Registered Nurse Case Manager, Level 2

21st Century Home Health Services • Santa Rosa, CA

2d • Remote

About The Position

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. 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. All opportunities at 21HHS require being in the field visiting patients in their homes. This is a Full Time Registered Nurse Case Manager, Level 2 position with an anticipated territory of Santa Rosa and surrounding areas.

Requirements

• Minimum of one year of Nursing Experience required; two+ years preferred.
• 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
• Experience working with an interdisciplinary team is required
• Case Management fundamentals is required
• Self-Directed
• Empathetic
• Critical thinker
• Outstanding interpersonal skills
• Leadership skills
• Organized

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 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, their families, and 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

• 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
• Outstanding benefits for you and your family including 401k with matching.
• Generous PTO
• Medical
• Dental
• Life Insurance
• Employee Assistance Program (EAP)
• Flexible Spending Accounts (FSAs)
• Pet Insurance
• Competitive compensation with achievable incentive bonus program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level