qualified professional

office administrator

licensed clinical social worker

front office specialist

surgical technician

Pathways To Life

A typical day at work is a mix of supporting members, coordinating services, and problem-solving on the fly. No two days are ever the same, and you really have to stay flexible and grounded. I’ve learned so much about navigating systems, advocating for people who often feel unheard, and how important empathy and persistence are when you’re walking alongside someone through life’s hardest moments.

Management has been supportive and open to communication, and I’ve appreciated the freedom to use my strengths while still having guidance when I need it. The workplace culture is mission-driven—people genuinely care about the community and about each other, which makes the tough days easier.

The hardest part of the job is carrying the emotional weight of the stories and crises our members face. Sometimes the system feels too big and too slow, and you wish you could do more. The most enjoyable part, though, is seeing real progress—those moments when a member takes a step forward, gains stability, or feels truly seen. Those are the moments that make everything worth it.

Pathways to Life has the potential to be a strong and impactful organization. However, there are concerns regarding leadership and internal practices that are affecting staff morale and overall effectiveness. Some individuals in leadership roles appear to lack the necessary qualifications or in-depth understanding of the program, and few are making efforts to fully learn or engage with its operations. Recently, several employees were let go due to what was described as a “reduction in workforce.” However, soon after, a new hire was made for a similar role, which has raised questions and concerns among staff. We were informed we would no longer have a job at the close of business via email. Additionally, attempts to contact HR and leadership regarding these issues have gone unanswered, contributing to a sense of disconnect and lack of transparency. There is also concern over favoritism within leadership. Certain employees seem to be held to lower standards while others are overworked and underappreciated. This imbalance is leading to frustration and a decline in workplace morale. Addressing these issues could significantly improve staff satisfaction, program quality, and organizational culture.


A typical work day is Therapist creates their own schedule with clients, based on client and LPs schedule, highly flexible in scheduling. Sessions are in the home, school office, community, and currently telehealth due to COVID. 
The culture is relaxed in the Durham, Selma office. Greenville is a bit less laid back in my opinion, as it is the corporate location.
Hardest part of the job is documentation! And that is a part of all MH positions in NC. Most enjoyable part meeting with my teens and  a great pay whether part time of full time as I have done both, very competitive in comparison to some of the other MH agencies in my area, as I know several other LPs elsewhere. I enjoy working for the agency! I have maintained work as a QP and a LP. Direct supervisors are great. Sometimes the corporate office takes longer than desired to respond to emails and calls from staff and my supervise reaches out to them for a faster response, but other than that, I would definitely recommend the agency. 

Management on the job is absent at all time and never available to assist you with answers to questions. They will throw you under the bus to save themselves and bring a lot of drama. Paycheck errors every pay check, with your check being short, or not receiving a check at all. NO one is available on pay days to resolve issues with pay. No communication or organizational skills throughout the company. Company is very money hungry to the point where they cut pay, and took away the little bonus and stipends that staff did receive. The company overall is unprofessional and all over the place. They say something one second and then change it the next. You never know what you'll get from them. I would not recommend this company to work at. They are more focused on numbers over a client's need. Upper management is horrible and causes chaos in the offices weekly.

A typical day, there was a lot of childless behaviors with management. Owner was very vindictive when you call him out on his inappropriate behaviors. I learned very quickly that this job environment was not for me. Every job opportunity isn't always the best, they offered me more money than what I was making so I left a great work environment for a not so great work enviroment.  The job was easy and my coworkers were great. This company is and will be forever hiring new people because it isn't a great place to work. They wanted me to falsely bill Mediciad for services that were not rendered.  The hardest part of the job was to act like you didn't see or hear everything that was going on with the company. I advise anyone not to waste there time applying, you will be disappointed that you wasted your time here.

Pathways is a company that allows growth from within. I started as a QP with the agency, and have been promoted twice. The supervisors at the site level are helpful, considerate, and understand the field. I make my own schedule based on my availability and client's schedule. The pay is standard in the region, but with experience and specialties, you earn a higher salary. No agency is perfect, but I will say that my time here has been pleasing and I am satisfied with the work that I do and the overall vision of the agency to serve the families who need us the most. No micromanaging, do your job, see your clients, and if you have a concern, take it to your supervisor and they will address.

I’ve truly enjoyed working for this company and have felt consistently supported throughout my time here. One of the things I value most is Pathways understanding and flexibility when it comes to role development. They’ve allowed me to grow professionally by exploring different responsibilities and have encouraged me to expand my skill set at a pace that feels both challenging and manageable. Leadership is approachable and genuinely invested in employee success and well-being. The collaborative culture has made it easy to stay motivated and feel part of a team that values growth and contribution. Overall, this has been one of the most positive and fulfilling positions I’ve experienced and will continue to be my place of career longevity. 

I really liked my co-workers and direct supervisor, they made this job bearable. Upper management was horrible and out of touch or just didn't care about their employees. No job security-I.e. Hours are based on how many clients you have and whether or not they show up for appointments so no stable paychecks. Pathways changed insurance companies a few years ago, which has made it much harder for people to get approved for services. Supposedly to save the company money but it just screwed everyone all around. I had to get out of the mental health field all together because of this kind of stuff. This company is going down hill very fast and I wouldn't recommend anyone working here.

It was hard to get through the day feeling good about the work I did. The finance manager was very rude and had very little empathy and understanding. She also struggled to process payroll appropriately so people wouldn't get paid on Friday, rather their checks wouldnt clear for a few days so while people got paid, it was late and they had no access to their money. The CEO protected her all the time and blamed a lot of his own shortcomings on staff. They only care about their MMA business. Look it up, no mention of pathways to life anywhere except as free advertising on MMA stuff. Never had money to get tools to get our jobs done.

What is the best part of working at the company?
Helping the clients. Getting some sort of paycheck. Helping staff 

What is the most stressful part about working at the company?
Administration-  The administration is not interested in the clients they are only interested in the money. The owner drives Mercedes Benz’s and BMW’s all his cars are electronic while his field staff struggles to put gas in their tanks just to get too work

What is the work environment and culture like at the company?
Cold-Blooded, back-stabbing and rude

What is a typical day like for you at the company?
Pure confusion, lies and deceitful

Top Job Titles	Average Salary
Qualified professional 4 salaries reported	$23.88 per hour
Office administrator 2 salaries reported	$16.50 per hour
Licensed clinical social worker 2 salaries reported	$32.50 per hour
Front office specialist 1 salary reported	$16.50 per hour
Surgical technician 2 salaries reported	$17.50 per hour

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