Registered Nurse (RN) Weekend Field Nurse, Home Health

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.
San Francisco Chronicle Top Workplaces in the Bay Area : Ranked 3rd among all medium-sized companies and 1st among home health agencies.
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.
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.

As Home Health Field Nurse you will:
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
Uses information received as a basis for establishing priorities of care
Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions
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 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 Experience requirement may be waived for internal candidates and/or new grad posting.
One year of home health care experience is preferred.
Graduate of an accredited school of nursing (Bachelor's degree)
Current CA Registered Nurse License (RN)
Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. nursing skills per competency checklist.
Must maintain current with annual compliance training and certifications

$Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. 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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