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.


Full time Certified Home Health Aide (CHHA) 

Territory: Elk Grove and Surrounding area


Under the direct supervision of an RN Case Manager, you will provide patient care according to the Plan of Care.

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What you’ll do as a Certified Home Health Aide (HHA):
  • Provide personal care including, baths, back rubs, oral hygiene, shampoos, and changing bed linen
  • Assist patients with dressing and undressing
  • Provide skin care to prevent breakdown
  • Assist the patient with toileting activities
  • Keep patient’s living area clean and orderly, as appropriate
  • Assist in feeding the patient, if necessary.
  • Perform range of motion and other simple procedures as an extensional therapy service as ordered (with appropriate completed/demonstrated skills competency).
  • Assist patient in the self-administration of medication.
  • Meet safety needs of patients and using equipment safely and properly (foot stools, side rails, etc.).
  • Report on patient’s condition and significant changes to the assigned nurse.


Why you Should Come Work for us a Certified Home Health Aide:
  • Small coverage areas
  • Low turnover/High morale
  • 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 a Certified Home Health Aide
  • Valid CHHA CA Certification
  • Current BLS/CPR Certification
  • Valid CA Driver's License
  • Excel at building rapport with patients and providing the highest quality of care
  • Experience home health care is highly preferred
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is highly desired
  • Self-Directed
  • Empathetic
  • Critical thinker
  • Outstanding interpersonal skills
  • Organized
  • Prior to scheduling an in-person interview, all Candidates are required to complete a computer literacy and competency assessment. This is to ensure you are set up for success and can navigate in our environment including electronic charting, shared understanding of company values and use of our web based communication application. The results of the assessment are confidential and will be used as one of multiple data points included in the hiring decision process.



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$55,000 - $90,000 a year
Estimated Wage range Certified Home Health Aide (CHHA): 55,000.00 - 90,000.00 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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