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21st Century Home Health Services

Post-hospital home health services provider

Home Health Registered Nurse

Full-TimeUpdated on 10/15/2026
$130k - $160k/yr
Junior
Bachelor's
Arden-Arcade, CA, USA
In PersonCovers Arden-Arcade, Carmichael, and North Highlands; requires field visits to patients' homes.
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • One year of recent nursing experience as an RN or LVN is required.
  • Graduate from an accredited school of nursing with a Bachelor's degree.
  • Hold a current California Registered Nurse license.
  • Hold a current Basic Life Support card.
  • Hold a valid California driver's license with an acceptable driving record.
  • Keep all licenses and certifications current at hire and throughout employment.
  • Maintain current annual compliance training and certifications.
  • Be self-directed, exercise critical thinking, and be organized and computer literate.
  • Demonstrate interpersonal, observation, verbal and written communication, problem-solving, basic math, and nursing skills per the competency checklist.
Responsibilities
  • Provide hands-on patient care within the RN license scope, including PICC lines; wound vacs and wound care; Kangaroo and feeding pumps; management of NG, G, and J tubes; staple and suture removal; JP, biliary, and nephrostomy drains; Foley and suprapubic catheter insertion, removal, and troubleshooting; PleurX drainage systems; tracheostomy care; blood draws; ostomy management; subcutaneous and intramuscular injections; IV antibiotic and TPN administration; and compression wraps.
  • Provide direct patient care as defined by the state Nurse Practice Act.
  • Implement the plan of care initiated and directed by the Case Management Registered Nurse.
  • Complete accurate and timely documentation within 24–48 hours, consistent with the plan of care.
  • Assess and provide patients and their families or caregivers with education and information pertinent to the diagnosis and plan of care.
  • Assist the registered nurse with skilled procedures and duties, including preparing equipment and materials for treatments and helping patients learn appropriate self-care techniques.
  • Coordinate home health services by reporting identified needs for other disciplines, including home health aides, occupational therapy, physical therapy, medical social work, and speech therapy, to the Case Management Registered Nurse or relevant disciplines.
  • Use equipment and supplies effectively and efficiently.
  • Retrieve communications concerning assigned patients and use the information to establish care priorities.
  • Provide the Case Manager with timely and pertinent reports.
  • Record concise, pertinent information reflecting patients' needs, problems, capabilities, limitations, and responses to nursing interventions.
  • Accurately record incidents bearing on the patient.
  • Report pertinent information promptly to the Case Management Registered Nurse and provider.
  • Attend weekly case conferences as required to coordinate and communicate information about patient care and treatment.
  • Protect patient privacy when maintaining medical records and providing care.
  • Maintain productivity standards as directed by the Case Management Registered Nurse.
  • Complete and review Start of Care assessments, documentation, and plans of care with the Case Manager as needed.
  • Participate in on-call duties as required by the weekend rotation.
  • Perform other duties as assigned by the Case Management Registered Nurse.
  • Maintain professionalism and pursue opportunities to enhance clinical knowledge and skills.
Desired Qualifications
  • 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.

About the company

2

21st Century Home Health Services

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21st Century Home Health Services provides Medicare-certified skilled home health care to patients recently discharged from hospital care across Northern California. Its services include skilled nursing, physical therapy, occupational therapy, speech pathology, medical social services, and home health aide support delivered through in-home visits that monitor vital signs, manage medications, and support rehabilitation. It partners with hospitals to extend the continuum of care and reduce readmissions, reporting hospital readmission rates below 10% and serving over 3,000 patients with a staff of more than 400. The goal is to ensure a safe hospital-to-home transition and improve patient outcomes through patient-centered care.

Company Size

201-500

Company Stage

N/A

Total Funding

N/A

Headquarters

Stockholm, Maine

Founded

2014

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Simplify Jobs

Simplify's Take

What believers are saying

  • Revelio shows headcount rose 70.1% from 2023 to March 2026.
  • Active job postings reached 286 in 2026, signaling aggressive expansion.
  • The April 2026 HHCAHPS redesign rewards agencies with strong patient communication and outcomes.

What critics are saying

  • CMS cut home-health payments 3.0% for 2026, pressuring margins immediately.
  • Its license expired January 19, 2026 in BBB records, creating compliance scrutiny risk.
  • Revelio shows 323 employees in March 2026, so staffing shocks threaten service capacity.

What makes 21st Century Home Health Services unique

  • Burlingame-based 21st Century holds California home-health licensure and open HCAI status in 2026.
  • It reports under-10% readmissions and a 5-star Medicare classification across Northern California.
  • Its dense hospital-to-home network across nine counties supports referral capture and continuity.

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Benefits

  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Paid Vacation
  • Flexible Work Hours
  • Mileage/Vehicle Reimbursement
  • Health Insurance
  • Medical, Dental, Life Insurance
  • Flexible Spending Accounts
  • Pet Insurance
  • Parental Leave
  • Family Planning Benefits
  • Fertility Treatment Support