Home Health Field Registered Nurse; RN

About 21st Century Home Health Services (21

HHS)

21

HHS is the largest home health agency in San Francisco and the fastest‑growing in the Bay Area, caring for more than 4,000 patients across eight counties. With over 600 employees, we treat every patient with empathy, compassion, and understanding, and we maintain hospital readmission rates consistently under 10%, below the industry average. 21

HHS is a 2024 Top Workplace and has received national recognition as a leading home‑health provider.

$130,000 – $160,000 per year, based on skills and experience.

Comprehensive health benefits and a 401(k) plan with up to a 4% match.

• Providing hands‑on patient care including PICC lines, wound VACs, feeding pumps, NG/GS/J tubes, drains, Foley/suprapubic catheters, trach care, blood draws, ostomy management, injections, IV antibiotics/TPN, and compression wraps.
• Performing direct patient care as defined in the state Nurse Practice Act.
• Implementing a plan of care initiated by the Case Manager RN.
• Maintaining accurate, timely documentation within 24–48 hours.
• Assessing patients and educating families/caregivers.
• Assisting with skilled procedures and teaching self‑care techniques.
• Coordinating home‑health services and reporting needs to other disciplines.
• Using equipment and supplies efficiently.
• Pursuing personal and professional growth.
• Performing duties assigned by the Case Manager RN.
• Prioritizing care based on assigned patient communication.
• Providing timely, pertinent reports to the Case Manager.
• Recording information that reflects patient needs, challenges, capabilities, and outcomes.
• Documenting incidents accurately.
• Reporting information promptly to the Case Management RN and providers.
• Attending weekly Case Conferences as required.
• Ensuring patient privacy and maintaining medical records confidentiality.
• Maintaining professionalism and enhancing clinical knowledge.
• Meeting productivity standards directed by the Case Manager RN.
• Reviewing Start‑of‑Care assessments with the Case Manager.
• Participating in on‑call duties during weekend rotations.

• One (1) year of recent nursing experience (waivable for internal candidates and new grads).
• Preferred:
  One year of home‑health experience.
• Experience with high‑acuity patients is a plus.
• Experience working with interdisciplinary teams.
• Bachelor's degree from an accredited nursing program.
• California Registered Nurse (RN) license.
• Basic Life Support (BLS) certification.
• Valid California driver's license with an acceptable driving record.
• All licenses and certifications current at hire and sustained throughout employment.
• Self‑directed, critical thinker, outstanding interpersonal communication, organized, computer literate, observant, and proficient in basic math and nursing competencies.
• Committed to annual compliance training and certification updates.
• #indeed
  21hhsHP

Anticipated coverage:
Napa / American Canyon areas.

Entry‑level

Full‑time

Health Care Provider

21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We 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.

We may use AI tools to support parts of the hiring process, such as reviewing applications and analyzing resumes. These tools assist our hiring team but do not replace human judgment. Final hiring decisions are made by humans. For more information about how your data is processed, please contact us.