Registered Nurse Case Manager, Level 2

About the role

At 21st Century Home Health Services (21HHS), we care deeply about our patients and each other. With over 600 employees, we're the largest home health agency in San Francisco and the fastest-growing in the Bay Area. We currently serve more than 4,000 patients across several counties and are expanding into Marin and Sonoma counties.

We prioritize quality care and workplace excellence, earning recognition as a Top Workplace and ranking highly in national surveys. Our dedicated clinicians focus on both patient care and team support, ensuring consistent low hospital readmission rates and high employee satisfaction.

Responsibilities

• Create, implement, and execute the overall plan of care to promote wellness and prevent re-hospitalization for patients in their homes.
• Oversight of 2 Nurses responsible for executing your 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.
• Potentially perform a full assessment of the patient and family upon initial visit.
• 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 episodes with an interdisciplinary clinical team.
• Prepare clinical notes, orders, and charting in a compliant time frame.
• Collaborate with physicians and agency staff to deliver the best care possible.

Requirements

• One year of Home Health Case Management experience preferred.
• 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.
• Experience supervising, mentoring Nurses.
• Experience with high acuity patients.
• Experience working with an interdisciplinary team.
• Case Management fundamentals.
• Self-directed.
• Empathetic.
• Critical thinker.
• Outstanding interpersonal skills.
• Leadership skills.
• Organized.

Qualifications

• Registered Nurse (RN) License in California.
• Current BLS/CPR Certification.
• Valid CA Driver's License.
• High level of clinical knowledge in home health care.
• Experience supervising, mentoring Nurses.
• Experience with high acuity patients.
• Experience working with an interdisciplinary team.
• Case Management fundamentals.

Skills

• Excellent clinical skills.
• Strong leadership abilities.
• Effective communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office Suite.

Benefits

• Generous PTO.
• Medical, Dental, Life Insurance.
• Employee Assistance Program (EAP).
• Flexible Spending Accounts (FSAs).
• Pet Insurance.
• Competitive compensation with achievable incentive bonus program.
• 401k with up to 4% match.

Pay

Target Wage Range: $140,000.00 - $160,000.00 plus 20,000.00 Annual Bonus, paid quarterly.

Starting pay is commensurate with relevant experience above the minimum requirements.

Schedule

Full-time position with flexible work schedules.