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. 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 a Case Manager Registered Nurse position. Responsibilities Providing hands‑on patient care within RN license scope, including PICC lines, wound vacs & care, Kangaroo & feeding pumps, management of NG, G, and J tubes, staple and 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 procedures, preparing equipment and materials, and teaching patients self‑care techniques. Participates in coordination of home health services, appropriately reporting 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 and prioritizes care based on received information. Provides timely and pertinent reports to the Case Manager. Records pertinent and concise information that reflects patient needs, capabilities, limitations, and responses to interventions. Accurately records any incident that bears on the patient. Reports pertinent information promptly to the Case Management Registered Nurse and to providers. Attends weekly case conferences to coordinate and communicate patient care and treatment information. Ensures patient privacy in maintaining medical records and during care. Maintains professionalism and seeks opportunities to enhance clinical knowledge. Maintains productivity standards as directed by the Case Management Registered Nurse. Completes and reviews start‑of‑care assessments, documentation, and plans of care with the Case Manager as needed. Participates in on‑call duties as required by weekend rotation. Qualifications One (1) year of recent nursing experience (experience requirement may be waived for internal candidates and/or new graduate 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 California Registered Nurse License (RN). Current Basic Life Support (BLS) certification. Valid California driver’s license with an acceptable driving record. All licenses and certifications must be current at the time of hire and sustained throughout employment. Self‑directed, critical thinker, outstanding interpersonal skills, organized, computer literate, excellent observation, verbal and written communication, problem‑solving, basic math skills, and nursing skills per competency checklist. Must maintain current 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. By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: #J-18808-Ljbffr