Job Description

21st Century Home Health Services (21HHS) is the fastest-growing home health agency in Northern California. We care for patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, Sacramento, Marin, and Sonoma counties.

There's a reason for that growth. Words like collaboration, teamwork, and productivity stay buzzwords unless the structure, model, and tools make them real. At 21HHS, we've built a model that combines the best of home health with the structure, resources, and support clinicians need to thrive. Our clinical guiding principles are simple: empower, enhance, educate.

When clinicians get real support and structure, the results show up in two places at once: patient outcomes and employee satisfaction. We know our clinicians and therapists provide outstanding care because our patients, their families, and their caregivers tell us so. Check out our Yelp and Google reviews. We're proud of this work.

We've also set a new benchmark for employee satisfaction in home health. As a Top Workplace, 21HHS supports growth and recognition through open communication and professional development. Feedback from our team on Glassdoor and Indeed backs this up. Our outcomes, low turnover, rapid growth, and high morale speak for themselves.

The 21HHS Standard

We give you great tools and resources, and a lot of them, plus the support you need to succeed and enjoy your work. In return, we ask that you use those tools to do your job well. When the right mindset meets the right resources, the payoff is real: high job satisfaction, excellent patient outcomes, and earning potential that's hard to match. That's the 21HHS Standard.

Please note: All opportunities at 21HHS 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 an Case Manager Registered Nurse position.

DUTIES AND RESPONSIBILITIES

• Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, JP, Biliary, Nephrostomy, ,Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX 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 and information pertinent to diagnosis and plan of care
• Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques
• Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines
• 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. Uses information received as a basis for establishing priorities of care
• Gives a timely and pertinent report to the Case Manager
• Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions
• Entries will accurately record any incident that has a bearing on the patient.
• Reports pertinent information timely to the Case Management Registered Nurse and to Provider
• Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment
• Ensures patient privacy in maintaining medical records and when providing care.
• Maintains professionalism and seeks opportunities to enhance knowledge of 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 Case Manager, as needed.
• Participates in on-call duties as required by weekend rotation

Job Specifications

• One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting.
• 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 Drivers License with acceptable driving record
• All license and certifications must be current at time of hire and sustained throughout employment
• Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
• Must maintain current with annual compliance training and certifications

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.

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