Registered Nurse Case Manager, Level 2

21st Century Home Health Services; Windsor (CA); On-site; USD 135,000 - 160,000; Full time

Benefits offered by this job

401k with matching

Generous PTO

Medical

Dental

Life Insurance

Employee Assistance Program

Flexible Spending Accounts

Pet Insurance

Incentive bonus program

Job summary

21st Century Home Health Services is seeking an experienced Registered Nurse Case Manager, Level 2, to lead clinical care for patients at home in Windsor and surrounding areas. You will supervise two nurses, perform SOCs, evaluations and discharge planning, and coordinate with physicians and the care team to reduce hospital readmissions.

We offer flexible schedules, autonomy, and a comprehensive benefits package including 401k, PTO, medical, dental, life insurance, EAP, FSAs, Pet Insurance and

Qualifications

• One year of Home Health Case Management experience is preferred.
• Minimum of one year of nursing experience required; two or more years preferred.
• Experience supervising or mentoring nurses is highly preferred.
• Current and unrestricted CA RN license and BLS/CPR certification.
• Valid CA driver's license and ability to visit patients in their homes.

Responsibilities

• Create, implement and execute the plan of care to promote wellness and prevent readmission.
• Oversee two nurses responsible for executing the care plan.
• Conduct SOCs, evaluations, resumption of care and discharge planning.
• Perform comprehensive patient and family assessments and develop an advanced care plan.
• Coordinate with physicians and the interdisciplinary team to deliver optimal care.

Skills

Leadership

Supervision

Empathy

Critical thinking

Interpersonal skills

Organized

Self-directed

Case management

Education

CA RN license

BLS/CPR Certification

Job description

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. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties.

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.

Key achievements include:

San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among all medium-sized companies and 1st among home health agencies.

National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.

Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.

Please note: All opportunities at 21HHS require being in the field visiting patients in their homes.

Full Time Registered Nurse Case Manager, Level 2

Anticipated Territory: Windsor and surrounding areas

What you’ll do as a Registered Nurse (RN), Level 2 Home Health Case Manager:

Utilize your outstanding clinical skills as you create, implement and execute the overall plan of care to promote wellness and prevent re-hospitalization for patients in their homes.

In this leadership role, you will have oversight of 2 Nurses who are responsible for executing your care plan. You will be responsible for conducting comprehensive patient assessments such as Start of Cares (SOCs), Evaluations, Resumption of Care and discharge planning.

You will accomplish this with oversight of the assistance and teaching of patients’ and their family/caregivers with wound care, blood draws, tube feedings, Tracheostomy care, foley catheters, Congestive Heart Failure (CHF) management and medication education in the patients home. You will also potentially:

• 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 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
• Oversight of 2 Nurses who are responsible for executing your care plan.

Why you Should Come Work for us Registered Nurse (RN) Home Health Case Manager Level 2:

• 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 and More!
• Competitive compensation with achievable incentive bonus program

To be a success a Registered Nurse (RN) Home Health Case Manager, Level 2:

• One Year of Home Health Case Management experience is perferred
• Minimum of one year of Nursing Experience required; two+ years preferred.
• Experience supervising, mentoring Nurses is highly 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 with high acuity patients is a plusExperience working with an interdisciplinary team is required
• Case Management fundamentals is required
• Self-Directed
• Empathetic
• Critical thinker
• Outstanding interpersonal skills
• Leadership skills
• Organized

Target Wage range Registered Nurse, Level 1: 135,000.00- 160,000.00 plus 20,000.00 Annual Bonus, paid quarterly. Starting pay is commensurate with relevant experience above the minimum requirements. 21st Century offers generous bonus incentive plans, comprehensive health benefits and 401k (Up to 4% match).

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.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.