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21st Century Home Health Services

Post-hospital home health services provider

Registered Nurse Case Manager Level 2

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeBerkeley, CA, USA

About the Job

Requirements

  • At least one year of nursing experience is required.
  • A current, unrestricted California registered nurse license is required.
  • Current BLS/CPR certification is required.
  • A valid California driver's license is required.
  • High clinical knowledge in home health care is required.
  • Experience working with an interdisciplinary team is required.
  • Case management fundamentals are required.

Responsibilities

  • Create, implement, and execute an overall plan of care to promote wellness and prevent rehospitalization for patients in their homes.
  • Provide oversight to two nurses who execute the care plan.
  • Conduct comprehensive patient assessments, including Start of Care, evaluations, resumption of care, and discharge planning.
  • Oversee assistance and teaching for patients and family caregivers on wound care, blood draws, tube feedings, tracheostomy care, Foley catheters, congestive heart failure management, and medication education in patients’ homes.
  • Perform a full assessment of the patient and family upon the initial visit.
  • Use assessment data to develop an advanced plan of care, including rehabilitation.
  • Work one-on-one with patients and families to achieve improvement or stability.
  • Case-manage the patient’s care episode with the interdisciplinary clinical team.
  • Prepare clinical notes, orders, and charting within a compliant time frame.
  • Collaborate with physicians and agency staff to deliver patient care.

Desired Qualifications

  • One year of home health case management experience is preferred.
  • Two or more years of nursing experience are preferred.
  • Experience supervising and mentoring nurses is highly preferred.
  • Experience with high-acuity patients is a plus.

About the Company

21st Century Home Health Services

Post-hospital home health services provider

21st Century Home Health Services provides Medicare-certified at-home care after hospital discharge, offering skilled nursing, physical therapy, occupational therapy, speech pathology, medical social services, and home health aide support. Clinicians visit patients at home to monitor vital signs, manage medications, and deliver rehabilitation services to restore mobility and daily living skills. It partners with hospitals across Northern California to extend the continuum of care and reduce readmissions. With 400+ employees serving over 3,000 patients, the organization is the largest home health provider in San Francisco and aims for a high-quality, patient-centered hospital-to-home transition.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Stockholm, ME
Founded
2014

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