Home Health Field Registered Nurse (RN)

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

1d•$130,000 - $160,000•Onsite

About The Position

21st Century Home Health Services is hiring an entry-level Field Registered Nurse to provide skilled home health nursing in the Guerneville coverage area. The role is designed to develop fundamental nursing skills in a home health setting while building understanding of the company's operational goals and efficiencies. It is a foundation for registered nurses who aspire to advance into case management. The position works under a Case Manager Registered Nurse and requires field visits to patients in their homes. The nurse provides hands-on care within the scope of the RN license, implements care plans initiated and directed by the Case Management RN, documents care accurately and on time, and supports patients and families through education. The role also involves coordinating services with other disciplines, communicating patient needs and changes to the Case Manager and providers, attending case conferences, maintaining patient privacy, and meeting productivity and compliance expectations. Weekend on-call duties are required as assigned by rotation. Compensation follows a pay-per-visit model. The estimated wage range is $130,000–$160,000 per year, with starting pay based on relevant experience above minimum requirements. The company offers comprehensive health benefits and a 401(k) plan with up to a 4% match. 21st Century Home Health Services is an equal opportunity employer committed to a diverse and inclusive workplace.

Requirements

Graduate of an accredited school of nursing; a bachelor's degree is specified.
Current California Registered Nurse (RN) license.
Current Basic Life Support (BLS) card.
Valid California driver's license with an acceptable driving record.
Licenses and certifications must be current at hire and maintained throughout employment.
Self-directed and able to think critically, with strong interpersonal and organizational skills.
Computer literacy.
Excellent observation, verbal and written communication, and problem-solving skills; basic math skills; nursing skills according to the competency checklist.
Maintain current annual compliance training and certifications.
One year of recent nursing experience; the requirement may be waived for internal candidates and/or new graduate postings.

Nice To Haves

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.

Responsibilities

Provide hands-on patient care within the scope of the RN license, including care involving PICC lines, wound vacs and wound care, feeding pumps, NG/G/J tubes, staple and suture removal, drains, Foley and suprapubic catheters, PleurX systems, tracheostomies, blood draws, ostomies, injections, IV antibiotics/TPN, and compression wraps.
Provide direct patient care in accordance with the state Nurse Practice Act.
Implement the plan of care initiated and directed by the Case Management Registered Nurse.
Complete accurate and timely documentation within 24–48 hours consistent with the plan of care.
Assess patients and provide patients, families, and caregivers with education and information relevant to diagnoses and care plans.
Assist the registered nurse with skilled procedures and duties, including preparing equipment and materials and helping patients learn self-care techniques.
Coordinate home health services and report needs for other disciplines, including HHA, OT, PT, MSW, and ST, to the Case Management RN or relevant disciplines.
Use equipment and supplies effectively and efficiently.
Participate in personal and professional growth and development.
Perform other duties assigned by the Case Management Registered Nurse.
Retrieve communications about assigned patients and use the information to establish priorities of care.
Provide timely and pertinent reports to the Case Manager.
Record concise, relevant information about patients' needs, problems, capabilities, limitations, and responses to nursing interventions, including incidents affecting the patient.
Report pertinent information promptly to the Case Management Registered Nurse and provider.
Attend weekly case conferences as required to coordinate and communicate patient care and treatment information.
Protect patient privacy when maintaining medical records and providing care.
Maintain professionalism and seek opportunities to enhance clinical knowledge and skills.
Maintain productivity standards as directed by the Case Management Registered Nurse.
Complete and review Start of Care assessments, documentation, and plans of care with the Case Manager as needed.
Participate in on-call duties as required by weekend rotation.
Maintain current annual compliance training and certifications.