Job Description

Overview

At 21st Century Home Health Services (21HHS), we treat every patient with empathy, compassion, and understanding. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. We care for more than 4,000 patients across multiple counties and are actively expanding into Marin and Sonoma counties.

Our clinicians are dedicated to patients and to one another. We maintain hospital readmission rates under 10%, compared to the industry average of over 15%. We were recognized as a 2024 Top Workplace and strive to foster support, growth, and professional development. Our achievements include: San Francisco Chronicle Top Workplaces in the Bay Area (3rd among medium-sized companies and 1st among home health agencies) and National Recognition (12th among medium-sized healthcare companies nationwide and 1st among home health agencies). We prioritize patient and employee feedback to deliver quality care and workplace excellence.

Please note: All opportunities require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted.

This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting and to understand 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 position.

Required Schedule: Tuesday - Saturday or Sunday - Thursday.

Duties and Responsibilities

• Providing hands-on patient care within RN license scope: PICC lines, Wound Vacs & Care, Kangaroo & feeding pumps, management of NG, G, and J tubes, staple & suture removal, drains (e.g., JP, Biliary, Nephrostomy), Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage system, tracheostomy care, blood draws, ostomy management, SQ and IM injections, IV antibiotics/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 in line with the plan of care
• Assesses and provides patient and family/caregiver education related to diagnosis and plan of care
• Assists the RN in performing skilled procedures and duties, including preparing equipment and teaching self-care techniques
• Participates in coordination of home health services, reporting needs for other disciplines 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 timely reports to the Case Manager
• Records pertinent information reflecting patients needs, problems, capabilities and response to nursing interventions
• Reports incidents timely to the Case Management Registered Nurse and to the Provider
• Attends weekly Case Conferences as required to coordinate patient care
• Maintains patient privacy and professional conduct in records and care
• 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

Job Specifications

• One (1) year of recent nursing experience (experience requirement may be waived for internal candidates and/or new grad postings)
• 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 (Bachelors degree)
• Current CA Registered Nurse License (RN)
• Current Basic Life Support (BLS) Card
• Valid CA Drivers License with acceptable driving record
• All licenses and certifications must be current at time of hire and sustained throughout employment
• Self-directed, critical thinker with excellent interpersonal, organizational, communication, problem-solving, and math skills; nursing skills per competency checklist
• Must stay current with annual compliance training and certifications

Compensation

Estimated wage range: $130,000 - $160,000 per year. Starting pay is based on relevant experience above the minimum requirements. Compensation follows a pay-per-visit model. 21HHS offers comprehensive health benefits and a 401(k) plan with up to a 4% match.

Note: 21st Century is an equal opportunity employer, committed to a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other protected characteristic.

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