Overview
At 21st Century Home Health Services (21HHS), we treat every patient with empathy, compassion, and understanding. With more than 600 employees, we are the largest home health agency in San Francisco and expanding in the Bay Area. We care for more than 4,000 patients across multiple counties, and we are actively expanding into Marin and Sonoma counties.
Our clinicians are dedicated to patients and to one another. hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%. We have been recognized as a 2024 Top Workplace and foster an environment of support, growth, and professional development opportunities.
Please note: All opportunities at 21HHS require being in the field visiting patients in their homes.
What you will do as a Field Nurse
Providing hands-on patient care within RN license scope, including PICC lines, Wound Vacs & Care, Kangaroo & feeding pumps, management of NG, G, and J tubes, staple & suture removal, drains (JP, biliary, nephrostomy), Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage, trach care, blood draws, ostomy management, SQ and IM injections, IV antibiotics/TPN administration, and compression wraps.
Provides direct patient care as defined in the state Nurse Practice Act
Implements a plan of care initiated and directed by the Case Management Registered Nurse
Provides accurate and timely documentation within 24–48 hours consistent with the plan of care
Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care
Assists the registered nurse in performing skilled procedures and duties, including preparing equipment and materials for treatments and assisting the patient in learning self-care techniques
Participates in coordinating home health services and reports identified needs for other disciplines to the Case Management RN or other disciplines
Uses equipment and supplies effectively and efficiently
Participates in personal and professional growth and development
Performs other duties as assigned by the Case Management Registered Nurse
Retrieves communication on assigned patients and uses information received to establish priorities of care
Provides timely reports to the Case Manager
Records pertinent and concise information reflecting the patient’s needs, problems, capabilities and response to nursing interventions
Records incidents that bear on patient care and reports pertinent information to the Case Management Registered Nurse and Provider
Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment
Maintains patient privacy in medical records and during care
Maintains professionalism and seeks opportunities to enhance clinical skills
Maintains productivity standards as directed by the Case Management Registered Nurse
Completes and reviews Start of Care assessments, documentation, and plans of care with the Case Manager as needed
Participates in on-call duties as required by weekend rotation
To be a succuess as a Field Nurse
One (1) year of recent nursing experience; experience requirement may be waived for internal candidates and/or new grad postings
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
Graduate of an accredited school of nursing (Bachelor's degree)
Current CA Registered Nurse License (RN)
Current Basic Life Support (BLS) Card
Valid CA Drivers License with acceptable driving record
All licenses and certifications must be current at time of hire and sustained throughout employment
Self-directed, critical thinker with strong interpersonal skills, organized, computer-literate, good observation, verbal and written communication, problem-solving, and basic math skills; nursing skills per competency checklist
Must stay current with annual compliance training and certifications
$130,000 - $160,000 a year
21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.
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