Home Health Field Registered Nurse (RN)

21st Century Home Health Services • Sacramento, CA

1d • Onsite

About The Position

21st Century Home Health Services is hiring a field Registered Nurse to provide skilled nursing care to patients in their homes in the Sacramento area. The role begins with follow-up visits under the guidance of an experienced Case Manager RN, with support while learning the organization’s processes. As the nurse gains confidence, the role can grow to include more comprehensive visits and hands-on exposure to case management. All opportunities require field work and home visits.

The position is full-time, five days per week, with schedule options of Tuesday–Saturday, Sunday–Thursday, or Wednesday–Sunday. Weekend coverage is focused primarily on admissions and starts of care. Nurses are expected to average 35 or more visits per week and participate in a shared weekend on-call rotation. The nurse is assigned a primary territory, but temporary coverage outside that territory may be requested to support staffing gaps, leaves, increased census, or other patient-care needs.

The nurse works with a dedicated Case Manager RN, participates in weekly case conferences, and uses AI-powered charting tools to help complete documentation. Compensation follows a pay-per-visit model; the posted estimated wage range is $130,000–$175,000 per year, with starting pay based on relevant experience above the minimum requirements. The company offers comprehensive health benefits and a 401(k) plan with up to a 4% match.

Requirements

• At least 1 year of nursing experience as an RN or LVN.
• 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 acceptable driving record.
• Comfort with technology and electronic documentation.
• Strong critical-thinking, communication, and organizational skills, and ability to manage one’s own day.
• All licenses and certifications must be current at the start of employment and kept up to date, along with annual compliance training.
• Completion of a computer literacy assessment and a personality assessment as part of the vetting process.

Nice To Haves

• One year of home health experience.
• Experience with high-acuity patients.
• Experience on an interdisciplinary team.

Responsibilities

• Average 35 or more patient visits per week while using available resources and tools effectively.
• Provide hands-on skilled nursing care in accordance with the plan of care established by the Case Manager RN and the organization’s clinical guiding principles.
• Teach patients and families about diagnoses and care plans and help them develop self-care skills.
• Prepare equipment and supplies for skilled procedures and use resources thoughtfully.
• Keep the Case Manager RN informed and promptly report significant clinical changes to the Case Manager RN and the patient’s provider.
• Identify patients who may benefit from home health aide, physical therapy, occupational therapy, speech therapy, or social work services, and notify the Case Manager RN.
• Participate in weekly case conferences to share updates and coordinate care.
• Partner with the Case Manager RN on Start of Care assessments, documentation, and care plans as needed.
• Participate in weekend on-call coverage as part of a shared rotation.
• Complete clear, accurate visit notes within 24 hours using AI-powered charting tools as needed.
• Document patient needs, goals, limitations, responses to care, incidents, and changes in condition.
• Protect patient privacy.
• Develop clinical skills and take an active role in professional development.
• Use knowledge of patients to prioritize daily work and meet visit goals set with the Case Manager RN.
• Perform other duties as assigned by the Case Manager RN.

Benefits

• Comprehensive health benefits.
• 401(k) plan with up to a 4% match.
• Professional development and a path toward comprehensive visits and case management.
• Dedicated Case Manager RN support, weekly case conferences, and AI-powered charting tools.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree