Home Health Registered Nurse

American River Healthcare; West Sacramento (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

American River Healthcare is seeking experienced Registered Nurses to provide shift-style in-home care in West Sacramento, California. This role allows nurses to deliver high-acuity care outside of a hospital while building significant connections with patients. Responsibilities include providing routine assessments and hands-on care, managing patient care plans, and working flexible shifts including weekends. Candidates should hold an active RN license in California and have Med-Surg experience, preferably with a focus on independent care.

Qualifications

• Active RN license in California is required.
• 1-2 years of Med-Surg experience is preferred.
• Must be comfortable working independently in the field.

Responsibilities

• Provide routine and PRN nursing visits in a home setting.
• Deliver frequent, hands-on care including vital signs and wound care.
• Serve as the clinical lead in managing patient care plans.

Skills

Strong communication

Adaptability

Problem-solving

Education

Active RN license in California

Med‑Surg experience

Tools

Reliable transportation

Auto insurance

Job description

Career Opportunities with American River Healthcare

A great place to work.

Careers At American River Healthcare

Current job opportunities are posted here as they become available.

Are you a Med‑Surg RN or an RN with diverse experience who wants to deliver high‑acuity care—but outside of the hospital?

Open Shift: Monday - Friday 1530 - 2400 (with rotating weekends)

American River Home Care is hiring experienced Registered Nurses to provide shift‑style in‑home care to patients who need more than just traditional home health. Our Advance Care at Home program brings hospital‑level attention into the comfort and safety of a patient's home.

This is a unique opportunity to practice at the top of your license, build real connections with patients, and help reduce hospital readmissions—all while working 1:1 in the field.

What You'll Do:

• Provide routine and PRN nursing visits—just like on a med‑surg floor, but in a home setting.
• Deliver frequent, hands‑on care (vital signs, wound care, IVs, meds, monitoring, etc.).
• Serve as the clinical lead in managing patient care plans and communicating changes.
• Work shift‑style schedules, including every other weekend.
• Use your critical thinking and assessment skills daily—this is not intermittent home health.
• Build deep relationships with patients and families while improving outcomes.

What We're Looking For:

• Active RN license in California
• Med‑Surg experience is preferred (1–2+ years)
• Home health or hospice experience is a plus, but not required
• Must be comfortable working independently in the field
• Strong communication, adaptability, and problem‑solving skills
• Valid driver's license, reliable transportation, and auto insurance
• Willingness to cover PRN needs and work every other weekend