Home Health Field Registered Nurse; RN

About the Role

Entry‑level Field Registered Nurse position providing hands‑on patient care in the patient’s home. Serves as foundation for nurses aspiring to advance into case management. Works under a Case Manager Registered Nurse.

• Providing hands‑on patient care within RN scope: PICC lines, wound vacs & care, kangaroo and feeding pumps, management of NG, G, J tubes, staple & suture removal, drains (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, compression wraps.
• Provides direct patient care as defined in the state Nurse Practice Act.
• Implements a plan of care initiated and directed by the Case Management Registered Nurse.
• Provides accurate and timely documentation within 24‑48 hours consistent with the plan of care.
• Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care.
• Assists the registered nurse in performing skilled nursing procedures including preparing equipment and materials for treatments and teaching patient self‑care techniques.
• Participates in coordination of home health services, reporting identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or 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 Registered Nurse.
• Retrieves communication on assigned patients and prioritizes care accordingly.
• Gives a timely and pertinent report to the Case Manager.
• Records pertinent and concise information reflecting patients’ needs, problems, capabilities, limitations, and response to nursing interventions.
• Records any incident that has a bearing on the patient accurately.
• Reports pertinent information timely to the Case Management Registered Nurse and to provider.
• Attends weekly Case Conferences as required to coordinate and communicate patient care and treatment information.
• Ensures patient privacy in maintaining medical records and while providing care.
• Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills.
• Maintains productivity standards as directed by the Case Management Registered Nurse.
• Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed.
• Participates in on‑call duties as required by weekend rotation.

• One (1) year of recent nursing experience; requirement may be waived for internal candidates or new graduates.
• One year of home health care experience preferred.
• Experience with high acuity patients a plus.
• Experience working with an interdisciplinary team 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, computer literate.
• Excellent observation, verbal and written communication, problem‑solving, basic math skills; nursing skills per competency checklist.
• Must maintain current with annual compliance training and certifications.

Estimated wage range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay based on relevant experience above the minimum requirements. Compensation follows a pay‑per‑visit model. The organization offers comprehensive health benefits and a 401(k) plan with up to a 4% match.

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.