Home Health Field Registered Nurse; RN

21st Century Home Health Services (21

HHS) is the largest home health agency in San Francisco and the fastest‑growing in the Bay Area. We care for over 4,000 patients across multiple counties.

All opportunities require field visiting patients in their homes.

This entry‑level Field Registered Nurse position works under a Case Manager Registered Nurse.

San Francisco

• Providing hands‑on patient care within RN license scope, including PICC lines, wound vacs, kangaroo & feeding pumps, management of NG, G, and J tubes, staple & suture removal, various drains, foley/suprapubic catheters, PleurX drainage, trach care, blood draws, ostomy management, SQ & 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 pertinent to diagnosis and plan of care.
• Assisting the registered nurse in performing skilled procedures and duties, preparing equipment and materials, and teaching patients appropriate self‑care techniques.
• Participating in coordination of home health services and reporting identified needs for other disciplines to the Case Management RN or other team members.
• 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 to establish priorities of care.
• Providing a timely and pertinent report to the Case Manager.
• Recording pertinent and concise information that reflects patients’ needs, problems, capabilities, limitations, and responses to nursing interventions.
• Accurately recording any incident that bears on the patient.
• Reporting pertinent information timely to the Case Management Registered Nurse and to the provider.
• Attending weekly Case Conferences as required to coordinate and communicate patient care information.
• Ensuring patient privacy in maintaining medical records and while 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 (LVN/RN) is required.
• 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.
• Current California Registered Nurse License (RN).
• Current Basic Life Support (BLS) certification.
• Valid California Driver’s License with an acceptable driving record.
• All licenses and certifications must be current at hire and sustained throughout employment.
• Self‑directed, critical thinker, outstanding interpersonal skills, organized, computer literate. 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.

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.

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