Nurses at Pathways, especially the case managers, are undervalued, unappreciated, and treated unfairly by management. It's a fact that over half of the nursing staff have left in the past year to find other jobs. Upper management continues to be insensitive to the nurses' needs, doggedly enforcing their unseasonable productivity standards and now threatening and punishing nurses if they have to put in overtime in order to get their job done. Nurses are exhausted from battling with upper management and scheduling on a daily basis because it's ultimately a losing battle. Case manager nurses frequently put in 2 to 4 hours of overtime and even work on their days off but don't record it because they are afraid of censure and don't want to get fired. The nursing staff ultimately appealed to Administration asking for a chance to be listened to, but they were given empty promises and merely placated. Now nurses who express their feelings are sometimes censured or fired. The bottom line is Pathways Home Health is not a very friendly place for nurses.