Home Health Field Registered Nurse (RN)
21st Century Home Health Services
Sacramento, CA, United States1w ago
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Skills
care planningcase managementinjectionswound care
About the role
At 21st Century Home Health Services (21HHS), 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 San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties!
Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%.
We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.
Key achievements include:
San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among all medium-sized companies and 1st among home health agencies.
National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.
Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.
Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted.
In this role, you will initially be responsible for follow-up visits under the guidance of an experienced Case Manager RN, so you're never on your own while you learn our way of doing things. As your confidence grows, you'll take on more comprehensive visits and get hands-on exposure to case management — a natural next step in your career.
At a glance
- Anticipated coverage area: Sacramento Area*
- Schedule options: Tuesday–Saturday, Sunday–Thursday, or Wednesday–Sunday
- Employment Status: Full Time (5 days per week)
- Productivity Expectation: Average 35+ visits per week
- Support: A dedicated Case Manager RN, weekly case conferences, and AI-powered charting to cut down on paperwork
- Growth: A clear path toward comprehensive visits and case management
*You'll be assigned a primary territory, but may be asked to cover outside it for vacancies, leaves of absence, or increased census. 21st Century Home Health Services makes every effort to keep you in your primary area; any reassignment is temporary and supports safe patient care.
What you'll do as a 21HHS Field RN:
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Meet productivity expectations
- Average 35+ visits per week by making the most of our resources and tools — staying independent, productive, hardworking, organized, and sharp in your critical thinking
- Provide hands-on, skilled nursing care that follows the plan of care set by your Case Manager RN and our clinical guiding principles — Educate, Enhance, Empower — teaching patients and families about their diagnosis and care plan, and helping them build self-care skills that last
- Prepare equipment and supplies for skilled procedures, and use resources thoughtfully
- Keep your Case Manager RN up to date, and report important clinical changes to them and the patient's provider promptly
- Spot when a patient could benefit from home health aide, PT, OT, speech therapy, or social work support, and flag it to your Case Manager
- Join weekly case conferences to share updates and coordinate care
- Partner with your Case Manager on Start of Care assessments, documentation, and care plans as needed
- Pitch in on weekend on-call coverage as part of a shared rotation
- Complete clear, accurate visit notes within 24 hours — with help from AI-powered charting tools
- Document patient needs, goals, limitations, responses to care, and any incidents or changes in condition
- Protect patient privacy in everything you do
- Build your clinical skills and take an active role in your own professional development
- Use what you learn about your patients to prioritize your day and meet the visit goals set with your Case Manager
- PICC lines, IV antibiotics, and TPN administration
- Wound care and wound vacs
- Kangaroo and feeding pumps; NG, G, and J tube management
- Drains (JP, biliary, nephrostomy) and PleurX drainage
- Foley and suprapubic catheters; ostomy management
- Trach care
- Blood draws and SQ/IM injections
- Staple and suture removal; compression wraps
Care for patients
Work as part of a team
Keep great records
Keep growing
Skills you'll use (and build)
You'll work with a wide range of patients and procedures, including:
In Order to be a Success as a 21HHS Field RN:
- 1+ year of nursing experience (RN or LVN). This may be waived for internal candidates and new grad postings.
- Associate's, Bachelor's, or Master's degree in Nursing
- Current, unencumbered California RN license
- Current Basic Life Support (BLS) card
- Valid California driver's license and an acceptable driving record
- Comfort with technology and electronic documentation
- Strong critical thinking, communication, and organizational skills, and the ability to manage your own day
- 1 year of home health experience
- Experience with high-acuity patients
- Experience on an interdisciplinary team
Must-haves
Nice-to-haves
You should know
All licenses and certifications must be current when you start and kept up to date, along with annual compliance training. As part of our vetting process, you'll complete a computer literacy assessment and a personality assessment — we want to make sure you can navigate comfortably in our environment. You may also be asked to help with other duties as assigned by your Case Manager RN.
* You will be assigned a primary location; however, you may occasionally be asked to provide coverage outside of that area. This may include supporting vacancies, leaves of absence, higher patient census, or other client care needs. While 21st Century Home Health makes every effort to maintain your primary territory, temporary reassignments may be necessary to ensure safe, high-quality patient care and to meet the needs of our growing organization.
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.