Home Health Field Registered Nurse (RN)

21st Century Home Health Services Inc.•Sacramento, CA

2d•$130,000 - $175,000•Remote

About The Position

21st Century Home Health Services (21HHS) is the fastest-growing home health agency in Northern California, serving patients across numerous counties. We foster a collaborative and supportive environment where clinicians can thrive, focusing on empowering, enhancing, and educating patients. Our model combines the best of home health with the necessary structure, resources, and support for clinicians. We are recognized as a Top Workplace, emphasizing open communication and professional development, which is reflected in our high employee satisfaction and low turnover rates. The 21HHS Standard ensures clinicians are provided with excellent tools and resources, and in return, we expect them to perform their duties effectively, leading to high job satisfaction, excellent patient outcomes, and competitive earning potential. All opportunities at 21HHS require field work, visiting patients in their homes. In this role, you will initially be responsible for follow-up visits under the guidance of an experienced Case Manager RN, with opportunities to take on more comprehensive visits and gain exposure to case management as your confidence grows.

Requirements

1+ year of nursing experience (RN or LVN) (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
Ability to manage your own day

Nice To Haves

1 year of home health experience
Experience with high-acuity patients
Experience on an interdisciplinary team

Responsibilities

Meet productivity expectations (Average 35+ visits per week)
Provide hands-on, skilled nursing care following the plan of care
Educate patients and families about their diagnosis and care plan, and help them build self-care skills
Prepare equipment and supplies for skilled procedures, and use resources thoughtfully
Keep Case Manager RN updated and report important clinical changes promptly
Identify patients who could benefit from home health aide, PT, OT, speech therapy, or social work support and flag it to the Case Manager
Join weekly case conferences to share updates and coordinate care
Partner with Case Manager on Start of Care assessments, documentation, and care plans
Pitch in on weekend on-call coverage as part of a shared rotation
Complete clear, accurate visit notes within 24 hours using AI-powered charting tools
Document patient needs, goals, limitations, responses to care, and any incidents or changes in condition
Protect patient privacy
Build clinical skills and take an active role in professional development
Use patient knowledge to prioritize the day and meet visit goals