Home Health Field Registered Nurse; RN

Overview

21st Century Home Health Services (21

HHS) treats every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, 21

HHS is the largest home health agency in San Francisco and the fastest‑growing in the Bay Area. Today we care for more than 4,000 patients across many counties and are actively expanding into Marin and Sonoma counties.

Please note:

All opportunities at 21

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

• Providing hands‑on patient care within RN license scope: PICC lines, wound vacs & care, Kangaroo & feeding pumps, NG/G/J tube management, stapling and suture removal, JP/Biliary/Nephrostomy drains, Foley/suprapubic catheters, Pleur
  
  X drainage, tracheostomy care, blood draws, ostomy management, SQ and IM injections, IV antibiotic/TPN administration, 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 RN.
• 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 teaching the patient appropriate self‑care techniques.
• Participates in coordination of home health services, reporting 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 RN.
• Retrieves communication on assigned patients and uses information as a basis for establishing priorities of care.
• Gives a timely and pertinent report to the Case Manager.
• Records pertinent and concise information reflecting the patient’s needs, problems, capabilities and limitations, and the patient’s response to nursing interventions.
• Entries accurately record any incident bearing on the patient.
• Reports pertinent information timely to the Case Management RN and to Provider.
• Attends weekly Case Conferences as required.
• Ensures patient privacy in maintaining medical records and providing care.
• Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills.
• Maintains productivity standards as directed by the Case Management RN.
• 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 Driver’s 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.

Estimated Wage Range: $130,000–$160,000 per year. Compensation follows a pay‑per‑visit model, with the wage provided as an estimate.

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

Entry level

Full‑time

Health Care Provider

Hospitals and Health Care

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.