Registered Nurse Case Manager, Level 2

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 we are actively expanding into Marin and Sonoma counties.

Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21

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

We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21

HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.

• San Francisco Chronicle Top Workplaces in the Bay Area:
  Ranked 3rd among all medium‑sized companies and 1st among home health agencies.
• National Recognition:
  Ranked 12th among medium‑sized healthcare companies nationwide and 1st among home health agencies.

Please note:

All opportunities at 21

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

Anticipated Territory:
Petaluma, CA Area

• Utilize your outstanding clinical skills to create, implement and execute the overall plan of care to promote wellness and prevent re‑hospitalization for patients in their homes.
• Oversight of 2 nurses who are responsible for executing your care plan.
• Conduct comprehensive patient assessments such as Start of Cares (SOCs), Evaluations, Resumption of Care and discharge planning.
• Assists and teaches patients and their family/caregivers with wound care, blood draws, tube feedings, tracheostomy care, foley catheters, congestive heart failure (CHF) management and medication education in the patients' homes.
• Perform a full assessment of the patient & family upon initial visit.
• Use assessment data to develop an advanced plan of care including rehabilitation.
• Work with patients and family one on one to achieve improvement and/or stability.
• Case‑manage patients’ care episode with interdisciplinary clinical team.
• Prepare clinical notes, orders and charting in a compliant time frame.
• Collaborate with physicians and agency staff to deliver the best care possible.

• Concierge for Case Managers:
  Dedicated resources assist with time‑consuming administrative tasks.
• Flexible work schedules:
  Create your own schedule and hours.
• Autonomy:
  No clocking in/out.
• Opportunity for advancement. We have multiple tiers for RNs including Admission Nurses, RNI, RNII, and clinical leadership and support opportunities.
• Low turnover/high morale.
• Helpful software and communication tools.
• Outstanding benefits for you and your family including 401k with matching, generous PTO, medical, dental, life insurance, employee assistance program, flexible spending accounts, pet insurance and more.
• Competitive compensation with achievable incentive bonus program.

• One year of Home Health Case Management experience is preferred.
• Minimum of one year of Nursing Experience required; two+ years preferred.
• Experience supervising, mentoring nurses is highly preferred.
• Current and unrestricted CA RN license.
• Current BLS/CPR certification.
• Valid CA Driver's License.
• High level of clinical knowledge in home health care is key.
• Experience with high‐acuity patients is a plus.
• Experience working with an interdisciplinary team is required.
• Case Management fundamentals are required.
• Self‑directed.
• Empathetic.
• Critical thinker.
• Outstanding interpersonal skills.
• Leadership skills.
• Organized.

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.

Target Wage range Registered Nurse, Level 1: ‑ plus 20,000.00 Annual Bonus, paid quarterly. Starting pay is commensurate with relevant experience above the minimum requirements. 21st Century offers generous bonus incentive plans, comprehensive health benefits and 401k (Up to 4% match).