Home Health Field Registered Nurse; RN

Overview

At 21st Century Home Health Services (21

HHS), we treat every patient with empathy, compassion, and understanding. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. We care for more than 4,000 patients across multiple counties and are actively expanding into Marin and Sonoma counties.

Our clinicians are dedicated to patients and to one another. Hospital readmission rates at 21

HHS consistently remain under 10%, versus an industry average of over 15%.

We’ve set a benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21

HHS fosters support, growth, and recognition through open communication and professional development opportunities.

Note:

All opportunities at 21

HHS 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 a Case Manager Registered Nurse position.

Coverage Area:
Brentwood, Oakley, Bethel Island

• Providing hands-on patient care within RN license scope, including PICC lines, Wound Vacs & Care, Kangaroo and feeding pumps, NG, G, and J tube management, staple and suture removal, drains (JP, Biliary, Nephrostomy), Foley/suprapubic catheters (insertion, removal, troubleshooting), Pleur
  
  X 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 pertinent to diagnosis and plan of care.
• Assists the registered nurse in performing skilled procedures and duties, including preparing equipment and materials for treatments and teaching self-care techniques.
• Participates in coordination of home health services and reports identified needs to the Case Management RN or other disciplines (HHA, OT, PT, MSW, ST).
• 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 and uses information as the basis for establishing priorities of care.
• Gives timely reports to the Case Manager.
• Records concise information reflecting patients’ needs, problems, capabilities, limitations, and responses to nursing interventions.
• Reports pertinent information timely to the Case Management Registered Nurse and to the Provider.
• Attends weekly Case Conferences as required to coordinate patient care and treatment.
• Ensures patient privacy in maintaining medical records and in providing care.
• Maintains professionalism and pursues opportunities to enhance 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 the Case Manager as needed.
• Participates in on-call duties as required by weekend rotation.

• One (1) year of recent nursing experience; experience requirement may be waived for internal candidates and/or new graduate postings.
• 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 (Bachelor's degree).
• Current CA Registered Nurse License (RN).
• Current Basic Life Support (BLS) Card.
• Valid CA Driver's License with acceptable driving record.
• All licenses and certifications must be current at time of hire and sustained throughout employment.
• Self-directed, critical thinker with excellent interpersonal,…