Occupational Therapist (Home Health

At 21st Century Home Health Services (21

HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are 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 San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado and Sacramento counties and are actively expanding into Marin and Sonoma counties.

Hospital readmission rates at 21

HHS consistently remain under 10%, compared to an industry average of over 15%.

Please note:

All opportunities at 21

HHS require being in the field visiting patients in their homes. Remote or work‑from‑home positions are not available unless specifically noted.

In partnership with the Case Manager you will provide skilled services to evaluate and address the needs of individuals in their homes, so they can live safely and productively in their home environment. These areas may include home safety, medication management, wheelchair seating and positioning, pain management, falls prevention, management of chronic diseases and dementia, and family caregiver training. You will serve as an educator, patient advocate and a member of the interdisciplinary care team.

• Flexible work schedules: create your own schedule and hours.
• Targeted territory – smaller coverage area than any other home health company.
• Autonomy: no clocking in/out.
• Low turnover and high morale.
• Helpful software and communication tools.
• Outstanding benefits: 401(k) with matching, generous PTO, medical, dental, life insurance, flexible spending accounts (FSAs), pet insurance and more.
• Competitive compensation with an achievable incentive bonus program.
• Concierge services (charting, quality and administrative tasks).

• Current unrestricted California Occupational Therapist license.
• Current BLS/CPR certification.
• Valid California driver’s license.
• Knowledge of local community resources is required.
• Knowledge and understanding of individual development and human behavior as it relates to the effects of illness/injury and the influence of culture on health care.
• Knowledge of state and federal homecare regulatory guidelines preferred.
• Experience in home health care highly preferred.
• Experience with high‑acuity patients is a plus.
• Experience working with an interdisciplinary team highly desired.
• Case management fundamentals highly desired.
• Self‑directed, empathetic and critical thinker.
• Outstanding interpersonal skills, leadership skills and organized.

* You will be assigned a primary location; however, you may occasionally be asked to provide coverage outside of that area. This may include supporting vacancies, leaves of absence, higher patient census, or other client care needs. While 21st Century Home Health makes every effort to maintain your primary territory, temporary reassignments may be necessary to ensure safe, high‑quality patient care and to meet the needs of our growing organization.

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.