Home Health Field Registered Nurse (RN)

At 21st Century Home Health Services (21HHS), we are committed to treating every patient with the same empathy, compassion and understanding that we would show our family. With over 400 employees, we are the largest Home Health Agency in San Francisco and the fastest growing in the Bay Area. We provide care to over 3,000 patients in San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado and Sacramento Counties.

Our Clinicians are not only dedicated to the patients we serve, but to each other. The proof is in our outcomes : Hospital readmission rates for 21st Century HHS are consistently under 10% while the industry average is over 15%.

21HHS has set a new standard for employee satisfaction in the home health industry, achieving industry-leading engagement results. Recognized as a 2024 Top Workplace , 21HHS fosters a supportive and empowering work environment through open communication, professional growth opportunities, and a culture of recognition.

Key accomplishments include :

San Francisco Chronicle's Top Workplaces in the Bay Area : Ranked 3rd among medium-sized companies and 1st among Home Health Agencies.

Nationwide Healthcare Recognition : Ranked 12th among medium-sized healthcare companies and 1st among Home Health Agencies.

Positive reviews from patients and employees on platforms like Yelp, Google, Glassdoor, and Indeed further validate 21HHS's commitment to quality care and workplace excellence. By prioritizing employee engagement and satisfaction, 21HHS attracts top talent and ensures exceptional care for its patients, cementing its status as a leader in the home health industry.

All Opportunities at 21hhs require you to be in the field visiting patients homes. We do not offer work from home / remote opportunities unless noted.

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 an Case Manager Registered Nurse position.

Required Schedule : Tuesday - Saturday or Sunday - Thursday

DUTIES AND RESPONSIBILITIES

• Providing hands-on patient care including, but not limited to (must be within RN license scope) : 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, and troubleshooting), PleurX drainage system ,Trach care, Blood draws, Ostomy management ,SQ and IM injections, IV antibiotic / TPN administration and 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 needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques
• Participates in coordination of home health services, appropriately reporting the 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. Uses information received as a basis for establishing priorities of care
• Gives a timely and pertinent report to the Case Manager
• Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions
• Entries will accurately record any incident that has a bearing on the patient.
• Reports pertinent information timely to the Case Management Registered Nurse and to Provider
• Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment
• Ensures patient privacy in maintaining medical records and when 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

Job Specifications

$130,000 - $160,000 a year

Estimated Wage Range for Home Health Registered Nurse (RN) : $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match.

21st Century is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.