Home Health Field Registered Nurse; RN

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.

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.

• Providing hands‑on patient care within RN license scope, including PICC lines, wound vacs & care, kangaroo & feeding pumps, management of NG, G, and J tubes, staple & suture removal, drains such as JP, biliary, nephrostomy, foley/suprapubic catheters (insertion, removal, troubleshooting), pleurx drainage system, trach care, blood draws, ostomy management, SQ and IM injections, IV antibiotic/TPN administration, and compression wraps.
• Providing direct patient care as defined in the state Nurse Practice Act.
• Implementing a plan of care initiated and directed by the Case Management Registered Nurse.
• Providing accurate and timely documentation within 24‑48 hours consistent with the plan of care.
• Assessing and providing patient and family/caregiver education and information pertinent to diagnosis and plan of care.
• Assisting the registered nurse in performing skilled need procedures and duties, including preparing equipment and materials for treatments and teaching patients appropriate self‑care techniques.
• Participating in coordination of home health services, appropriately reporting identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines.
• Using equipment and supplies effectively and efficiently.
• Participating in personal and professional growth and development.
• Performing other duties as assigned by the Case Management Registered Nurse.
• Retrieving communication on assigned patients and using information received to establish priorities of care.
• Giving a timely and pertinent report to the Case Manager.
• Recording pertinent and concise information that reflects patients' needs, problems, capabilities, and limitations, as well as the patients' response to nursing interventions.
• Accurately recording any incident that has a bearing on the patient.
• Reporting pertinent information timely to the Case Management Registered Nurse and to provider.
• Attending weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment.
• Ensuring patient privacy in maintaining medical records and when providing care.
• Maintaining professionalism and seeking opportunities to enhance knowledge of clinical skills.
• Maintaining productivity standards as directed by the Case Management Registered Nurse.
• Completing and reviewing Start of Care assessments, documentation, and plans of care with the Case Manager, as needed.
• Participating in on‑call duties as required by weekend rotation.

• One (1) year of recent nursing 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,…