Job Description

21st Century Home Health Services (21HHS) is dedicated to delivering exceptional care to its patients while fostering a supportive and rewarding environment for its employees. The company consistently achieves hospital readmission rates below 10%—well under the industry average of more than 15%. It has also earned recognition as a 2024 Top Workplace, highlighting its culture of open communication, professional growth, empowerment, and appreciation.
As the fastest-growing home health agency in Northern California, 21HHS recently expanded into Marin and Sonoma counties, extending its reach while maintaining a reputation for excellence. Positive reviews across platforms such as Yelp, Google, Glassdoor, and Indeed reflect both the quality of care provided to patients and the outstanding experience of its employees, reinforcing its leadership in the home health industry.
We're looking for a Home Health Administrator who genuinely cares about doing things right: keeping our agency compliant, our patients safe, and our team supported. If you're someone who finds satisfaction in knowing the regulations cold, translating them into real-world practice, and building a culture of accountability, we'd love to meet you.
This position is on site at our Burlingame office Monday- Friday.

As Administrator, you're the person who makes sure everything runs the way it should — not just operationally, but ethically and legally. You'll be the agency's go-to for regulatory compliance, working closely with our founders and leadership team to keep policies current, staff informed, and our licensure in good standing. It's a role that requires equal parts expertise and people skills.

Compliance & Regulatory Work:

This is where you'll spend a big part of your energy — and where your expertise will really shine:

• Stay on top of federal, state, and local home health regulations and make sure we're always ahead of the curve
• Turn regulatory updates into practical policies and procedures the team can actually use
• Review agency manuals annually to keep them accurate, complete, and current
• Hold the line on ethical business and patient care practices
• Keep public-facing materials accurate and up to date
• Watch for regulatory changes and proactively brief staff and leadership on what they mean for us
• Lead survey readiness efforts and maintain compliance with accrediting body standards
• Ensure a qualified clinical manager is available during all operating hours — it's a regulatory requirement and a patient safety priority
• Keep a qualified backup administrator available whenever you're not on-site
• Make sure staff qualifications, supervision, and training requirements stay compliant across the board
• Stay plugged into local and national home health trends so we're never caught off guard
• Translate Governing Body directives into well-designed service policies

Day-to-Day Operations:

Beyond compliance, you'll have oversight of the following day to day operational needs:

• Make sure care delivery stays aligned with our philosophy and standards
• Drive performance improvement by tracking outcomes and acting on what you find
• Keep clinical staff current on best practices and new information
• Communicate openly with staff and apply policies consistently — people notice fairness
• Use data to understand what's working and where we can do better

To Be a Success:

You'll need:

• Registered Nurse, OR a BA/BS in relevant field. Master's degree in health care administration or a related field is a plus.
• 5+ years' relevant experience; At least 1 year of supervisory or administrative experience in home health or a related health care setting
• Solid working knowledge of California and federal home health regulations
• Experience managing or mentoring both clinical and administrative staff
• Clear, confident communication skills — written and verbal
• Must be 18 or older
• Willingness to work onsite in our Burlingame office
• Experience leading regulatory surveys or accreditation reviews
• A track record of building or overhauling compliance programs in home health or post-acute 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.