Home Health Field Registered Nurse; RN

Position Overview

Entry‑level Field Registered Nurse position designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. Serves as a foundational role for registered nurses aspiring to advance into case management. Works under a Case Manager Registered Nurse.

Required schedule:
Tuesday‑Saturday or Sunday‑Thursday. All opportunities require field visits to patients’ homes.

Largest home health agency in San Francisco and the fastest‑growing in the Bay Area, with more than 600 employees and care for over 4,000 patients across multiple counties. Recognized as a 2024 Top Workplace and ranked 3rd among medium‑sized companies in the San Francisco Chronicle top workplaces, and 12th nationally among medium‑sized healthcare companies.

• Providing hands‑on patient care including PICC lines, wound vac & care, kangaroo & feeding pumps, NG/G/J tube management, staple & suture removal, drainage systems, Foley/suprapubic catheters, etc.
• 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 hrs.
• 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, preparing equipment and materials and teaching self‑care techniques.
• Participates in coordination of home health services, reporting needs for 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; uses information to establish priorities of care.
• Records pertinent and concise information that reflects patient needs, problems, capabilities, and limitations.
• Records and reports any incident that has a bearing on the patient.
• Attends weekly case conferences as required.
• Ensures patient privacy in maintaining medical records.
• Maintains professionalism and seeks opportunities to enhance clinical knowledge.
• Maintains productivity standards as directed.
• Completes and reviews start‑of‑care assessments, documentation, and plans of care with the case manager.
• Participates in on‑call duties as required by weekend rotation.

• One year recent nursing experience (internal candidates may be exempt).
• Preferred: one year of home health experience.
• Experience with high‑acuity patients is a plus.
• Experience working with an interdisciplinary team is highly desired.
• Graduate of an accredited nursing school (Bachelor's degree).
• Current CA RN license.
• Current Basic Life Support (BLS) card.
• Valid CA driver’s license with acceptable record.
• All licenses and certifications must be current at hire and throughout employment.
• Self‑directed, critical thinker, outstanding interpersonal skills, organized, computer literate; excellent observation, verbal and written communication, problem‑solving, basic math; nursing skills per competency checklist.
• Must maintain current compliance training and certifications annually.

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.

Estimated wage range: $130,000 – $160,000 per year, based on experience above the minimum requirements. Compensation follows a pay‑per‑visit model. Benefits include comprehensive health coverage and a 401(k) plan with up to a 4% match.