Registered Nurse Case Manager: Home Health

Registered Nurse Case Manager:
Home Health

At 21st Century Home Health Services (21

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

All opportunities at 21

HHS require in‑field visits to patients’ homes; remote/work‑from‑home positions are not available unless specifically noted.

• Utilize your clinical skills to create, implement, and execute overall plans of care that promote wellness and prevent rehospitalization for patients in their homes.
• Oversee the assistance and teaching of patients and their families/caregivers with wound care, blood draws, tube feedings, tracheostomy care, Foley catheters, CHF management, and medication education.
• Perform a full assessment of the patient and family upon initial visit.
• Use assessment data to develop an advanced plan of care, including rehabilitation.
• Work with patients and family one‑on‑one to achieve improvement and/or stability.
• Case‑manage the patient’s care episode with the interdisciplinary clinical team.
• Prepare clinical notes, orders, and charting in a compliant time frame.
• Collaborate with physicians and agency staff to deliver the best care possible.

• Concierge support for time‑consuming administrative tasks.
• Flexible work schedules; create your own schedule and hours.
• Targeted territories: patient visits typically within a 3–10 mile radius.
• Autonomy – no clocking in/out.
• Opportunity for advancement to higher RN tiers and clinical leadership.
• Low turnover and high morale.
• Work/life balance.
• Helpful software and communication tools.
• Outstanding benefits: 401(k) with match, generous PTO, medical, dental, life insurance, EAP, FSAs, pet insurance, etc.
• Competitive compensation with an incentive bonus program.

• Must be willing to work either Saturday or Sunday.
• Current and unrestricted CA RN license.
• Current BLS/CPR certification.
• Valid CA driver’s license.
• High level of clinical knowledge in home health care (highly preferred).
• Experience with high acuity patients (a plus).
• Experience working with an interdisciplinary team (highly desired).
• Case management fundamentals (highly desired).
• Self‑directed, empathetic, critical thinker, outstanding interpersonal and leadership skills, and organized.
• Completion of a computer literacy and competency assessment prior to in‑person interview.

• Entry level

• Full‑time

• Health Care Provider

• Hospitals and Health Care

• Competitive salary ($120,000–$135,000) plus annual bonus.
• 401(k) with up to 4% match.
• Generous PTO.
• Medical, dental, and life insurance.
• Employee Assistance Program (EAP).
• Flexible Spending Accounts (FSAs).
• Pet insurance.
• Comprehensive health benefits.

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 (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. Final hiring decisions are made by humans.