Full-Time

Home Health Nurse

RN

Posted on 5/13/2026

21st Century Home Health Services

21st Century Home Health Services

201-500 employees

Post-hospital home health services provider

Compensation Overview

$130k - $160k/yr

Napa, CA, USA

In Person

Must be in the field visiting patients in their homes.

Category
Medical, Clinical & Veterinary (1)
Requirements
  • One (1) year of recent nursing experience (experience requirement may be waived for internal candidates and/or new grad posting)
  • Graduate of an accredited school of nursing (Bachelor's degree)
  • Current CA Registered Nurse License (RN)
  • Current Basic Life Support (BLS) Card
  • Valid CA Drivers License with acceptable driving record
  • All license and certifications must be current at time of hire and sustained throughout employment
  • Must maintain current with annual compliance training and certifications
  • 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.
Responsibilities
  • 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
  • Retrieves communication on assigned patients. 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 will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions
  • Entries will accurately record any incident that has a bearing on the patient.
  • 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 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 Case Manager, as needed.
  • Participates in on-call duties as required by weekend rotation
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
21st Century Home Health Services

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

Simplify Jobs

Simplify's Take

What believers are saying

  • Aging Bay Area population drives 20% rise in Medicare beneficiaries by 2028.
  • CMS value-based models reward sub-10% readmissions with 15% reimbursement bonuses.
  • HCBS waivers in San Mateo and Sacramento counties open new skilled nursing revenue streams.

What critics are saying

  • Kaiser Permanente's 40% home health expansion diverts 30% insured members in 6-12 months.
  • Amedisys-UnitedHealth acquisition captures 25% more referrals, eroding 3,000-patient base.
  • CMS 2026 PDGM cuts reimbursements 8-12% via therapy caps in 3-6 months.

What makes 21st Century Home Health Services unique

  • 21st Century Home Health Services achieves sub-10% hospital readmission rates versus industry 15% average.
  • Largest home health agency in San Francisco with over 400 employees serving 3,000 patients.
  • Earned highest Medicare 5-star rating for excellence in patient-centered post-hospitalization care.

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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

Conferences Attendance Budget

Professional Development Budget

Wellness Program

Mental Health Support

Stock Options

Company Equity

Remote Work Options

Hybrid Work Options

Time Off for PTO