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21st Century Home Health Services

Post-hospital home health services provider

Home Health Weekend Admission Nurse - RN, Start of Care

Part-Time
No salary listed
Mid
San Rafael, CA, USA
In PersonMust visit patients in their homes in the designated territory.
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • Current and unrestricted California registered nurse license.
  • Current Basic Life Support/CPR certification.
  • Valid California driver's license.
  • Experience conducting assessments and Start of Care (SOC) using OASIS is highly desired.
  • High-level clinical knowledge in home health care is highly preferred.
  • Experience with high-acuity patients is a plus.
  • Experience working with an interdisciplinary team is highly desired.
  • Case management fundamentals are highly desired.
  • Previous experience with intravenous medication infusions is highly preferred.
  • Proficiency initiating intravenous therapy is a plus.
  • Self-directed approach to work.
  • Empathy.
  • Critical-thinking ability.
  • Interpersonal skills.
  • Leadership skills.
  • Organization skills.
Responsibilities
  • Complete initial assessments of patients to determine home care needs.
  • Conduct Start of Care admissions using OASIS.
  • Conduct follow-up and evaluation visits as needed in the designated territory.
  • Visit patients in their homes in the designated territory.
  • Perform assigned duties, including medication reconciliation, wound care, treatments, and procedures.
  • Monitor clients’ conditions and report changes to the clinical team.
  • Collaborate with physicians and agency staff to deliver care.
  • Initiate and administer intravenous medication infusions, including antibiotics and diuretics, safely and according to established protocols.
  • Accurately document observations, interventions, evaluations, patient care management, and services provided.
Desired Qualifications
  • Experience conducting assessments and Start of Care (SOC) using OASIS.
  • High-level clinical knowledge in home health care.
  • Experience with high-acuity patients.
  • Experience working with an interdisciplinary team.
  • Case management fundamentals.
  • Previous experience with intravenous medication infusions.
  • Proficiency initiating intravenous therapy.

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