Home Health Field Registered Nurse (RN)

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.

• 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

• One (1) year of recent nursing experience (LVN or RN) is 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
• 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

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.