Home Health Field Registered Nurse (RN)

apartment 21st Century Home Health Services location_onArden-Arcade, CA, US

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.

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.

Coverage Area: Arden-Arcade, Carmichael, North Highlands area.

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

One (1) year of recent nursing (RN, LVN) experience 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 (Bachelor's degree)
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 employment
Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. 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

$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, 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.

Share this job

Related Jobs

Full-time

Registered Nurse (RN)

apartment Rancho Seco Care Center location_onGalt, CA

We are seeking a motivated charge nurse with excellent leadership and communication skills. As a successful candidate, you will provide assistance and care for patients, supervise nursing staff, offer guidance and support, maintain a clean and safe working environment, and ensure that all operational tasks are completed efficiently and on time. To excel in this role, you will need to be a licensed nursing professional with at least 1 year of experience in a healthcare environment. You should enjoy working with people, have excellent organizational skills, and the ability to work under pressure. Charge Nurse Responsibilities Record patients’ medical records and monitor vital signs. Supervising nursing staff and monitoring their needs. Coordinating daily administrative duties, including schedules, nursing assignments, and patient care. Overseeing patient admissions, transfers, and discharges. Mentoring and training new staff and providing support and guidance to all staff members. Monitoring medical charts and providing compassionate care and assistance to patients and families. Liaising with doctors and administrators and communicating any protocol changes to staff. Ensuring compliance with all health and safety regulations. Recording and maintaining accurate reports. Identifying issues or emergencies and responding in a calm and efficient manner. Charge Nurse Requirements Associate’s degree in nursing. Licensed as a RN Further certification may be required. Prior experience in a healthcare facility required. Excellent leadership, communication, and organizational skills. Compassionate with sound judgment and problem-solving skills. Proficient in Microsoft Office and medical software systems. Ability to handle stress and work shifts.

Full-time

RNA

apartment Rancho Seco Care Center location_onGalt, CA

Job Position: The primary purpose of your job position is to perform restorative nursing assistant procedures that maximize the resident’s existing abilities, emphasize independence instead of dependence, and minimize the negative effects of disability with an attitude of realistic optimism under the supervision of a restorative nurse. Qualifications: Must possess Certified Nursing Assistant license. Experience: Must have training in rehabilitative and restorative therapy practices.

Home Health

Hospice

Full-time

Registered Nurse Case Manager (RNCM) - Home Health - Full Time - Yolo County

apartment Bridge Home Health & Hospice location_onWoodland, CA

Req #382 Job Description Summary The Registered Nurse Case Manager plans, organizes and directs care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Essential Job Functions/Responsibilities Patient Care: Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. Assesses and evaluates patient’s status by writing and initiating plan of care. Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care as necessary Initiates the plan of care and makes necessary revisions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self- sufficiency and optional comfort care. Maintain current documentation on EMR system according to organization policies/procedures and applicable laws/regulations. The RN Case Manager, when assigned by the Clinical Manager/DPCS, assumes responsibility to coordinate patient care for an assigned case load. The Admission RN may act as Case Manager when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate patient care for assigned caseload. The RN Case Manager may act as an Admission Nurse when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate with intake, program staff and management to complete a patient initial admission/assessment with plan of care. Communication: Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Additional Duties: Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and Inservice classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities. Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description Job Qualifications: A graduate of a National League of Nursing accredited school of nursing. Current licensure in state of practice and current CPR certification. Must possess a valid California Driver’s License and can show proof of valid auto insurance. California only: May have an RN license and practiced as an RN for a minimum of one year with prior LVN experience in public health, home care, Hospice, Hospital or Skilled nursing facility. All States: Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. A minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing is preferred. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Management experience not required. Responsible for supervising hospice aides. Self-directed and able to work with minimal supervision. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stop bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours The ability to walk intermittently on level and or unlevel surface for less than 1 hour The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours The ability to lift 50 pounds frequently for 3-6 hours The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours The ability to pull greater than 50 pounds occasionally for 1-3 hours.

ICU

Travel

Part-time

Travel ICU RN job in Woodland, CA - Make $2,342 to $2,558/week

apartment Aya Healthcare location_onWoodland, CA

Aya Healthcare has an immediate opening for the following position: ICU Registered Nurse in Woodland, CA. We’ll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we’ve got you. Job Details Pay: $2,342/week - $2,558/week Assignment Length: 16-week assignment Shift: 3, 12-Hour 19:00 - 07:30 At least one year of experience required Aya delivers: The most jobs in the industry. We have the largest and most reliable job database, which means the jobs you see are open, updated in real time and ready for you! Competitive advantage over other agencies. Front-of-the-line access through our direct facility relationships — many with quick (even same-day) offers, giving you the best chance of securing your ideal opportunity. Expedited licensing and streamlined compliance. An industry-leading on-time start rate and strong relationships with boards of nursing across the country to accelerate the process in all 50 states. Expert career guidance. A dedicated recruiter to help you achieve your dream career. Travel, per diem, permanent — we have the reach and access to get you the jobs you want, and the expertise to help you realize your long-term goals. A best-in-class support system and an exceptional experience. Enjoy accurate, weekly pay, and an entire team dedicated to your happiness on assignment, 24/7. Plus, you get everything you expect from the largest healthcare staffing company in the industry: Exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment. Want to take time off? Keep insurance coverage for up to 24 days between assignments. A generous 401(k) match. Paid company housing (we’ll help you bring your pets along, too!) or a generous housing stipend, if eligible. Paid sick time in accordance with all applicable state, federal, and local laws. Aya’s general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling. The industry’s only clinical ladder program for RNs on assignment. Access to unlimited continuing education units online. Licensure, relocation and other reimbursements, when applicable. Pay listed above includes taxable wages and tax-free expense reimbursements. Aya is an Equal Employment Opportunity ("EEO") Employer and welcomes all to apply.

Other

Registered Nurse (RN) PRN Night

apartment Wellpath location_onWoodland, CA

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference As a Registered Nurse (RN), your primary responsibility is to provide patient care using the nursing process of assessment, planning, implementation, and evaluation. You will work under the supervision of Charge Nurse(s) to provide patient education and activities in accordance with your competencies and education. This role requires excellent communication and critical thinking skills to ensure optimal patient outcomes. Key Responsibilities Assist in assessing and planning individual treatment programs, consulting with Charge Nurse(s) and other staff as necessary. Implement medical plans by administering medications, obtaining diagnostic tests, and assisting with medical or minor surgical procedures as needed. Count controlled substances and implement clinical and technical aspects of care in accordance with established policies, procedures, and protocols. Document nursing encounters using the SOAP form of charting as required by policy and attend mandatory staff meetings and training. Communicate information to nursing staff, physician, health care unit supervisory personnel or other staff as necessary. Additional Details PRN Night Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Registered Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.