maintains timely communication with the patient, family, facility staff, and community clergy as appropriate regarding all aspects of patient care. * Demonstrates awareness of and adherence to the safety, infection control and other policies of the facility. * Promotes a culture of service when representing Pathways by at all times treating internal and external contacts with respect, remaining professional, communicating clearly, preventing conflict, following through on commitments, and actively listening. Positively promotes Pathways by offering assistance and information. * Maintains productivity expectations as established by the manager. QUALIFICATIONS: * MDiv or equivalent graduate degree from an accredited training institute (minimum 72 semester hours or 108 quarter hours of credit). * Successful completion of 4 units of clinical pastoral education (CPE) or equivalent. * Experience providing spiritual care counseling in a health care setting. * Expertise in HCHB (Home-care-home-base) preferred * Ability to work independently and creatively in order to accomplish goals with a minimum of supervision. * Experience working with the terminally ill is preferred. * California driver's license and automobile insurance with minimum Bodily Injury Liability Coverage Insurance per agency policy. * Current CPR certification-American Heart Association "BLS Health Care Provider" required upon renewal.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Client Relations Executive - Hospice (Sales) OFFICE LOCATION: South SF TERRITORY: San Francisco County SCHEDULE: Full Time SHIFT: Days and some weekends The posted compensation range of $114,000 - $134,700 (annual salary) is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Hospice Client Relations Executive (CRE) makes essential contributions to the achievement of the organization's objectives as a field-based business development representative, consistently meeting the volume expectations for referrals and admissions. The CRE is expected to travel to various referral sources and potential patients and communicate Pathways Hospice services, patient criteria and agency policies to secure appropriate contracts for patient care. The position maintains and grows current market share and grows new sources of business sufficient to support the branch's business plan. This position will work with the Director, Business Development; Regional Vice President, Market Development; or Vice President, Sales and branch Director, Operations to develop and execute specific strategies and tactics to achieve revenue targets, patient experience and profitability goals. AREAS OF RESPONSIBILITY: 1. Supports Pathways' mission to exceed the expectations of our customers, associates, and shareholders in the delivery of health care and support services in a way that a caring family provides. Supports Pathways' values, strategic goals and high standards of customer service. Consistently lives People First Behaviors. Follows the policies and procedures of the organization. 2. Adheres to the Corporate Compliance Program, including confidentiality of HIPAA health protected health information. 3. Must meet or exceed established monthly admission target(s) as provided by their supervisor and determined by the branch monthly budget. 4. Identifies and qualifies health care relationships within regional territory with a focus on skilled nursing facilities, assisted living communities, Community Based Residential Facilities, physicians and other health care providers and hospital systems as a source of referrals and admissions. The CRE is expected to make at least (tbd) site visits each month to various health care providers and (tbd) telephone calls each month to health care providers to expand the group of referral sources and sources for admissions. 5. Develops and maintains relationships with key customer sources through regular contact and follow-up procedures. 6. Acts as the key contact for client troubleshooting and conflict resolution. 7. Responsible for developing and working a yearly business plan for the region that includes strategies for exceeding established budgets and goals. 8. Develops and maintains accurate data on customer relationships within RSL on each key referral source to provide client information needed to build strong ties and deliver customer satisfaction. 9. Communicates to branch(es) on a daily basis to give and receive vital client information. 10. Completes reports detailing field activity and results on a weekly basis. 11. Represents Pathways in relevant professional organizations and in the community. 12. Assists in proposal preparation and presentation. 13. Analyzes and makes recommendations for contracts. 14. Assists with educating the community about services. 15. All other duties as assigned. 16. Hospice CRE(s) Follows referral of a patient to Pathways, assists facility discharge coordinators in coordinating quality home care services for clients in the following manner: * A. Effectively communicates with appropriate disciplines involved in the care of potential home care clients, and provides information and recommendations to Pathways staff. * B. Develops professional working relationships with health care providers and facilities, generating an open flow of information and support of home care goals; provides value added counsel, teaching and resourceful problem solving. * C. Available to all discharge planners, physicians, other personnel and clients to 1) analyze eligibility for hospice and provide general guidance in determining if a patient would benefit from hospice services. * D. To ensure that patients receive the right care that addresses their needs, only a registered nurse, licensed vocational nurse, medical social worker, chaplain, or counselor can complete a patient's "election of hospice, informed consent, completed signatures, and counsel on the election of hospice to a patient, patient's family, or patient's representative." QUALIFICATIONS: * Health care professional credential, Bachelor's degree or comparable business experience required * Minimum of one year of related sales experience, preferably in a health care/medical field or patient transportation * Excellent sales, customer service and persuasive abilities; ability to build trusting relationships and gain commitment for referrals. * Excellent communication skills, both verbal and written. * Strong knowledge of computer-based applications, including Microsoft Office applications (Excel, Word & PowerPoint) and territory management systems. * Excellent time management, organizational, administrative and presentation skills, as well as the ability to work independently and interdependently, to interact with all levels of staff and management, set priorities, manage multiple demands effectively and use good judgment * Excellent interpersonal skills with diverse customers and staff. Must be highly articulate and capable of communicating effectively with groups and individuals verbally and in writing, with strong presentation skills and ability to interact with all levels of staff and management using superior interpersonal and influencing skills. Communicates with optimism about the future. * Ability to travel, valid driver's license, auto liability insurance coverage according to company policy.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Physical Therapist Assistant OFFICE LOCATION: Sunnyvale, CA PATIENT TERRITORY: Santa Clara County SCHEDULE: Full Time SHIFT: M-F 8:30am - 5pm (rotating weekends) The posted compensation range of $36.10 - $51.47/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: Physical therapy goals are to restore function, to prevent or minimize disability following disease or injury and to help the client reach his/her maximum function within the limits of his/her capabilities. The Physical Therapist Assistant performs services planned, delegated, and supervised by the Physical Therapist. AREAS OF RESPONSIBILITY: Administers treatment programs as communicated in writing by the supervising Physical Therapist and reports on treatment effectiveness and equipment in accordance with physician's orders Provides and documents skilled care/interventions on all visits (includes skilled observation of the patient's condition, skilled care, medical procedures performed and teaching of the patient and/or family). Considers patient's own needs and goals, conditions and environment and coordinates with ancillary services when implementing treatment goals. Implements a treatment program to improve or restore function, to relieve pain, and to encourage maximum function and safety through environmental adaptation based on identification of needs and customary clinical practice standards. Instructs patient and/or family/caregiver in home programs to be continued in the therapist's absence. Records and reports patient's reaction to treatment and/or changes in the patient's condition to the supervising Physical Therapist, the Clinical Team Manager, the patient's physician and other disciplines involved in the case. Confers on a regular schedule with other health team personnel to facilitate coordinated care. Reports to supervising physical therapist if any change in a patient's treatment plan is indicated due to a change in medical condition, unexpected reactions to treatment, or any reason that the patient needs to be re-evaluated by the supervising Physical Therapist. Documents this communication. Participates in case conference with the supervising Physical Therapist or provides the supervising Physical Therapist with documentation on all patients every seven days, or more often if needed. Under the direction of the supervising Physical Therapist, obtains and receives physician orders. Participates in regularly scheduled review of all patient cases no less often than every 30 days. Submits weekly visit schedule of assigned patients. Collaborates with the supervising Physical Therapist to address scheduling needs. Follows established standards for point for service technology, documentation and synchronization. Uses agency provided telecommunication devices (i.e. cell phone, voice mail and pager) according to established guidelines. Submits all documentation according to agency requirements. Meets established productivity standards. Attends and actively participates in the clinical team multidisciplinary patient conference. When attendance is not possible, provides appropriate input on assigned patients. Attends discipline specific staff meetings. Demonstrates and consistently utilizes established clinical competencies. Seeks out and maintains skills and knowledge relevant to rehabilitation in the home care setting. Participates in agency sponsored in-service educational programs. Participates in quality improvement activities. Assists in development of agency protocols, procedures and policies as requested. Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. Performs other duties as assigned consistent with skills and training to support the mission and goals of Pathways. QUALIFICATIONS: Graduate from a physical therapy assistant curriculum approved by the Council on Medical Education of the American Medical Association in collaboration with the American Physical Therapy Association. Current California Physical Therapy Assistant license. Minimum 2 years experience as a Physical Therapist Assistant. Prefer experience and interest in gerontology and home care. Current California driver's license and automobile insurance. Current CPR Certificate. Demonstrates willingness and ability to work with electronic input and telecommunication devices.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Spiritual Care Manager (Chaplain Manager) SCHEDULE: M-F HOURS: 8:30am-5pm Office: Sunnyvale The posted compensation range of $36.83 - $50.63/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Spiritual Care Manager is responsible for the management and coordination of the Hospice spiritual care program, for overseeing the provision of spiritual counseling services to patients and families when requested and for psycho-spiritual support services to Hospice staff. AREAS OF RESPONSIBILITY: Assures the development and implementation of a spiritual plan of care for patient/family with the interdisciplinary team. Hires, orients, trains, supervises and evaluates assigned staff. Facilitates and assures spiritual counseling services quality of care provided to meet needs of patient/family. Coordinates and supervises the process to ensure the optimal level of Spiritual Care services are provided to Hospice and Home Health patient and Families. Develops community spiritual care resources and contacts with clergy or counselors who provide care to Hospice/Home Health patients. Oversees interdisciplinary team meetings for optimal collaboration and coordination for Spiritual Care providers with other patient care providers. Oversees and (for a small case load) provides counseling to assist patients/families to integrate the dying experience into their lives and to find meaning and purpose in what remains of life. Ensures Pt./Family requests for memorial/funeral services support is appropriately provided. Facilitates commemorative rituals for Hospice staff and patients' family members as appropriate to need. Facilitates activities such as retreats, regular support group meetings, individual support that assist staff with their skills in providing staff, Pt./Families with Spiritual Care support. Provide training, educational programs and workshops for specifically for Spiritual Care Staff, but also as appropriate for Hospice staff, families and the community (as appropriate). Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways. This position in particular will oversee: 1. The Home Health connection for Spiritual Care providers. 2. The Pediatric Team Spiritual care support. 3. Oversee the volunteer and the development for the Transitions Program. QUALIFICATIONS: MDiv or equivalent graduate degree from a theological program, or a BA/BS and a combination of experience/training in spiritual care. Certified chaplain Previous Management Experience Preferred Experience in Hospice or Palliative care. Demonstrated leadership skills and experience in the development of collaborative relationships with others; management/supervisory experience preferred. Ability to work independently and creatively in order to accomplish goals with a minimum of supervision. Excellent verbal and written communication skills. Ability to work collaboratively and respectfully with persons following traditional and non- traditional spiritual practices. Ability and willingness to work a flexible work schedule including evenings and weekends as needed. Valid California Driver's license and current automobile insurance. Current CPR certification.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Physical Therapist (PT) - Home Health OFFICE LOCATION: Sunnyvale, CA PATIENT TERRITORY: Sunnyvale - Atherton SCHEDULE: Full Time SHIFT: 8:30am - 5pm Sign On Bonus: $15,000.00 (Conditions Apply) The posted compensation range of $60.00 - $72.42/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: Physical therapy goals are to restore function to prevent or minimize disability following disease or injury and to help the client reach his/her maximum performance/function within the limits of his/her capabilities. The Physical Therapist evaluates and treats patients using medically prescribed physical therapy programs. The Physical Therapist may also supervise Physical Therapy Assistants per agency and regulatory standards. AREAS OF RESPONSIBILITY: Makes initial admission/evaluation visits. Notifies assigned Clinical Team Manager of OASIS scores within established timelines. Notifies appropriate staff of admission/evaluation and provides information on the follow-up plan. In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises the plan of care. Instructs assigned PTA on the plan of care revisions. On an on-going basis, documents observations, clinical findings, problems, skilled interventions/treatments, goals and discharge plans. Assesses the need for the services of other team members (RN, OT, ST, MSW and HHA). Provides and documents skilled care/interventions on all visits (includes skilled observation of the patient's condition, skilled care, medical procedures performed and teaching of the patient and/or family). Obtains and documents physician orders. Performs Home Health Aide supervision per regulatory requirements. Coordinates care and documents communication with the assigned Clinical Team Manager (s), physician and other members of the home care team informing them of significant changes in the patient's condition and needs. Follows established standards for point for service technology, documentation, and synchronization. Uses agency provided telecommunication devices (i.e. cell phone, voice mail, and pager) according to established guidelines. Submits weekly visit schedule of assigned patients. Collaborates with the Clinical Team Manager(s) to address scheduling needs. Performs re-certifications, resumption of care, transfers, and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation within established timeframes. Supervises Physical Therapy Assistant(s): QUALIFICATIONS: Graduate from an accredited physical therapy program approved by the Council on Medical Education of the American Medical Association in collaboration with the American Physical Therapy Association. California license as a Physical Therapist by the Physical Therapy Examining Committee of the California Board of Medical Quality Assurance. Minimum 2 years recent experience as a Physical Therapist. Prefer experience and interest in gerontology and home care. Current CPR Certificate. Current California driver's license and automobile insurance.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: HHA - Hospice Aide/Home Health Aide OFFICE LOCATION: Sunnyvale PATIENT TERRITORY: Fremont - San Pablo SCHEDULE: M-F (1 Weekend/Month) HOURS: 8:30am-5pm The posted compensation range of ($25.00 - $30.00/Hour + Health Insurance and Vacation Pay) is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The HHA provides personal care, home hygiene services, and other supportive services to persons who are receiving Hospice care at home. All such services will be provided in accordance with a comprehensive patient care plan and under the supervision of a registered nurse. The Hospice Aide will communicate with the Case Manager to provide feedback regarding patient status and participate in the patient care planning process. AREAS OF RESPONSIBILITY: Provides in-home personal care and supportive services to Hospice patients. Personal care and supportive services include assisting a patient in and out of a shower, giving bed bath, sponge bath or shower, shampoo, shave, skin care, nail care, backrub, oral hygiene, passive range of motion, linen change - making an unoccupied bed and occupied bed; assisting with ambulation devices (cane, walker, wheelchair), transferring from bed to chair and from chair to bed, use assistive devices such as Hoyer lift; assisting a patient with toileting activities (use of commode, bedpan, urinal, toilet); emptying reservoirs such as Foley Catheter bags or colostomy bags; assisting with feeding patient; maintaining safe kitchen and bathroom; monitoring of vital signs and assist patient/family as specified by case manager or supervisor. Other supportive services include comfort measures and integrative therapies, such as aromatherapy and Comfort Touch©™. Comfort measures include providing companionship and conversation with patient and family members and activities such as reading to patient or sitting quietly with the patient, talking with the patient about patient's life or hobbies, and patient projects, such as organizing pictures in a book. Under the direct supervision of each patient's case manager, initiates the hospice aide care plan; provides feedback to case manager regarding changes in patient's physical, social, or psychological condition; and makes changes in care as directed. Assists in training individuals or families in the care of terminally ill patients. Maintains the dignity of the dying patient and supports the patient's and family's unique spiritual and cultural beliefs. Performs other tasks as requested by the case manager to assist the patient in obtaining needed health services or follow-up care. Accesses electronic device for care plan prior to patient visit. Completes appropriate records following all patient visits. Synchronizes electronic device data after the patient visit. Completes any other documentation requested by the agency. Synchronizes electronic devices for schedule after 2:30 pm on the day prior to visits and again the morning of the visits. Notifies Home Health Aide Department daily of intended visit route and visit times. Communicates promptly and appropriately with patients and families regarding scheduled visits. Communicates daily with Home Health Aide Department regarding scheduling changes or issues. Meets productivity standards established by the Home Health Aide Program Director. Maintains the ethical and confidentiality standards in the administration of Home Health Aide services. When in a facility (RCFE or SNF), utilizes customer service practice and department procedures for working in and with facilities. Maintains communication with a case manager, patient, family and facility staff regarding all aspects of patient care. Demonstrates awareness of and adherence to the safety, infection control and other policies of the facility. Attends and actively participates in the hospice interdisciplinary group (IDG) meetings. When attendance is not possible, provides appropriate input on assigned patients. Attends educational in-service trainings, department meetings and other agency meetings as requested by the manager. Maintains and updates the level of knowledge and skills required to provide quality hospice aide care. Adheres to all agency policies and procedures; including updates, as communicated in written, spoken and electronic forms. Submits time log when due. Promotes a culture of service when representing Pathways by at all times treating internal and external contacts with respect, remaining professional, communicating clearly, preventing conflict, following through on commitments and actively listening. Positively promotes Pathways by offering assistance and information. Completes CPR certification every two years. Completes the competency test and skills checklist according to applicable laws and regulations. Demonstrates all skills of a Hospice Aide, including those skills required by the agency through competency testing. Mentors the clinical orientation of a new clinical provider per department orientation process, as assigned by the Home Health Aide Program Director or Home Health Aide Manager. Keeps the Home Health Aide Program Director and Home Health Aide Manager informed of new clinical provider's progress and possible learning needs. Serves as a resource to the new clinical provider, after orientation is complete. Assists with the orientation of other providers, such as new nurses, therapists, social worker, spiritual care counselors and any office staff, such as schedulers and new managers. Participation in these orientations is usually accompanied by patient visits. Maintains a positive attitude and willingness to share expertise to new clinical provider or office staff. Acts a Mentor for Home Health Aide students' practicum. Participates in quality improvement activities related to areas of practice as appropriate. QUALIFICATIONS: Current California Home Health Aide Certification Interest and ability to work with terminally ill patients in a variety of settings; recent experience providing personal care to patients/clients, preferred Effective communication skills with demonstrated ability to read, write and speak English Current California driver's license and automobile insurance with the minimum Bodily Injury Liability Insurance coverage per agency policy Current CPR certification-American Heart Association “BLS Health Care Provider” required upon renewal

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. POSITION SUMMARY: The Spiritual Care Counselor is responsible for providing spiritual counseling and services to patients and families either directly or indirectly through local clergy or spiritual counselors. Coordinates care with other members of the Interdisciplinary Group (IDG), including the patient's physician. Title: Spiritual Care Counselor (Chaplain) Office Location: Sunnyvale Schedule: Part Time or Per Diem (24 Hours/Week) Area Coverage: Atherton - Gilroy The posted compensation range of $33.48 - $46.03/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. AREAS OF RESPONSIBILITY: Knowledgably discusses overall history, philosophy and services of Pathways Home Health and Hospice. Completes an in-depth spiritual assessment of patients/families assigned for follow-up care. Maintains the dignity of the dying patient and supports the patient's and family's unique spiritual and cultural beliefs. Develops an individualized spiritual care plan, based on the spiritual assessment and the patient's and family's acceptance of these services. The plan of care integrates input from the various disciplines to create a comprehensive interdisciplinary plan of care including goals, interventions, and projected visit frequencies. Provides counseling to assist patients/families to meet their spiritual needs in a manner consistent with the patient and family beliefs and desires. This may be done by home visits or by telephone as needed and as appropriate. Provides spiritual care interventions such as spiritual counseling, prayer, meditation, and sacred rituals or practices. Assesses the impact of patient/family's unique cultural and spiritual beliefs on the patient's end-of-life needs and educates the interdisciplinary team on this impact as needed. Conducts memorial/funeral services when requested and as staff time permits. Consults, collaborates, and coordinates with the IDG and others involved in the patient's care all patient and family services based on the patient's and family's preference. Attends and actively participates in IDG meetings, presenting relevant spiritual care information concisely and professionally. Also attends and actively participates in educational in-service trainings and other agency meetings as requested by Spiritual Care Program Director. When in a facility, adheres to “Pathways Standards of Care and Practice in Facilities” or equivalent document. Adheres to all agency policies and procedures, including updates, as communicated in written, spoken, and electronic forms. Participates in quality improvement activities related to areas of practice as appropriate. Assists in development of hospice protocols, procedures and policies as requested. Demonstrates all skills of a hospice spiritual care counselor, including those skills required by the agency through competency testing. Performs other duties as assigned consistent with skills and training and the mission and goals of the agency. Provides spiritual support to the interdisciplinary team as desired or requested. Documents all patient/family/facility contact in an electronic record. Accesses electronic device during patient visit and documents during or immediately after the visit or per regulation, including assessments, problem charting, and clinical notes. Participates in educational programs and workshops for agency staff, families and the community. Communicates with and coordinates the involvement of local clergy and/or spiritual care resources as possible and as desired by the patient, family, or caregiver. Maintains an on-going program of continuing professional development that may include reading in the professional field, formal educational and training experiences, clinical supervision and peer support. Knowledgeably discusses and initiates non-pharmacologic interventions as appropriate to promote comfort, improve quality of life, and manage emotional, spiritual, and physical distress. Prints out and files visit documentation in facility (RCFE or SNF) binder or chart per facility preference at the time of the visit. Initiates and participates in facility patient care conferences, in coordination with other interdisciplinary team members, to discuss and clarify hospice care goals and roles of team members. Maintains timely communication with the patient, family, facility staff, and community clergy as appropriate regarding all aspects of patient care. Demonstrates awareness of and adherence to the safety, infection control and other policies of the facility. Promotes a culture of service when representing Pathways by at all times treating internal and external contacts with respect, remaining professional, communicating clearly, preventing conflict, following through on commitments, and actively listening. Positively promotes Pathways by offering assistance and information. Maintains productivity expectations as established by the manager. QUALIFICATIONS: MDiv or equivalent graduate degree from an accredited training institute (minimum 72 semester hours or 108 quarter hours of credit). Successful completion of 4 units of clinical pastoral education (CPE) or equivalent. Experience providing spiritual care counseling in a health care setting. Expertise in HCHB (Home-care-home-base) preferred Ability to work independently and creatively in order to accomplish goals with a minimum of supervision. Experience working with the terminally ill is preferred. California driver's license and automobile insurance with minimum Bodily Injury Liability Coverage Insurance per agency policy. Current CPR certification-American Heart Association “BLS Health Care Provider” required upon renewal.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: After Hours Triage RN OFFICE LOCATION: Sunnyvale, CA PATIENT TERRITORY: Majority 100% Remote - Will need to come onsite for trainings, meetings, etc. SCHEDULE: Per Diem - Holidays and Weekends Required HOURS: Saturdays/Sundays/Holidays: 730am-4pm or 830a-5pm. After hours: 430pm-1230am The posted compensation range of $43.22 - $64.85/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The After Hours Triage RN is responsible for the coordination of hospice and/or home care service delivery after regular business hours to adult and pediatric hospice and home care patients, including palliative care. Provides clinical and administrative direction to field staff. Works from the office, or home. In an emergency a triage nurse may be required to go to the closest Pathways office to perform their duties. AREAS OF RESPONSIBILITY: * Accepts incoming telephone calls or other electronic communication from patients, family members, caregivers, or facility staff. Assesses information provided and recommends appropriate nursing interventions. * Consults with Interdisciplinary Group (IDG) members as indicated to determine appropriate interventions and makes recommendations. * Coordinates with clinical providers to ensure pre-scheduled visits to patients are timely and based on patient/family need. * Accepts incoming telephone calls or other electronic communication from members of the community inquiring about hospice and home care services. Provides appropriate information. * Accepts referrals from and provides information to physicians, discharge planners, and other sources for eligibility and appropriateness for hospice and home care and communicates information to intake staff. * Assigns unplanned visits for current patients in a timely manner based on the clinical needs of the patient, staff competency, staff workload, and geographical location of the patient. * Accepts and documents physician verbal and written orders and obtains other patient care information from physician/patient/family/facility staff. Communicates new orders/information to the case manager or appropriate IDG member, including pharmacy providers. * Provides consultation as needed to clinical providers and office staff. Supervises Shared Services After Hours Licensed Vocational Nurse when sent out on visit. * Maintains current knowledge of regulations pertinent to the delivery of Hospice and Home Health services and demonstrates compliance with such regulations in practice. * Knowledgably discusses the overall history, philosophy and services of Pathways Home Health and Hospice. * Supports, instructs and educates the patient, family, caregivers, and facility staff. * Documents nursing assessments, problems, appropriate goals, care interventions, patient and family outcomes, and evaluations of these in the electronic record. * Accesses electronic devices during patient communication/interaction and documents during or immediately after the communication/interaction or per regulation. * Maintains the dignity of the dying patient and supports the patient's and family's unique spiritual and cultural beliefs. * Supports holistic, family-centered care across treatment settings to improve the quality of life * Knowledgably discusses and initiates non-pharmacologic interventions as appropriate to promote comfort, improve quality of life, and help manage emotional, spiritual, and physical distress. * Participates in the hospice program's quality assessment performance improvement program and in-service education related to areas of practice as appropriate. * Meets productivity standards as established by the manager. * Maintains timely communication with patient, family, and facility staff regarding all aspects of patient care. * Creates, documents, and maintains the medication list. Evaluates medications for side effects or interactions as able and communicates these. Effectively instructs patient, family, and/or staff use of medications and reconciles medication records. * Effectively communicates with and uses the hospice prescription plan, formulary/preferred drug list, and general hospice medication coverage philosophy. * Adheres to all agency policies and procedures, including updates, as communicated in written, spoken, and electronic forms. * Promotes a culture of service when representing Pathways by at all times treating internal and external contacts with respect, remaining professional, communicating clearly, preventing conflict, following through on commitments, and actively listening. Positively promotes Pathways by offering assistance and information. * Assists in development of hospice protocols, procedures and policies as requested. * Demonstrates all skills of a Registered Nurse, including those skills required by the agency through competency testing. * Maintains and updates level of knowledge and skills required to provide quality nursing care. * Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways. QUALIFICATIONS: * California RN license required: PHN preferred. * Recent experience in home care or hospice preferred. * Minimum of two years of nursing experience. * Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting. Excellent nursing assessment, communication, and problem-solving skills. * California driver's license and automobile insurance with minimum Bodily Injury Liability Insurance per agency policy. * Current CPR certification - American Heart Association "BLS Health Care Provider" required upon renewal.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice and Home Health. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. Title: Hospice Nurse Practitioner Schedule: Full Time or Part Time Available Schedule: M-F 8:30am-5pm Territory: Santa Clara County Sign On Bonus (Full Time Only): $9,000.00 (Conditions Apply) The posted compensation range of $158,000 - $189,280 (annual salary) is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. Position Summary: In coordination and collaboration with the assigned Director of Hospice and Hospice Medical Director, is responsible for the evaluation of appropriateness of on-going hospice care to identified patients. Coordinates care with other members of the hospice care team to assure appropriate plan of care and recertification documentation. Serve as a consultant for appropriate transition to hospice care. This person is an adjunct to the Hospice Medical Director and serves as a resource and consultant. Areas of Responsibility: * Provides assessment of select patients to determine appropriateness for home health or hospice. * Responsible to conduct Face to face assessments, in the home setting. * Coordinates and communicates with the Hospice Physicians to assure that ongoing appropriateness for Hospice program participation is documented and certified. * Provides consultative services to Case Managers regarding patients with chronic conditions and/or symptom management issues. * Assists select patients and Case Managers with creating a smooth transition to Hospice services. * Document observations, clinical findings and problems, skilled interventions and response, goals, plans and submits according to policy. * Admits patients to service: assessing patient's physical, mental and social status and eligibility for hospice services according to hospice admission criteria * Assures that all applicable services ordered are explained and offered; obtains physician orders for services, equipment, medication as needed * Assesses need for and coordinates services of and with all other IDG members, including Physician, Social Worker, Home Health Aide, Dietician, Volunteer, Spiritual Care, or therapy services (PT, OT, ST). * Assists in the Performance of supervisory visits to the nursing staff and communicates findings to appropriate Nursing Manager. * Assures that Plan of Care changes are documented as indicated. * Assesses need for care beyond current certification period, obtains required orders and completes required documentation. * Completes required discharge procedures and documentation. * Participates in multiple Hospice interdisciplinary team conference. * Maintains and updates level of knowledge and skills required to provide quality hospice nursing care * Assists in development of hospice protocols, procedures and policies as requested * Participates in QA / PI activities and in-service education related to areas of practice as appropriate. * Follows established standards for point of service technology, documentation and synchronization. * Uses agency provided telecommunication devices (i.e. cell phone, voicemail, tablet) according to established guidelines. * Submits weekly visit schedule of assigned patients. * Submits all documentation according to agency requirements. * Meets established productivity standards. * Demonstrates established clinical competencies. * Assists in development of agency protocols, procedures and policies as requested. * Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. * Participates in the development of protocols for patients. Evaluates areas in which Hospice should be considered for inclusion in disease management protocols and outcomes. * Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways. Qualifications: * Nurse Practitioner License Required * Demonstrated program development and teaching skills preferred. * Minimum of one-year experience as a professional nurse within the last three years or a baccalaureate degree in nursing from a program accredited by the National League for Nursing. * Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting. * Meets competencies per Pathways guidelines. * Minimum of 5 years of professional nursing experience. * Demonstrates willingness and ability to work with electronic input and telecommunication devices. * Current California driver's license and automobile insurance with coverage meeting the agency required limits. * Current CPR Certificate.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect TITLE: After Hours Visit Licensed Vocational Nurse (LVN) OFFICE LOCATION: Sunnyvale PATIENT TERRITORY: All Services Areas SCHEDULE: Per Diem SHIFT: 12am-8:30am or 5pm-1am The posted compensation range of $35.70 - $49.78/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Shared Services After Hours Visit LVN is responsible for providing skilled nursing visits to patients and their families as requested by Intella Triage. Documents observations and interventions related to the patient's environment, physical, mental, emotional and social status. Communicates care with other members of the Interdisciplinary Group (IDG) or team, including patient's physician. AREAS OF RESPONSIBILITY: ● Provides skilled nursing observation of the patient's condition, problems, care interventions, patient and family outcomes, and evaluation of these, and documents this in the electronic record. ● Communicates patient updates to Intella Triage or the Triage Nurse and the case manager, informing him/her of significant changes in the patient's condition and needs, and interventions made. Documents these communications. ● Contacts patient's physician when necessary. ● Demonstrates skills of a Licensed Vocational Nurse, including management of subcutaneous medication pumps. ● Maintains in-dated and adequate stock of medical supplies and agency forms. ● Able to discuss the overall history, philosophy and services of Pathways Home Health and Hospice. ● Provides and documents skilled nursing observation of the patient's condition, problems, care interventions, patient and family outcomes, and evaluation of these in the electronic record. ● Accesses electronic device during patient visit and documents during or immediately after the visit or per regulation. ● Reports regularly to the Manager of Clinical Services - After Hours regarding care provided, and immediately notifies him/her when patient condition is found to be unstable and there is a need for changes in current plan of care. ● Supports, instructs and educates the patient, family, caregivers, and facility staff. ● Attends educational in-service trainings, and other agency meetings as requested by manager. ● Maintains the dignity of the dying patient and supports the patient's and family's unique spiritual and cultural beliefs. ● Provides holistic, family-centered care across the treatment settings to improve the quality of life. ● Knowledgably discusses and initiates non-pharmacologic interventions as appropriate to promote comfort, improve quality of life, and help manage emotional, spiritual, and physical distress. ● Participates in the Pathways quality assessment performance improvement program and in-service education related to areas of practice as appropriate. ● Meets productivity standards as established by manager. ● When in a facility, adheres to “Pathways Standards of Care and Practice in Facilities” or equivalent document. ● Prints out and files visit documentation in facility (RCFE or SNF) binder or chart per facility preference at the time of visit. ● Maintains timely communication with patient, family, and facility staff regarding all aspects of patient care. ● Demonstrates awareness of and adherence to the safety, infection control and other policies of the facility. ● Maintains and updates level of knowledge and skills required to provide quality nursing care. ● Updates and maintains medication list. Monitors for side effects and communicates these. Effectively instructs patient, family, and/or staff use of medications and reconciles medication records. ● Effectively communicates with and uses the hospice prescription plan, formulary/preferred drug list, and general hospice medication coverage philosophy. ● Adheres to all agency policies and procedures, including updates, as communicated in written, spoken, and electronic forms. ● Promotes a culture of service when representing Pathways by at all times treating internal and external contacts with respect, remaining professional, communicating clearly, preventing conflict, following through on commitments, and actively listening. Positively promotes Pathways by offering assistance and information. ● Demonstrates all skills of a Licensed Vocational Nurse, including those skills required by the agency through competency testing. ● Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways. QUALIFICATIONS: ● California LVN license. ● Preferred “IV Blood Withdraw” on discipline license. ● Graduate of an NLN accredited nursing school. ● Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting. Excellent nursing assessment, communication, and problem-solving skills. ● Minimum of one-year experience as a professional nurse within the last three years or a baccalaureate degree in nursing from a program accredited by the National League for Nursing ● California driver's license and automobile insurance with minimum Bodily Injury Liability coverage Insurance per agency policy. ● Current CPR Certificate- American Heart Association “BLS Health Care Provider” requested upon renewal.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Client Relations Executive - Hospice (Sales) OFFICE LOCATION: South SF TERRITORY: San Francisco County SCHEDULE: Full Time SHIFT: Days and some weekends The posted compensation range of $114,000 - $134,700 (annual salary) is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Hospice Client Relations Executive (CRE) makes essential contributions to the achievement of the organization's objectives as a field-based business development representative, consistently meeting the volume expectations for referrals and admissions. The CRE is expected to travel to various referral sources and potential patients and communicate Pathways Hospice services, patient criteria and agency policies to secure appropriate contracts for patient care. The position maintains and grows current market share and grows new sources of business sufficient to support the branch's business plan. This position will work with the Director, Business Development; Regional Vice President, Market Development; or Vice President, Sales and branch Director, Operations to develop and execute specific strategies and tactics to achieve revenue targets, patient experience and profitability goals. AREAS OF RESPONSIBILITY: 1. Supports Pathways' mission to exceed the expectations of our customers, associates, and shareholders in the delivery of health care and support services in a way that a caring family provides. Supports Pathways' values, strategic goals and high standards of customer service. Consistently lives People First Behaviors. Follows the policies and procedures of the organization. 2. Adheres to the Corporate Compliance Program, including confidentiality of HIPAA health protected health information. 3. Must meet or exceed established monthly admission target(s) as provided by their supervisor and determined by the branch monthly budget. 4. Identifies and qualifies health care relationships within regional territory with a focus on skilled nursing facilities, assisted living communities, Community Based Residential Facilities, physicians and other health care providers and hospital systems as a source of referrals and admissions. The CRE is expected to make at least (tbd) site visits each month to various health care providers and (tbd) telephone calls each month to health care providers to expand the group of referral sources and sources for admissions. 5. Develops and maintains relationships with key customer sources through regular contact and follow-up procedures. 6. Acts as the key contact for client troubleshooting and conflict resolution. 7. Responsible for developing and working a yearly business plan for the region that includes strategies for exceeding established budgets and goals. 8. Develops and maintains accurate data on customer relationships within RSL on each key referral source to provide client information needed to build strong ties and deliver customer satisfaction. 9. Communicates to branch(es) on a daily basis to give and receive vital client information. 10. Completes reports detailing field activity and results on a weekly basis. 11. Represents Pathways in relevant professional organizations and in the community. 12. Assists in proposal preparation and presentation. 13. Analyzes and makes recommendations for contracts. 14. Assists with educating the community about services. 15. All other duties as assigned. 16. Hospice CRE(s) Follows referral of a patient to Pathways, assists facility discharge coordinators in coordinating quality home care services for clients in the following manner: A. Effectively communicates with appropriate disciplines involved in the care of potential home care clients, and provides information and recommendations to Pathways staff. B. Develops professional working relationships with health care providers and facilities, generating an open flow of information and support of home care goals; provides value added counsel, teaching and resourceful problem solving. C. Available to all discharge planners, physicians, other personnel and clients to 1) analyze eligibility for hospice and provide general guidance in determining if a patient would benefit from hospice services. D. To ensure that patients receive the right care that addresses their needs, only a registered nurse, licensed vocational nurse, medical social worker, chaplain, or counselor can complete a patient's “election of hospice, informed consent, completed signatures, and counsel on the election of hospice to a patient, patient's family, or patient's representative.” QUALIFICATIONS: Health care professional credential, Bachelor's degree or comparable business experience required Minimum of one year of related sales experience, preferably in a health care/medical field or patient transportation Excellent sales, customer service and persuasive abilities; ability to build trusting relationships and gain commitment for referrals. Excellent communication skills, both verbal and written. Strong knowledge of computer-based applications, including Microsoft Office applications (Excel, Word & PowerPoint) and territory management systems. Excellent time management, organizational, administrative and presentation skills, as well as the ability to work independently and interdependently, to interact with all levels of staff and management, set priorities, manage multiple demands effectively and use good judgment Excellent interpersonal skills with diverse customers and staff. Must be highly articulate and capable of communicating effectively with groups and individuals verbally and in writing, with strong presentation skills and ability to interact with all levels of staff and management using superior interpersonal and influencing skills. Communicates with optimism about the future. Ability to travel, valid driver's license, auto liability insurance coverage according to company policy.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Speech and Language Pathologist (ST) OFFICE LOCATION: Sunnyvale PATIENT TERRITORY: San Francisco/ San Mateo / Santa Clara County SCHEDULE: Per Diem (8-20 Hours/week) SHIFT: Days (partial video/remote visits offered) The posted compensation range of $50.80 - $72.42/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: Speech Therapy goals are to restore function, to prevent disability following disease or injury and to help the client reach his/her maximum performance within the limits of his/her capabilities. The Speech and Language Pathologist evaluates and treats patients using medically prescribed speech therapy programs. AREAS OF RESPONSIBILITY: Makes admission and evaluation visits. Notifies assigned Clinical Team Manager of OASIS scores within established timelines. Notifies appropriate team members of admission and follow up plans.Performs an initial, comprehensive assessment which includes but is not limited to: the patient's eligibility for home care services in accordance with third party payer regulations An environmental assessment which includes physical, social and mental status, identified needs and potential to reach treatment and discharge goals. An accurate reflection of the patient's current health status, review of all medications the patient is currently using. Documents observations, clinical findings, problems, skilled interventions/treatment, goals and discharge plans. In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises plan of care. On an on-going basis, documents observations, clinical findings, problems, skilled interventions/treatments, goals and discharge plans. Assesses the need for the services of other team members (RN, PT, OT, MSW and HHA). Provides and documents skilled care, interventions/treatments on all visits (includes skilled observation of the patient's condition, skilled care, procedures or treatments performed and teaching of the patient and/or family).Utilizes appropriate evaluation tools in evaluating patient's auditory, visual, verbal/oral, swallow, graphic and cognitive abilities and develops a plan of treatment with achievable goals in accordance with physician orders. Considers patient's own needs and goals, conditions and environment and coordinates with ancillary services when planning treatment goals. Plans and utilizes a treatment program to restore or maximize auditory functioning for reception, perception, recognition, discrimination, comprehension and memory, to restore or maximize visual functioning for perception, recognition, comprehension and memory, to restore and maximize verbal abilities for language, articulation, apraxia, dysphagia, dysarthria, and voice disorders, to restore or maximize graphic abilities, to restore or maximize cognitive functioning for communicative purposes based on identified needs and customary clinical practice standards. Instructs patient and family in home programs to be continued in the therapist's absence. Makes hospital pre-discharge visits for the purpose of coordination and continuity of care, as requested. Coordinates care and documents communication with the assigned Clinical Team Manager(s), physicians and other members of the home care team informing them of significant changes in the patient's condition and needs. Follows established standards for point of service technology, documentation and synchronization. Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager(s) to address scheduling needs. Performs resumption of care, transfers and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation within established timeframes. QUALIFICATIONS: Graduate from an accredited Speech Pathology curriculum approved by the Council on Medical Education of the American Medical Association. California registration as a Speech Pathologist (or eligibility; must take first examination scheduled after appointment) by the California Board of Medical Quality Assurance. Minimum of one year's recent professional Speech Pathology experience. Prefer experience in home care and interest in Gerontology. Demonstrates willingness and ability to work with electronic input and telecommunication devices. Current California driver's license and automobile insurance with minimum Bodily Injury Liability Insurance coverage per agency policy Current CPR certificate

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Home Health Physical Therapist Assistant OFFICE LOCATION: South San Francisco PATIENT TERRITORY: San Francisco County and a portion of San Mateo County SCHEDULE: 32 Hours SHIFT: Days The posted compensation range of $36.10 - $51.47/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: Physical therapy goals are to restore function, to prevent or minimize disability following disease or injury and to help the client reach his/her maximum function within the limits of his/her capabilities. The Physical Therapist Assistant performs services planned, delegated, and supervised by the Physical Therapist. AREAS OF RESPONSIBILITY: Administers treatment programs as communicated in writing by the supervising Physical Therapist and reports on treatment effectiveness and equipment in accordance with physician's orders Provides and documents skilled care/interventions on all visits (includes skilled observation of the patient's condition, skilled care, medical procedures performed and teaching of the patient and/or family). Considers patient's own needs and goals, conditions and environment and coordinates with ancillary services when implementing treatment goals. Implements a treatment program to improve or restore function, to relieve pain, and to encourage maximum function and safety through environmental adaptation based on identification of needs and customary clinical practice standards. Instructs patient and/or family/caregiver in home programs to be continued in the therapist's absence. Records and reports patient's reaction to treatment and/or changes in the patient's condition to the supervising Physical Therapist, the Clinical Team Manager, the patient's physician and other disciplines involved in the case. Confers on a regular schedule with other health team personnel to facilitate coordinated care. Reports to supervising physical therapist if any change in a patient's treatment plan is indicated due to a change in medical condition, unexpected reactions to treatment, or any reason that the patient needs to be re-evaluated by the supervising Physical Therapist. Documents this communication. Participates in case conference with the supervising Physical Therapist or provides the supervising Physical Therapist with documentation on all patients every seven days, or more often if needed. Under the direction of the supervising Physical Therapist, obtains and receives physician orders. Participates in regularly scheduled review of all patient cases no less often than every 30 days. Submits weekly visit schedule of assigned patients. Collaborates with the supervising Physical Therapist to address scheduling needs. Follows established standards for point for service technology, documentation and synchronization. Uses agency provided telecommunication devices (i.e. cell phone, voice mail and pager) according to established guidelines. Submits all documentation according to agency requirements. Meets established productivity standards. Attends and actively participates in the clinical team multidisciplinary patient conference. When attendance is not possible, provides appropriate input on assigned patients. Attends discipline specific staff meetings. Demonstrates and consistently utilizes established clinical competencies. Seeks out and maintains skills and knowledge relevant to rehabilitation in the home care setting. Participates in agency sponsored in-service educational programs. Participates in quality improvement activities. Assists in development of agency protocols, procedures and policies as requested. Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. Performs other duties as assigned consistent with skills and training to support the mission and goals of Pathways. QUALIFICATIONS: Graduate from a physical therapy assistant curriculum approved by the Council on Medical Education of the American Medical Association in collaboration with the American Physical Therapy Association. Current California Physical Therapy Assistant license. Minimum 2 years experience as a Physical Therapist Assistant. Prefer experience and interest in gerontology and home care. Current California driver's license and automobile insurance. Current CPR Certificate. Demonstrates willingness and ability to work with electronic input and telecommunication devices.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect TITLE: Hospice Admissions Visit Nurse (RN) OFFICE LOCATION: Alameda PATIENT TERRITORY: Fremont - Oakland SCHEDULE: Per Diem (16 Hours/Week) Required Shifts: 10am-6pm (M-F, 1 Weekend per month, and potential Holidays) The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Hospice Admissions Visit Nurse is responsible for evaluating and admitting patients to Hospice; for documenting observations and interventions related to the patient's environment, physical, mental, emotional and social status; and for the coordinating care with identified primary Case Manager and designated Clinical Manager as appropriate. AREAS OF RESPONSIBILITY: Admits patients to service. Assesses patient's environment; physical, mental and social status and eligibility for hospice services in accordance with hospice admission requirements. Assures completion of all documentation including the plan of care Assures that all applicable services are ordered, explained, and offered. Obtains physician orders for services, equipment, medication as needed. Assesses need for and coordinates services of all other IDG member, including Physician, Social Worker, Home Health Aide, Dietician, Volunteer, and Spiritual Care. Documents observations, clinical findings, problems, skilled interventions, goals and plans in a timely manner (including documenting appropriately on Point of Care/laptop device). Makes skilled nursing revisits to established patients as directed by Patient Care Manager. Provides and documents skilled nursing care (includes skilled observation of the patient's condition, skilled care and procedures and teaching of the patient and/or family), on all intermittent visits and/or shifts. Provides supervisory visits for the Home Health Aides as directed and as they spontaneously occur. Demonstrates all skills of a registered nurse, including those skills required by the agency through competency testing. Maintains and updates own level of knowledge and skills required to provide quality hospice nursing care. Participates in QA / PI activities and in-service education related to areas of practice as appropriate. Assists in development of hospice protocols, procedures and policies as requested. Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways. QUALIFICATIONS: California RN license required: PHN preferred. Minimum of one-year experience as a professional nurse within the last three years or a baccalaureate degree in nursing from a program accredited by the National League for Nursing. Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting. Current California driver's license and automobile insurance. Current CPR certification.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Registered Nurse Case Manager - Home Health OFFICE LOCATION: South San Francisco PATIENT TERRITORY: San Francisco - South San Francisco SCHEDULE: Full Time SHIFT: M-F8:30am - 5pm days, with rotating weekends Sign On Bonus: $9,000.00 (Conditions Apply) The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: In coordination and collaboration with the assigned Clinical Team Manager, is responsible for providing skilled nursing care to patients and their families. Coordinates care with other members of the home care team; supervises Home Health Aides. The majority of patient visit time is devoted to patient evaluations, admissions, and informational visits. AREAS OF RESPONSIBILITY: * Performs an initial, comprehensive assessment. * Documents observations, clinical findings, problems, skilled interventions, goals and discharge plans * In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises the plan of care. * Assesses the need for the services of other team members (PT, OT, ST, MSW, and HHA). * Provides and documents skilled care on all visits (includes skilled observation of the patient's condition, skilled care, and procedures and teaching of the patient and/or family). * Obtains and documents physician orders. * Performs Home Health Aide supervisory visits per regulatory requirements. * Coordinates care with the assigned Clinical Team Manager, physician and other members of the home care team, informing them of significant changes in the patient's condition and needs. Documents these communications. * Follows established standards for point of service technology, documentation, and synchronization. * Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager to address scheduling needs. * Performs re-certifications, resumption of care, transfers, and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation. * Attends and actively participates in the clinical team multidisciplinary patient conference. * Demonstrates established clinical competencies. * Participates in agency sponsored in-service education. * Participates in quality improvement activities. * Assists in development of agency protocols, procedures and policies as requested. * Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. QUALIFICATIONS: * Current California RN license. * Current CPR Certificate. * Minimum of one year of nursing experience required. * Home Health Experience * Current California driver's license and automobile insurance.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Medical Records Coordinator SCHEDULE: M-F (Onsite) HOURS: 8:30am-5pm Office: Sunnyvale The posted compensation range of $22.41 - $30.79/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Medical Records Coordinator is responsible for coordinating the workflow and assisting the coverage of the Medical Records Department. Maintains the electronic medical record. As a Medical Records team member, this position is also responsible for coordinating and maintaining patient record information and for performing administrative functions related to the Medical Records department. AREAS OF RESPONSIBILITY: * Receives direction and supervision from the Medical Records Manager. * Participates as a member of the Medical Records Team. * Participates as a member of the overall Pathways clerical support team. * Proficiency in using electronic health record systems, office software, and other relevant technology. * Maintains the integrity and presentation of patient electronic records by assuring timely and accurate filing in accordance with the federal and state regulations and ACHC standards. * Coordinates with the branch office staff and Community Relations to assure that physician orders are obtained in a timely manner. * Organizing, filing, and updating patient medical records, including both physical files and electronic health records (EHRs) * Maintains the processes for resending of physician orders for Home Care and Hospice programs, including contacting the physicians' offices, to assure timely signatures are obtained in accordance with Federal and State regulations. Coordinates with the Community Relations Department to assure that problematic physician orders are obtained. * Coordinates with accounting staff to assure that physician information regarding demographics and orders is entered timely and accurately for the successful transmission of filed claims to the federal government. * Communicates with the Team Support Coordinators/Administrative Assistants, Clinical Managers, Case Managers, Quality Improvement Department, and other identified staff to assure that patients clinical records are maintained and completed in an accurate and timely manner. * Works with management and staff to assist in Medical Records portions of month end billing closing. * Processing requests for medical records from patients, healthcare providers, insurance companies, and other authorized entities. * Assists in preparing patient records for review and audits. * Supports the preparation of Foundation Check processing * Cross-trained to other functions within the Medical Records Department. * Prepares lists for offsite storage and destruction. Retrieves and returns records from off site storage. Participates in purging medical records in preparation for offsite storage. * Supports assurance of confidentiality by processing shredding of agency's various shredding collection receptacles. * Supports and participates in opening and securing of the records room and records areas. * Participates in quality improvement activities and team related activities. * Performs other duties as assigned consistent skills and training, and the mission and goals of Pathways. QUALIFICATIONS: * High school graduate or GED equivalency. * Minimum of 3-5 years experience in a medical office setting; medical records experience required * Typing accurately with a speed of no less than 40 words per minute. * Computer proficiency; Google based systems. * Ability to use a fax machine, computer and printer. * Knowledge of medical terminology. * Ability to be self motivated, possess communication skills and work independently.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice and Home Health. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. Title: Hospice Nurse Practitioner Schedule: Full Time or Part Time Available Schedule: M-F 8:30am-5pm Territory: Santa Clara County Sign On Bonus (Full Time Only): $9,000.00 (Conditions Apply) The posted compensation range of $158,000 - $189,280 (annual salary) is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. Position Summary: In coordination and collaboration with the assigned Director of Hospice and Hospice Medical Director, is responsible for the evaluation of appropriateness of on-going hospice care to identified patients. Coordinates care with other members of the hospice care team to assure appropriate plan of care and recertification documentation. Serve as a consultant for appropriate transition to hospice care. This person is an adjunct to the Hospice Medical Director and serves as a resource and consultant. Areas of Responsibility: Provides assessment of select patients to determine appropriateness for home health or hospice. Responsible to conduct Face to face assessments, in the home setting. Coordinates and communicates with the Hospice Physicians to assure that ongoing appropriateness for Hospice program participation is documented and certified. Provides consultative services to Case Managers regarding patients with chronic conditions and/or symptom management issues. Assists select patients and Case Managers with creating a smooth transition to Hospice services. Document observations, clinical findings and problems, skilled interventions and response, goals, plans and submits according to policy. Admits patients to service: assessing patient's physical, mental and social status and eligibility for hospice services according to hospice admission criteria Assures that all applicable services ordered are explained and offered; obtains physician orders for services, equipment, medication as needed Assesses need for and coordinates services of and with all other IDG members, including Physician, Social Worker, Home Health Aide, Dietician, Volunteer, Spiritual Care, or therapy services (PT, OT, ST). Assists in the Performance of supervisory visits to the nursing staff and communicates findings to appropriate Nursing Manager. Assures that Plan of Care changes are documented as indicated. Assesses need for care beyond current certification period, obtains required orders and completes required documentation. Completes required discharge procedures and documentation. Participates in multiple Hospice interdisciplinary team conference. Maintains and updates level of knowledge and skills required to provide quality hospice nursing care Assists in development of hospice protocols, procedures and policies as requested Participates in QA / PI activities and in-service education related to areas of practice as appropriate. Follows established standards for point of service technology, documentation and synchronization. Uses agency provided telecommunication devices (i.e. cell phone, voicemail, tablet) according to established guidelines. Submits weekly visit schedule of assigned patients. Submits all documentation according to agency requirements. Meets established productivity standards. Demonstrates established clinical competencies. Assists in development of agency protocols, procedures and policies as requested. Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. Participates in the development of protocols for patients. Evaluates areas in which Hospice should be considered for inclusion in disease management protocols and outcomes. Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways. Qualifications: Nurse Practitioner License Required Demonstrated program development and teaching skills preferred. Minimum of one-year experience as a professional nurse within the last three years or a baccalaureate degree in nursing from a program accredited by the National League for Nursing. Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting. Meets competencies per Pathways guidelines. Minimum of 5 years of professional nursing experience. Demonstrates willingness and ability to work with electronic input and telecommunication devices. Current California driver's license and automobile insurance with coverage meeting the agency required limits. Current CPR Certificate.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Occupational Therapist (OT) - Home Health OFFICE LOCATION: South San Francisco PATIENT TERRITORY: San Francisco SCHEDULE: Per Diem or Part Time SHIFT: Days 8:30AM - 5PM The posted compensation range of $43.88 - $62.56/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: Occupational Therapy goals are to restore and maximize function, facilitate activities of daily living after disabilities have occurred in order to prevent further restrictions of function and to help the client reach his/her maximum performance level within the limits of his/her capabilities. The Occupational Therapist evaluates and treats patients using medically prescribed occupational therapy programs. AREAS OF RESPONSIBILITY: Makes evaluation visits. Notifies assigned Clinical Team Manager of OASIS scores within established timelines. Notifies appropriate team members of evaluation and general plan for follow up. Performs an initial, comprehensive assessment which includes but is not limited to the patient's eligibility for home care services in accordance with third party payer regulations, an accurate reflection of the patient's current health status, review of all medications the patient is currently using, an environmental assessment which includes physical, social and mental status, identified needs and potential to reach treatment and discharge goals. Documents observations, clinical findings, problems, skilled interventions/treatments, goals and discharge plans. In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises the plan of care. On an on-going basis, documents observations, clinical findings, problems, skilled interventions/treatments, goals and discharge plans. Assesses the need for the services of other team members (RN, PT, ST, MSW, and HHA). Provides and documents skilled care, interventions/treatments on all visits (includes skilled observation of the patient's condition, skilled care, medical procedures or treatments performed and teaching of the patient and/or family). Utilizes appropriate evaluation tools for planning and administration of programs as well as evaluating treatment effectiveness and equipment, in accordance with physician's orders. Considers the patient's own needs and goals, conditions, and environment and coordinates with ancillary services when planning treatment goals. Follows established standards for point of service technology, documentation, and synchronization. Uses agency provided telecommunication devices (i.e. cell phone, voice mail, and pager) according to established guidelines. Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager(s) to address scheduling needs. Performs resumption of care, transfers, and discharges as requested by the assigned Clinical Team Manager. Submits all documentation according to agency established timeframes. Meets established productivity standards. Attends and actively participates in the clinical team multidisciplinary patient conference. When attendance is not possible, provides appropriate input on assigned patients. Demonstrates and consistently utilizes established clinical competencies. Seeks out and maintains skills and knowledge relevant to rehabilitation in the home care setting. Plans a treatment program to develop or restore function through cognitive/perceptual retraining, facilitation/inhibition techniques, muscle re-education, developmental motor plan, coordination exercises, transfer training with ADL's, joint protection techniques. Plans a treatment program to maximum performance and safety through environment adaptation, use of appropriate adaptation aid, setting up of ADL home program based on identified needs and customary clinical practice standards. Instructs patient and family in home programs to be continued in the therapist's absence QUALIFICATIONS: Graduate from an occupational therapy curriculum accredited jointly by the Council on Medical Education of the American Medical Association and the American Occupational Therapy Association. Current California registration by the AOTA. Minimum of two years experience as an Occupational Therapist. Prefer experience and interest in gerontology and home care. Current California driver's license and automobile insurance. Current CPR Certificate. Demonstrates willingness and ability to work with electronic input and telecommunication devices.

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Licensed Vocational Nurse (LVN) SCHEDULE: M-F HOURS: 8:30am-5pm Office Location: Sunnyvale Patient Territory: San Jose - Sunnyvale Sign On Bonus: $9,000.00 (Conditions Apply) The posted compensation range of $35.70 - $49.78/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Home Health Licensed Vocational Nurse (LVN) is responsible for providing skilled nursing care to assigned patients and their families. Documents observations and interventions related to the patient's environment physical, mental, social and emotional status. Communicates patient status and needs to be based on a plan of care with the Clinical Team Manager and other members of the home care team. Performs duties consistent with the Vocational Nurse Practice Act. AREAS OF RESPONSIBILITY: Provides those services requiring the skills of a licensed vocational nurse in accordance with the plan of care. Documents observations, clinical findings, problems, skilled interventions, goals and discharge plans. Provides and documents skilled nursing care on all visits (includes skilled observation of the patient's condition, skilled care, and procedures and teaching of the patient and/or family). Communicates with the Clinical Team Manager or with the physician and other members of the home care team informing them of significant changes in the patients' condition and needs. Documents these communications. Attends and actively participates in the clinical team multidisciplinary patient conference. When attendance is not possible, provides appropriate input on assigned patients. Submits all documentation according to agency requirements. Meets established productivity standards. Demonstrates established clinical competencies. Uses agency provided telecommunication devices (i.e. cell phone, voice mail, and pager) according to established guidelines. Follows established standards for point of service technology, documentation, and synchronization. Seeks out and maintains skills and knowledge relevant to skilled home care nursing. Participates in agency sponsored in-service education. Participates in agency-sponsored quality improvement activities. Assists in development of agency protocols, procedures and policies as requested. Assesses, organizes and delivers teaching materials for assigned home care patients as requested. Performs other duties as assigned consisted with skills and training and the mission and goals of Pathways. QUALIFICATIONS: Current California LVN License. Preferred: IV Therapy and Blood Withdrawal Certification Minimum of one year of nursing experience. Demonstrates willingness and ability to work with electronic input and telecommunication devices. Current California driver's license and automobile insurance with minimum Bodily Injury Liability coverage per agency policy. Current CPR- American Heart Association “BLS Health Care Provider” requested upon renewal