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21st Century Home Health Services

Post-hospital home health services provider

Regional Quality Process Improvement Manager: Home Health

Full-TimeUpdated on 10/24/2026
$150k - $190k/yr
Mid
Bachelor's
Burlingame, CA, USA+3 moreMore locations: San Jose, CA, USA | Sacramento, CA, USA | Walnut Creek, CA, USA
In PersonOnsite at a local office; remote work is not available.
Medical, Clinical & Veterinary

About the job

Requirements
  • A California clinical license in one of the following fields is required: Registered Nurse, Physical Therapist, Speech Therapist, or Occupational Therapist.
  • A bachelor's degree in healthcare administration, business, nursing, or a related field is a plus.
  • Two or more years of experience in home health or healthcare operations is highly preferred.
  • Multi-site or regional support experience is a plus.
  • Outstanding customer service skills are required.
Responsibilities
  • Monitor regional care delivery through chart audits, field observations, and outcome data, and translate findings into concrete practice changes.
  • Track patient outcomes, hospitalization and readmission rates, infection rates, patient satisfaction, star ratings, and clinical documentation accuracy, and act on trends before they become problems.
  • Participate in performance improvement projects from problem identification through root cause analysis, intervention design, and measurement of results, and ensure improvements are sustained.
  • Standardize best practices across branches by replacing one-off workarounds with clear, repeatable processes for clinicians.
  • Coach and develop clinical teams through real-time feedback, competency assessments, and targeted education.
  • Investigate incidents, complaints, and adverse events to identify systemic causes and implement safeguards to prevent recurrence.
  • Partner with regional and operational leadership to align quality goals with staffing, scheduling, and growth plans.
  • Prepare the region for surveys and accreditation reviews through ongoing readiness and continuous audit-readiness.
  • Build and maintain quality dashboards, audit tools, reporting cadences, and QAPI committee structures.
  • Promote a culture of accountability and psychological safety in which staff report concerns early and near-misses are treated as learning opportunities.
  • Lead the regional quality function, set priorities, allocate time according to risk and need, and maintain consistent standards across sites.
  • Partner with regional and site leadership by attending operations meetings, understanding location-specific constraints, and developing practical improvement plans.
  • Develop clinical leaders and supervisors through mentoring in coaching, documentation review, and case escalation.
  • Onboard and orient new clinical staff to regional standards of practice, and identify onboarding gaps that later affect performance.
  • Manage the region's education and training calendar, prioritizing topics based on audit findings, incident trends, and clinician feedback.
  • Contribute a quality perspective to hiring and performance decisions for clinical roles, including competency evaluation, corrective action, and retention discussions.
  • Support operational readiness during growth, transitions, acquisitions, new market and location openings, service-line expansion, and system or process rollouts.
  • Report regional performance to senior leadership, including progress, challenges, and resource needs.
  • Own the patient and family experience as a quality measure, resolve concerns promptly, follow through, and use complaint patterns diagnostically.
  • Serve as a reliable point of contact for customer clinical questions and concerns.
  • Communicate quality outcomes to external partners using performance data, star ratings, and patient satisfaction results.
  • Represent the region at partner meetings, clinical in-services, and industry events.
  • Coach staff on service recovery and patient communication, including difficult conversations with families.
  • Partner with sales and business development to ensure growth commitments align with clinical capacity and protect quality as volume increases.
  • Translate patient, family, and partner feedback into process changes.
Desired Qualifications
  • A bachelor's degree in healthcare administration, business, nursing, or a related field is a plus.
  • Two or more years of experience in home health or healthcare operations is highly preferred.
  • Multi-site or regional support experience is a plus.

About the company

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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