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. 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.

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 a Case Manager Registered Nurse.

DUTIES AND RESPONSIBILITIES

Providing hands‑on patient care within the RN license scope, including PICC lines, wound vacs & care, kangaroo & feeding pumps, management of NG, G, and J tubes, stapling & suture removal, drains such as JP, biliary, nephrostomy, foley/suprapubic catheters (insertion, removal, 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 pertinent to diagnosis and plan of care.

Assists the registered nurse in performing skilled procedures, preparing equipment and materials, and teaching patients appropriate self‑care techniques.

Participates in coordination of home health services, reporting 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 and 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 reflects the patients’ needs, problems, capabilities and limitations, as well as the patients’ response to nursing interventions.

Accurately records incidents that affect the patient.

Reports pertinent information timely to the Case Management Registered Nurse and to the 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 the 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 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 Driver's License with acceptable driving record.

All license and certifications must be current at the 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.

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 401(k) plan with up to a 4% match.

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