Home Health Field Registered Nurse; RN

21st Century Home Health Services (21

HHS) is the largest home health agency in San Francisco and the fastest‑growing in the Bay Area, caring for more than 4,000 patients across multiple counties. We are committed to empathy, compassion, and high quality outcomes, achieving readmission rates consistently under 10% and earning recognition as a 2024 Top Workplace.

$/yr – $/yr (based on experience). Compensation follows a pay‑per‑visit model. In addition, 21

HHS offers comprehensive health benefits and a 401(k) plan with up to a 4% match.

• Provide hands‑on patient care within RN scope, including PICC lines, wound care, NG/OG/J tubes, catheter care, drainage systems, tracheostomy care, blood draws, ostomy management, injections, IV antibiotic/TPN administration, and compression wraps.
• Deliver direct patient care as defined by the state Nurse Practice Act.
• Implement the plan of care initiated by the Case Management RN.
• Complete accurate and timely documentation, within 24–48 hours.
• Assess and provide patient and caregiver education related to diagnosis and plan of care.
• Assist the RN in performing skilled procedures and maintain equipment and materials.
• Coordinate home‑health services and report interdisciplinary needs to the Case Management RN or other disciplines.
• Use equipment and supplies effectively and efficiently.
• Participate in personal and professional growth and development.
• Execute duties assigned by the Case Management RN.
• Communicate patient information, prioritize care, and report timely to the Case Manager.
• Document patient needs, problems, capabilities and response to interventions.
• Record incidents that affect patient care.
• Report pertinent information to the Case Management RN and providers.
• Attend weekly case conferences as required.
• Maintain patient privacy in medical records and during care.
• Maintain professionalism and seek opportunities to enhance clinical knowledge.
• Meet productivity standards set by the Case Management RN.
• Complete Start‑of‑Care assessments, documentation, and plans of care with the Case Manager.
• Participate in on‑call duties as required by weekend rotation.

• One (1) year of recent nursing experience (waivable for internal candidates or new grads).
• Preferred:
  One year of home‑health experience.
• Plus:
  Experience with high acuity patients.
• Highly desired:
  Experience working with an interdisciplinary team.
• Graduate of an accredited nursing school (Bachelor’s degree).
• Current California RN license.
• Current Basic Life Support (BLS) card.
• Valid California 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, outstanding interpersonal, organized, computer literate; excellent observation, verbal and written communication, problem‑solving, basic math, and nursing competencies.
• Maintain annual compliance training and certifications.

Entry level

Full‑time

Health Care Provider

Hospitals and Health Care

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.

We may use artificial intelligence tools to support parts of the hiring process. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans.