RN Home Health Full-time
21st Century Home Health Services

Registered Nurse Case Manager: Home Health

$120,000 - $135,000 / year

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 Registered Nurse Case Manager

Anticipated Territory: Sonoma


What you’ll do as a Registered Nurse (RN) Home Health Case Manager:


Utilize your outstanding clinical skills as you create, implement and execute the overall plan of care to promote wellness and prevent re-hospitalization for patients in their homes.


You will accomplish this with oversight of the assistance and teaching of patients’ and their family/caregivers with wound care, blood draws, tube feedings, Tracheostomy care, foley catheters, Congestive Heart Failure (CHF) management and medication education in the patients home. You will also potentially:

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  • Perform a full assessment of the patient & family upon initial visit.
  • Use assessment data to develop an advanced plan of care including rehabilitation.
  • Work with patients and family one on one to achieve improvement and/or stability.
  • Case manage patients care episode with interdisciplinary clinical team.
  • Prepare clinical notes, orders and charting in a compliant time frame.
  • Collaborate with physicians and agency staff to deliver the best care possible


Why you Should Come Work for us Registered Nurse (RN) Home Health Case Manager:
  • Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks
  • Flexible work schedules: Create your own schedule and hours
  • Targeted territories. Typically patient visits are within a 3-10 mile radius.
  • Autonomy: No clocking in/out
  • Opportunity for advancement. We have multiple tiers for RNs including Admission Nurses, RNI, RNII, RNII as well as clinical leadership and support opportunities.
  • Low turnover/High morale
  • Work/life balance
  • Helpful software and communication tools
  • Outstanding benefits for you and your family including 401k with matching. Generous PTO, Medical, Dental, Life Insurance, Employee Assistance Program (EAP), Flexible Spending Accounts (FSAs), Pet Insurance and more!
  • Competitive compensation with achievable incentive bonus program


To be a success a Registered Nurse (RN) Home Health Case Manager:
  • Must be willing to work either Saturday or Sunday.
  • Current and unrestricted CA RN license
  • Current BLS/CPR Certification
  • Valid CA Driver's License
  • High level of clinical knowledge in home health care is highly preferred
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is highly desired
  • Case Management fundamentals is highly desired
  • Self-Directed
  • Empathetic
  • Critical thinker
  • Outstanding interpersonal skills
  • Leadership skills
  • Organized
  • Prior to scheduling an in-person interview, all Candidates are required to complete a computer literacy assessment. This is to ensure you are set up for success and can navigate in our environment including electronic charting 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 that at go into the hiring decision process


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$120,000 - $135,000 a year
Wage range Registered Nurse, Level 1: 120,000.00- 135,000.00 plus 10K annual bonus, 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).

As a practice, the majority of RN Case Managers are hired as RNIs. Once it is determined that an RNI can supervise 2 LVNs, take on a larger case load and assume a higher level of decision making and autonomy, the individual will be promoted to an RNII with a minimum salary of 135,000 plus 20K bonus (Paid Quarterly).
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You will be assigned a primary location; however, you may occasionally be asked to provide coverage outside of that area. This may include supporting vacancies, leaves of absence, higher patient census, or other client care needs. While 21st Century Home Health makes every effort to maintain your primary territory, temporary reassignments may be necessary to ensure safe, high-quality patient care and to meet the needs of our growing organization.


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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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License and Certifications: California RN license Required at hire Basic Life Support Required at hire Integrative Agitation Management (IAM) Required within 30 days of hire Prerequisite Skills: Ability to demonstrate proficiency in all items of the Staff Nurse Skills Criteria at the conclusion of the probationary period Demonstrated leadership and delegation skills Demonstrated oral and written communication skills Demonstrated ability to organize and prioritize work; time management skills Ability to work collaboratively with team members, other teams, physicians, and departments Ability to read, speak, write, understand and follow English verbal and written instructions. Primary Customer Served (Age Specific Criteria): Varies by department assigned. Refer to Unit Specific Addendum Employees in this position must be able to demonstrate the knowledge and skills necessary to provide care and/or service based on the physical, psycho/social, educational, safety, and related criteria appropriate to the age of the patients served in his/her assigned service area. Patient Privacy (HIPAA Compliance): Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description. Duties And Responsibilities: Essential (Not Modifiable) Consistently demonstrates the ability to transfer scientific knowledge from social, biological and physical sciences in applying the nursing process as follows: Formulates a nursing diagnosis through observation of the patient's physical condition and behavior, and through interpretation of information obtained from the client and others, including the health team Formulates age specific care planning, in collaboration with the patient, which ensures that direct and indirect nursing care services provide for the patient's safety, comfort, hygiene, and protection, and for disease prevention an restorative measures Perform skills essential to the kind of nursing action to be taken, explains the health treatment to the patient and family, and teaches the client and family how to care for the health needs Evaluates the effectiveness of care planning through observation of the patient's physical condition and behavior, signs and symptoms of illness, reactions to treatment, and through communication with the patient and team members, and modifies the plan as needed Acts as the patient's advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the patient and by giving the patient the opportunity to make informed decisions about health care before it is provided. Demonstrates leadership by supervising, directing and delegating appropriately to care team members. Delegates tasks to subordinates based on the legal scopes of practice of the subordinates and on the preparation and capability needed in the tasks to be delegated, and effectively supervises nursing care being given by subordinates Demonstrates clinical expertise by serving as a clinical expert, role model, and clinical and educational resource to the team, patients, and families. May act as a mentor and assist in the training and development of less experienced staff members Demonstrates professional accountability for nursing practice. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.