Home Health Field Registered Nurse; RN

Overview

At 21st Century Home Health Services (21

HHS), we treat every patient with empathy, compassion, and understanding. With more than 600 employees, we are the largest home health agency in San Francisco and are expanding in the Bay Area. We care for more than 4,000 patients across multiple counties and are actively expanding into Marin and Sonoma counties.

Our clinicians are dedicated to both patients and one another. Our hospital readmission rates consistently remain under 10%, compared to the industry average of over 15%. We were recognized as a 2024 Top Workplace and offer opportunities for professional development and growth.

Key achievements include: San Francisco Chronicle Top Workplaces in the Bay Area (3rd among all medium-sized companies, 1st among home health agencies) and National Recognition (12th among medium-sized healthcare companies nationwide, 1st among home health agencies).

Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed validates our commitment to quality care and workplace excellence. All opportunities at 21

HHS require being in the field visiting patients in their homes.

This entry-level Field Registered Nurse position is 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.

This position works under a Case Manager Registered Nurse position.

Location:

Lamorinda Area.

• Providing hands-on patient care within RN scope (e.g., PICC lines, Wound Vacs & Care, Kangaroo & feeding Pumps, NG/G/J tubes management, staple & suture removal, drains such as JP and Biliary, Foley/suprapubic catheters with insertion/removal/troubleshooting, Pleur
  
  X drainage, trach care, blood draws, ostomy management, SQ/IM injections, IV antibiotics/TPN administration, and compression wraps).
• Provide direct patient care as defined in the state Nurse Practice Act.
• Implement a plan of care initiated and directed by the Case Management Registered Nurse.
• Provide accurate and timely documentation within 24–48 hours consistent with the plan of care.
• Assess and provide education to patient and family/caregivers pertinent to diagnosis and plan of care.
• Assist the RN in performing skilled procedures, including preparing equipment and teaching self-care techniques.
• Coordinate home health services and report identified needs to the Case Management RN or other disciplines as appropriate.
• Use equipment and supplies efficiently and participate in ongoing professional development.
• Participate in weekly Case Conferences and ensure patient privacy in medical records and care delivery.
• Maintain professionalism and productivity standards as directed; participate in Start of Care assessments and plans of care with the Case Manager as needed.
• Participate in on-call duties as required by weekend rotation and provide timely reports to the Case Manager and Provider.
• Document concisely to reflect patient needs, problems, capabilities, and responses to nursing interventions.
• Maintain open communication with the Case Management RN and other team members to coordinate patient care.

• One (1) year of recent nursing experience (experience requirement may be waived for internal candidates/new grad postings).
• 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 Driver s License with acceptable driving record.
• All licenses and certifications must be current at time of hire and sustained throughout employment.
• Strong communication, critical thinking, organization, and computer literacy with the ability to document and problem-solve effectively.
• Maintain annual compliance training and certifications.

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 race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected by law.

We may use artificial intelligence (AI) tools to support parts of the hiring process. Final hiring decisions are made by humans.