Registered Nurse Case Manager, Level 2

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, Sacramento, Marin and Sonoma. 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. Please note: All opportunities at 21HHS require being in the field, visiting patients in their homes. Full Time Registered Nurse Case Manager, Level 2 Anticipated Territory: Sonoma and surrounding areas What you’ll do as a Registered Nurse (RN), Level 2 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. In this leadership role, you will have oversight of 2 Nurses who are responsible for executing your care plan. You will be responsible for conducting comprehensive patient assessments such as Start of Cares (SOCs), Evaluations, Resumption of Care and discharge planning. 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: 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 Have oversight of 2 Nurses who are responsible for executing your care plan. Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks Flexible work schedules: Create your own schedule and hours 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 Helpful software and communication toolsOutstanding 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 One Year of Home Health Case Management experience is perferred Minimum of one year of Nursing Experience required; two+ years preferred. Experience supervising, mentoring Nurses is highly preferred 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 key Experience with high acuity patients is a plus Experience working with an interdisciplinary team is required Case Management fundamentals is required Self-Directed Empathetic Critical thinker Outstanding interpersonal skills Leadership skills Organized 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. #J-18808-Ljbffr 21Hhs