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Home Health Field Registered Nurse (RN) (Wednesday-Sunday)

21st Century Home Health Services Inc. Napa, United States
Full-time On-site work

Publication date: 12/11/2026

This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management. This position works under a Case Manager Registered Nurse position. Coverage Area: Napa county. Schedule: Full Time Wednesday-Sunday visits. All opportunities at 21HHS require being in the field, visiting patients in their homes.

Responsibilities

Providing hands-on patient care 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 system, Trach care, Blood draws, Ostomy management, SQ and IM injections, IV antibiotic/TPN administration and Compression wraps; Providing direct patient care as defined in the state Nurse Practice Act; Implementing a plan of care initiated and directed by the Case Management Registered Nurse; Providing accurate and timely documentation within 24-48 hours consistent with the plan of care; Assessing and providing patient and family/caregiver education and information pertinent to diagnosis and plan of care; Assisting the registered nurse in performing skilled needs procedures and duties; Participating in coordination of home health services and reporting identified needs for other disciplines (HHA, OT, PT, MSW, ST); Using equipment and supplies effectively and efficiently; Participating in personal and professional growth and development; Performing other duties as assigned by the Case Management Registered Nurse; Retrieving communication on assigned patients and using it to establish priorities of care; Giving timely and pertinent report to the Case Manager; Recording pertinent and concise patient information, including patient response to nursing interventions; Accurately recording any incident that has a bearing on the patient; Reporting pertinent information timely to the Case Management Registered Nurse and Provider; Attending weekly Case Conferences as required; Ensuring patient privacy in maintaining medical records and when providing care; Maintaining professionalism and seeking opportunities to enhance knowledge of clinical skills; Maintaining productivity standards as directed by the Case Management Registered Nurse; Completing and reviewing Start of Care assessments, documentation, and plans of care with Case Manager, as needed; Participating in on-call duties as required by weekend rotation

Requirements

One (1) year of recent nursing experience; 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 license and certifications must be current at time of hire and sustained throughout employment; Self-directed; Critical Thinker; Outstanding interpersonal skills; Organized; Computer literacy; Excellent observation, verbal and written communication skills; Problem solving skills; Basic math skills; Nursing skills per competency checklist; Must maintain current with annual compliance training and certifications

Nice to have

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
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