Home Health Field Registered Nurse (RN)

We give you great tools and resources, and a lot of them, plus the support you need to succeed and enjoy your work. In return, we ask that you use those tools to do your job well. When the right mindset meets the right resources, the payoff is real: high job satisfaction, excellent patient outcomes, and earning potential that's hard to match. That's the 21HHS Standard.

• Anticipated coverage area: Sacramento Area*
• Schedule options: Tuesday–Saturday, Sunday–Thursday, or Wednesday–Sunday. Weekend coverage will be focused on primarily on Admissions, Start of Cares
• Employment Status: Full Time (5 days per week)
• Productivity Expectation: Average 35+ visits per week 
• Support: A dedicated Case Manager RN, weekly case conferences, and AI-powered charting to cut down on paperwork
• Growth: A clear path toward comprehensive visits and case management

*You'll be assigned a primary territory, but may be asked to cover outside it for vacancies, leaves of absence, or increased census. 21st Century Home Health Services makes every effort to keep you in your primary area; any reassignment is temporary and supports safe patient care.

• Average 35+ visits per week by making the most of our resources and tools — staying independent, productive, hardworking, organized, and sharp in your critical thinking

• Provide hands-on, skilled nursing care that follows the plan of care set by your Case Manager RN and our clinical guiding principles — Educate, Enhance, Empower — teaching patients and families about their diagnosis and care plan, and helping them build self-care skills that last
• Prepare equipment and supplies for skilled procedures, and use resources thoughtfully

• Keep your Case Manager RN up to date, and report important clinical changes to them and the patient's provider promptly
• Spot when a patient could benefit from home health aide, PT, OT, speech therapy, or social work support, and flag it to your Case Manager
• Join weekly case conferences to share updates and coordinate care
• Partner with your Case Manager on Start of Care assessments, documentation, and care plans as needed
• Pitch in on weekend on-call coverage as part of a shared rotation

• Complete clear, accurate visit notes within 24 hours — with help from AI-powered charting tools
• Document patient needs, goals, limitations, responses to care, and any incidents or changes in condition
• Protect patient privacy in everything you do

• Build your clinical skills and take an active role in your own professional development
• Use what you learn about your patients to prioritize your day and meet the visit goals set with your Case Manager

You'll work with a wide range of patients and procedures, including:

• PICC lines, IV antibiotics, and TPN administration
• Wound care and wound vacs
• Kangaroo and feeding pumps; NG, G, and J tube management
• Drains (JP, biliary, nephrostomy) and PleurX drainage
• Foley and suprapubic catheters; ostomy management
• Trach care
• Blood draws and SQ/IM injections
• Staple and suture removal; compression wraps

• 1+ year of nursing experience (RN or LVN). 
• 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, and the ability to manage your own day

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

All licenses and certifications must be current when you start and kept up to date, along with annual compliance training. As part of our vetting process, you'll complete a computer literacy assessment and a personality assessment — we want to make sure you can navigate comfortably in our environment. You may also be asked to help with other duties as assigned by your Case Manager RN.