Home Health Field Registered Nurse (RN)

21st Century Home Health Services Alameda, 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: Alameda, CA

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 experience Experience requirement may be waived for internal candidates and/or new grad posting.
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.

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Required Knowledge, Skills and Abilities Able to communicate effectively in English. 1 or more years of oncology experience required Psychiatry experience required Ambulatory experience required Licenses and Certifications California Registered Nurse (RN) license American Heart Association Basic Life Support (BLS) certification Psychiatric Nursing certification, preferred Physical Demands and Work Conditions Physical Demands Frequent (please list each item under Comments). The work involves considerable exertion such as frequent lifting of patients and equipment, bending and stooping, and walking. The work environment involves moderate risks or discomforts which require special safety precautions, e.g. working with risk of exposure of contagious disease, radiation or infection, working with emotionally disturbed patients. Precautions are routine for nearly all situations. The employee might be required to use protective clothing or gear. Blood Borne Pathogens Category I - Tasks that involve exposure to blood, body fluids, or tissues These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination #LI-BS1 Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $92.64 - $106.87 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.