Home Health Field Registered Nurse; RN

Position Overview

Entry‑level Field Registered Nurse position designed to develop fundamental nursing skills within a home‑health setting while gaining an understanding of the company’s operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management. Coverage Area:
Sacramento. All opportunities require field visits to patients in their homes.

• Providing hands‑on patient care including PICC lines, wound vacs & care, kangaroo & feeding pumps, management of NG, G, and J tubes, staple & suture removal, drains such as JP, biliary, nephrostomy, Foley/suprapubic catheters (insertion, removal, and troubleshooting), Pleur
  
  X drainage system, trach care, blood draws, ostomy management, SQ and IM injections, IV antibiotic/TPN administration and compression wraps.
• Provides direct patient care as defined in the state Nurse Practice Act.
• Implements a plan of care initiated and directed by the Case Management Registered Nurse.
• Provides accurate and timely documentation within 24‑48 hours consistent with the plan of care.
• Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care.
• Assists the registered nurse in performing skilled needs procedures and duties, including preparing equipment and materials for treatments and assisting the patient in learning appropriate self‑care techniques.
• Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines.
• Uses equipment and supplies effectively and efficiently.
• Participates in personal and professional growth and development.
• Performs other duties as assigned by the Case Management Registered Nurse.
• Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care.
• Gives a timely and pertinent report to the Case Manager.
• Records pertinent and concise information that will reflect the patients’ needs, problems, capabilities and limitations, as well as the patients’ response to nursing interventions.
• Entries will accurately record any incident that has a bearing on the patient.
• Reports pertinent information timely to the Case Management Registered Nurse and to Provider.
• Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment.
• Ensures patient privacy in maintaining medical records and when providing care.
• Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills.
• Maintains productivity standards as directed by the Case Management Registered Nurse.
• Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed.
• Participates in on‑call duties as required by weekend rotation.

• One (1) year of recent nursing experience; experience requirement may be waived for internal candidates and/or new grad posting.
• One year of home health care experience is preferred.
• Experience with high acuity patients is a plus.
• Experience working with an interdisciplinary team is highly desired.
• Graduate of an accredited school of nursing (Bachelor’s degree).
• Current CA Registered Nurse License (RN).
• Current Basic Life Support (BLS) Card.
• Valid CA Drivers License with acceptable driving record.
• All license and certifications must be current at time of hire and sustained throughout employment.
• Self‑directed, critical thinker, outstanding interpersonal skills, organized, computer literacy; excellent observation, verbal and written communication skills, problem‑solving skills, basic math skills; nursing skills per competency checklist.
• Must maintain current with annual compliance training and certifications.

$130,000 - $160,000 per year. Starting pay is based on relevant experience above the minimum requirements. Compensation follows a pay‑per‑visit model. The role includes comprehensive health benefits and a 401(k) plan with up to a 4% match.

21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.