21st Century Home Health Services

Post-hospital home health services provider

Home Health Field Registered Nurse

Nursing & Frontline Patient CareConfirmed live in the last 24 hours

Full-timeSan Francisco, CA, USA$130k - $160k /yr

About the Job

Requirements

One year of recent nursing experience as an LVN or RN is required.
Graduate of an accredited school of nursing.
Current California Registered Nurse license.
Current Basic Life Support card.
Valid California driver's license with an acceptable driving record.
All licenses and certifications must be current at hire and maintained throughout employment.
Must maintain current annual compliance training and certifications.
Must demonstrate self-direction, critical thinking, organization, computer literacy, observation, verbal and written communication, problem-solving, basic math, and nursing skills per the competency checklist.

Responsibilities

Provide hands-on patient care within the scope of the registered nurse license, including PICC lines; wound vacs and wound care; Kangaroo and feeding pumps; management of NG, G, and J tubes; staple and suture removal; drains including JP, biliary, and nephrostomy; Foley and suprapubic catheter insertion, removal, and troubleshooting; PleurX drainage; tracheostomy care; blood draws; ostomy management; subcutaneous and intramuscular injections; intravenous antibiotic and total parenteral nutrition 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 patients and provide patients and their families or caregivers with education and information relevant to diagnosis and the 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 and report identified needs for other disciplines, including home health aides, occupational therapy, physical therapy, social work, and speech therapy, to the Case Management Registered Nurse or relevant disciplines.
Use equipment and supplies effectively and efficiently.
Participate in personal and professional growth and development.
Perform other duties as assigned by the Case Management Registered Nurse.
Retrieve communications about assigned patients and use the information to establish care priorities.
Provide timely and pertinent reports to the Case Manager.
Record concise, relevant information reflecting patients’ needs, problems, capabilities, limitations, and responses to nursing interventions.
Accurately document incidents bearing on the patient.
Timely report relevant information 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 professionalism and seek opportunities to enhance clinical knowledge.
Meet 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 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.

Salary Range: 130000 to 160000 (Currency: USD) (Pay period: per-year-salary)

21st Century Home Health Services (21HHS) is the fastest-growing home health agency in Northern California. We care for patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, Sacramento, Marin, and Sonoma counties.

There's a reason for that growth. Words like collaboration, teamwork, and productivity stay buzzwords unless the structure, model, and tools make them real. At 21HHS, we've built a model that combines the best of home health with the structure, resources, and support clinicians need to thrive. Our clinical guiding principles are simple: empower, enhance, educate.

When clinicians get real support and structure, the results show up in two places at once: patient outcomes and employee satisfaction. We know our clinicians and therapists provide outstanding care because our patients, their families, and their caregivers tell us so. Check out our Yelp and Google reviews. We're proud of this work.

We've also set a new benchmark for employee satisfaction in home health. As a Top Workplace, 21HHS supports growth and recognition through open communication and professional development. Feedback from our team on Glassdoor and Indeed backs this up. Our outcomes, low turnover, rapid growth, and high morale speak for themselves.

The 21HHS Standard

We give you great tools and resources, and a lot of them, plus the support you need to succeed and enjoy your work. In return, we ask that you use those tools to do your job well. When the right mindset meets the right resources, the payoff is real: high job satisfaction, excellent patient outcomes, and earning potential that's hard to match. That's the 21HHS Standard.

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 an Case Manager Registered Nurse position.

Coverage Area: San Francisco

DUTIES AND 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

Job Specifications

One (1) year of recent nursing experience (LVN/RN) is required.
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
Graduate of an accredited school of nursing
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
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
#indeed21hhshp

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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.

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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