At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties.


Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%.

We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.


Key achievements include:


San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among all medium-sized companies and 1st among home health agencies.


National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.


Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.


Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted.


Full- Time Clinical Supervisor: Nursing

Anticipated Coverage area: Marin County



In this leadership role, reporting the Director of Nursing, you will be responsible for ensuring that patient care is coordinated and managed appropriately by a team of Registered Nurse (RN) Case Managers and LVNs.  You will serve as the first point of esculation ensuring support is easily accessible in a timely fashion; You will participate in the Identifation, development, design, and implementation of nursing educational programs to support clinical excellence and determine success measures and evaluate the effectiveness of these programs to promote ongoing staff development as well as patient and customer satisfaction. You will also meet regularly with our customer to maintain relationships and provide updates such as readmission reports, offering inisghts to improve patient outcomes and reduce readmissions.


This is a hybrid of field work and on site based at 21HHS office:


Office: Spend 2 days per week in the office for administrative and team management duties.


Fieldwork: Spend 3 days per week (average 12+ per week) in the field conducting supervisory visits and offering direct support to RN Case Managers

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What you'll do as the Clinical Supervisor - Nursing
  • Responsible for in the field oversight of clinicians who provide care and treatment to patients in their place of residence.
  • Daily patient activities: Handles incoming calls timely, and follows up as necessary to ensure appropriate actions are taken to meet the internal and external customer needs.
  • Coordinates training and educational programs for nurses within the field to improve clinical outcomes and competencies. 
  • Assesses staff learning needs and formulates specific plans and goals for next evaluation period with employees, performs administrative call duties, and serves as a role model and resource for staff. 
  • Functions as the first point of contact for field clinicians to assist in patient care escalations etc. 
  • Coordinates at least bi-weekly Case Conferences with clinical team to discuss patients' progress and for revision of the care plan as needed to meet planned outcomes.
  • Reviews and evaluates each case by reviewing the services provided by clinicians, conferences, record review, discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate.
  • Reviews patient’s clinical diagnosis, medications, procedures and clinical course.
  • Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing a plan of care.


Why you should come work for us
  • Rapidly growing area
  • Low turnover/High morale
  • Career Opportunities
  • Helpful software and communication tools
  • Outstanding benefits for you and your family including 401k with matching. Generous PTO, Medical, Dental, Life Insurance, Flexible Spending Accounts (FSA), Pet Insurance and More!
  • Competitive compensation


To be a Success as the Clinical Supervisor - Nursing
  • Two years' management or supervisory experience within the past five (5) years in a health care setting, preferably in Home Health.
  • Graduate of an accredited school of nursing, Bachelor’s Degree preferred.
  • Current CA Registered Nurse License (RN) 
  • Current Basic Life Support (BLS) Card
  • Valid CA Drivers License with acceptable driving record All license and certifications must be current at time of hire and sustained throughout your employment


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$155,000 - $170,000 a year
Wage range Clinical Supervisor: 1550,000.00- 170,000.00 plus a generous annual bonus of $40,000.00, paid quarterly. Starting pay is commensurate with relevant experience above the minimum requirements.  21st Century offers generous bonus incentive plans, comprehensive health benefits and 401k (Up to 4% match)
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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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