Registered Nurse Case Manager, Level 2

21st Century Home Health ServicesWindsor, CA
Remote

About The Position

At 21st Century Home Health Services (21HHS), we treat every patient with empathy, compassion, and understanding. As the largest home health agency in San Francisco and the fastest-growing in the Bay Area, we care for over 4,000 patients across multiple counties. Our clinicians are dedicated to both patients and each other, resulting in consistently low hospital readmission rates (under 10%) and high employee satisfaction, recognized by Top Workplace awards. We foster an environment of support, growth, and recognition through open communication and professional development. Our commitment to quality care and workplace excellence is validated by patient and employee feedback on various platforms. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes. This is a Full Time Registered Nurse Case Manager, Level 2 position with an anticipated territory in Windsor and surrounding areas. All opportunities at 21HHS require being in the field visiting patients in their homes.

Requirements

  • Minimum of one year of Nursing Experience required; two+ years preferred.
  • Experience working with an interdisciplinary team is required.
  • Case Management fundamentals is required.
  • Current and unrestricted CA RN license.
  • Current BLS/CPR Certification.
  • Valid CA Driver's License.
  • High level of clinical knowledge in home health care is key.

Nice To Haves

  • One Year of Home Health Case Management experience is preferred.
  • Experience supervising, mentoring Nurses is highly preferred.
  • Experience with high acuity patients is a plus.

Responsibilities

  • Utilize outstanding clinical skills to create, implement, and execute the overall plan of care to promote wellness and prevent re-hospitalization for patients in their homes.
  • Provide oversight to 2 Nurses who are responsible for executing the care plan.
  • Conduct comprehensive patient assessments such as Start of Cares (SOCs), Evaluations, Resumption of Care, and discharge planning.
  • Assist and teach patients and their family/caregivers with wound care, blood draws, tube feedings, Tracheostomy care, foley catheters, Congestive Heart Failure (CHF) management, and medication education in the patient's home.
  • Perform a full assessment of the patient & family upon initial visit.
  • Use assessment data to develop an advanced plan of care including rehabilitation.
  • Work with patients and family one on one to achieve improvement and/or stability.
  • Case manage patients' care episode with an interdisciplinary clinical team.
  • Prepare clinical notes, orders, and charting in a compliant timeframe.
  • Collaborate with physicians and agency staff to deliver the best care possible.

Benefits

  • 401k with matching
  • Generous PTO
  • Medical
  • Dental
  • Life Insurance
  • Employee Assistance Program (EAP)
  • Flexible Spending Accounts (FSAs)
  • Pet Insurance
  • Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks
  • Flexible work schedules: Create your own schedule and hours
  • Autonomy: No clocking in/out
  • Opportunity for advancement. We have multiple tiers for RNs including Admission Nurses, RNI, RNII, RNII as well as clinical leadership and support opportunities.
  • Low turnover/High morale
  • Helpful software and communication tools
  • Competitive compensation with achievable incentive bonus program
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