Nursing Jobs in Larkfield-Wikiup, CA

Licensed Vocational Nurse LVN

$38 - $43 / hour

The Role Enso Village is seeking a compassionate and skilled Licensed Vocational Nurse (LVN) to join our team in providing high-quality care and wellness support for our residents across Memory Care, Assisted Living, and Independent Living communities. The LVN will collaborate with our interdisciplinary team to promote holistic well-being, ensure regulatory compliance, and uphold our commitment to resident-centered care. This position fosters a culture of contemplative care, promoting well-being, dignity, and compassion for older adults. Position Responsibilities Resident Care & Wellbeing Provide hands-on assistance with mobility, daily living activities (bathing, grooming, eating), and emotional support. Ensures compliance with all aspects of the medication management process across all levels of care, including administration, documentation within the health record, recordkeeping, ordering, and required reporting requirements. Regularly review and update care plans to align with residents' evolving needs. In the absence of the Health and Wellbeing Director, develop and implement interim service plans as care needs arise. Coordinate resident appointments and transportation as needed. Maintain positive relationships with residents, families, and physicians. Act as a liaison between the care team and leadership, ensuring seamless communication. Regularly review and update care plans as needed, ensuring that care companions and other team members are informed of any modifications or adjustments. Perform household or unit-related tasks as needed. Take on other duties as assigned to support residents and team operations. Health & Safety Compliance Manage documentation and care records using MatrixCare (Electronic Health Record). Ensure compliance with medication management protocols, including administration, record-keeping, and reporting. Monitor resident alert status and document updates in the EHR. Implement quality-of-care standards, infection control measures, and emergency response protocols. Maintain a safe and clean environment, identifying potential hazards and recommending improvements. Team Leadership & Coordination Organize and oversee the daily activities of the care companion team in the absence of the Health and Wellbeing Director. Ensure care companions and other team members remain informed of any modifications to care plans. Assist with training and mentoring care companions, reinforcing Enso Village’s contemplative care approach. Supervise team performance in the absence of the Health and Wellbeing Director, ensuring reliability and adherence to care standards. Fosters a culture of contemplative care, promoting well-being, dignity, and compassion for older adults. Actively participate in team meetings, education sessions, and professional development opportunities. Promote a compassionate, resident-centered approach to care. Contribute to the development and refinement of care policies, procedures, and training programs. Skills & Qualifications Education & Certification: Graduate of an accredited Licensed Vocational Nursing (LVN) program. Current California State Board of Nursing license. First Aid/CPR certification and medication administration training required. Experience: Minimum three (3) years of experience in senior living, dementia care, or a healthcare setting. Prior experience working with individuals living with dementia or memory-related conditions is highly preferred. Key Competencies: Strong leadership, team coordination, and mentoring abilities. Ability to stay calm and composed in challenging situations while managing multiple priorities. Exceptional verbal and written communication skills. Critical thinking and problem-solving capabilities. Deep understanding of dementia-related behaviors and compassionate caregiving approaches. Knowledge of HIPAA regulations and the ability to maintain confidentiality. Physical Requirements Ability to walk, bend, stoop, and lift up to 35 pounds. Exposure to potential hazards, including disinfectants, infections, and bloodborne pathogens. Capability to push wheelchairs weighing between 50 and 250 pounds. As a responsible organization, Enso Village is committed to maintaining a secure, drug-free work environment. All candidates must undergo a background check and drug testing as part of the hiring process to ensure the well-being of our team and guests. Compensation & Benefits: Enso Village is committed to equal pay and transparency. The salary range for this position is $38.00 to $43.00 per hour. Compensation is based on experience, education, skills, and business considerations. We provide team members with a supportive and inclusive work environment focused on health and well-being. Full-time team members are offered a comprehensive benefits package, including: Comprehensive Benefits : Medical, dental, and vision coverage available starting on your first day of employment. Life & Disability Insurance : Company-paid life insurance and long-term disability coverage. Retirement Savings : 403(b) plan with a generous employer match to help you plan for the future. Generous Paid Time Off : Paid annual vacation, sick days, personal days, and holidays. Healthy Meals : Subsidized organic, nutritious meals available daily. Professional Development : Opportunities for ongoing career growth and development within the organization. We value applicants of all different backgrounds, experiences, and skill sets. If you think you could excel in this role (regardless of whether you meet all the qualifications), we encourage you to apply. Enso Village is an equal opportunity employer which means that we consider applicants for hire and make employment decisions without unlawful discrimination on the basis of race, color, religion, national origin, gender, gender identity or expression, sexual orientation, pregnancy, military or veteran status, disability, age, genetic information, or other legally protected status. We are committed to working with and providing reasonable accommodation to job applicants who request accommodation.

Registered Nurse Case Manager: Home Health

21st Century Home Health Services Windsor, CA

$120,000 - $135,000 / year

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 Territory: Windsor, CA Area What you’ll do as a Registered Nurse (RN) 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. 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: \n 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 Initiate and Administer IV medication (antibiotics and Diuretics) infusions safely and effectively in accordance with established protocols. Why you Should Come Work for us Registered Nurse (RN) Home Health Case Manager: Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks Flexible work schedules: Create your own schedule and hours Targeted territories. Typically patient visits are within a 3-10 mile radius. 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 Work/life balance 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 21HHSindeedHP To be a success a Registered Nurse (RN) Home Health Case Manager: Must be willing to work either Saturday or Sunday. 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 highly preferred Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Case Management fundamentals is highly desired Previous experience with IV Medication infusions highly preferred Proficiencies initiating intravenous (IV) therapy is a plus Self-Directed Empathetic Critical thinker Outstanding interpersonal skills Leadership skills Organized Prior to scheduling an in-person interview, all Candidates are required to complete a computer literacy and competency assessment. This is to ensure you are set up for success and can navigate in our environment including electronic charting, shared understanding of company values and use of our web based communication application. The results of the assessment are confidential and will be used as one of multiple data points included in the hiring decision process. \n $120,000 - $135,000 a year Wage range Registered Nurse, Level 1: 120, 000.00- 135, 000.00 plus 10K 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). As a practice, the majority of RN Case Managers are hired as RNIs. Once it is determined that an RNI can supervise 2 LVNs, take on a larger case load and assume a higher level of decision making and autonomy, the individual will be promoted to an RNII with a minimum salary of 135,000 plus 20K bonus (Paid Quarterly). \n 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.

RN

Full-time

1 month ago

Registered Nurse Case Manager, Level 2

21st Century Home Health Services Petaluma, CA

$140,000 - $160,000 / year

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: Petaluma, CA Area 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: \n 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 #indeed21hhsHP 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 plus Experience working with an interdisciplinary team is required Case Management fundamentals is required Self-Directed Empathetic Critical thinker Outstanding interpersonal skills Leadership skills Organized \n AMD140,000 - AMD160,000 a year Target Wage range Registered Nurse, Level 1: 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. 21st Century offers generous bonus incentive plans, comprehensive health benefits and 401k (Up to 4% match). \n 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.

Registered Nurse Case Manager: Home Health

21st Century Home Health Services Sonoma, CA

$120,000 - $135,000 / year

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. Remote/work-from-home positions are not available unless specifically noted. Full Time Registered Nurse Case Manager Anticipated Territory: Sonoma What you’ll do as a Registered Nurse (RN) 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. 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: \n 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 Why you Should Come Work for us Registered Nurse (RN) Home Health Case Manager: Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks Flexible work schedules: Create your own schedule and hours Targeted territories. Typically patient visits are within a 3-10 mile radius. 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 Work/life balance 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: Must be willing to work either Saturday or Sunday. 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 highly preferred Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Case Management fundamentals is highly desired Self-Directed Empathetic Critical thinker Outstanding interpersonal skills Leadership skills Organized Prior to scheduling an in-person interview, all Candidates are required to complete a computer literacy assessment. This is to ensure you are set up for success and can navigate in our environment including electronic charting and use of our web based communication application. The results of the assessment are confidential and will be used as one of multiple data points that at go into the hiring decision process \n $120,000 - $135,000 a year Wage range Registered Nurse, Level 1: 120, 000.00- 135, 000.00 plus 10K 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). As a practice, the majority of RN Case Managers are hired as RNIs. Once it is determined that an RNI can supervise 2 LVNs, take on a larger case load and assume a higher level of decision making and autonomy, the individual will be promoted to an RNII with a minimum salary of 135,000 plus 20K bonus (Paid Quarterly). \n * You will be assigned a primary location; however, you may occasionally be asked to provide coverage outside of that area. This may include supporting vacancies, leaves of absence, higher patient census, or other client care needs. While 21st Century Home Health makes every effort to maintain your primary territory, temporary reassignments may be necessary to ensure safe, high-quality patient care and to meet the needs of our growing organization. Follow 21HHS on Linkedin! 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.

Home Health Field Registered Nurse (RN)

21st Century Home Health Services Windsor, CA

$130,000 - $160,000 / year

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. 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 an Case Manager Registered Nurse position. Coverage Area: Windsor, CA \n DUTIES AND RESPONSIBILITIES Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, 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. Provides direct patient care as defined in the state Nurse Practice Act Implements a plan of care initiated and directed by the Case Management Registered Nurse Provides accurate and timely documentation within 24-48 hours consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines Uses equipment and supplies effectively and efficiently Participates in personal and professional growth and development Performs other duties as assigned by the Case Management Registered Nurse Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care Gives a timely and pertinent report to the Case Manager Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions Entries will accurately record any incident that has a bearing on the patient. Reports pertinent information timely to the Case Management Registered Nurse and to Provider Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment Ensures patient privacy in maintaining medical records and when providing care. Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills Maintains productivity standards as directed by the Case Management Registered Nurse . Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed. Participates in on-call duties as required by weekend rotation Job Specifications One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting. 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 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 \n $130,000 - $160,000 a year Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match. \n 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.

Home Health Field Registered Nurse (RN)

21st Century Home Health Services Sonoma, CA

$130,000 - $160,000 / year

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. 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 an Case Manager Registered Nurse position. Coverage Area: Sonoma \n DUTIES AND RESPONSIBILITIES Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, 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. Provides direct patient care as defined in the state Nurse Practice Act Implements a plan of care initiated and directed by the Case Management Registered Nurse Provides accurate and timely documentation within 24-48 hours consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines Uses equipment and supplies effectively and efficiently Participates in personal and professional growth and development Performs other duties as assigned by the Case Management Registered Nurse Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care Gives a timely and pertinent report to the Case Manager Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions Entries will accurately record any incident that has a bearing on the patient. Reports pertinent information timely to the Case Management Registered Nurse and to Provider Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment Ensures patient privacy in maintaining medical records and when providing care. Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills Maintains productivity standards as directed by the Case Management Registered Nurse . Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed. Participates in on-call duties as required by weekend rotation Job Specifications One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting. 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 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 \n $130,000 - $160,000 a year Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match. \n 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.

RN - Med/Surg (36 hours per week, Night Shift)

Sonoma Valley Hospital Sonoma, CA

$59.94 - $82.42 / week

Overview The Registered Nurse (RN) is an integral part of the patient care team. The RN assists in the delivery of high quality, individualized patient care. The RN autonomously practices within the scope of RN licensure as defined by the California Board of Registered Nursing, and the Nurse Practice Act. The RN advocates for patients and their families, the care team and the organization. The RN designs and carries out the plan of care utilizing the nursing process of assessment, diagnosing, planning, implementing and evaluation. Responsibilities Is aware of patient presenting problem, and past medical history. Completes head-to-toe assessment and gathers relevant patient data (vital signs, labs, etc.) to gain clear understanding of patient status. Monitors for improvement or deterioration of status and intervenes as appropriate. Notifies MD of changes in status. Accurately and safely administers medications per orders; scans 90% or more of all administered medications. Titrates infusions per organizational protocols. Assesses and documents patient response per policy. Functions as part of an interdisciplinary team by working collaboratively with physical therapy, case management, respiratory therapy, nutrition, pharmacy and the MD; attends interdisciplinary rounds and reports nursing specific knowledge and assessment data to the team. Advocates for the patient and family. Facilitates communication between disciplines, the patient and family; utilizes the patient white board as a communication tool and ensures it is complete and up to date at the start of each shift. Provides a hand-off that is concise and accurate, and utilizes an SBAR format. Ensures hand-offs include a bedside check for safety and patient belongings, chart check for new orders and results, and items needing follow-up Is familiar with organizational goals relating to patient 5 Star experience, and has a basic grasp of HCAHPS scores and Service Excellence. Models professional behaviors Supports a safe and healing environment for each patient by keeping rooms neat and tidy, and free from clutter. Ensures all patient safety interventions are in place at all times - such as keeping the call light and patient belongings within reach of the patient; bed/chair alarms are on and functioning; and/or all other patient specific safety interventions are in place. Recognizes importance of customer service, is welcoming and friendly. Assists and guides visitors as needed, answers the phone with a professional manner and tone. Is sensitive to cultural differences and treats all people with respect and compassion. Maintains a professional personal appearance and manner at all times, in accordance with SVH policy. Supports a healthy working environment by volunteering discretionary effort constantly, is curious and not judgmental, maintains a positive attitude and fosters a spirit of teamwork among all disciplines. Seeks solutions and engages in problem-solving, avoiding gossip and negativity. Offers expert teaching and advice to all members of the team. Supports a safe working environment by keeping hallways and workstations free of equipment and clutter. Puts equipment and unused supplies away when no longer needed. Submits work orders for faulty or broken equipment to appropriate team (Biomed, Engineering, IT). Cleans and disinfects equipment per SVH Infection Prevention policy. Performs hand hygiene before and after every patient interaction and when hands are visibly soiled. Reports unanticipated events as appropriate via the Midas System Has basic understanding of the impact of healthcare reimbursement on revenue; practices financial stewardship by not overusing or wasting supplies; practices good time management to avoid incidental overtime; completes accurate documentation in a timely manner, particularly as it pertains to the discharge process, to ensure appropriate charges are captured as needed. Supports throughput efforts for timely transitions of care Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years of Acute Care experience, with additional experience in telemetry Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : Proficient computer skills, strong critical thinking and analytical skills, multi-tasking and time management skills. Ability to provide care that is thorough, compassionate, and non-judgmental. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $59.94 Maximum: USD $82.42

CRNA

Full-time

1 month ago

Assistant Chief CRNA - Santa Rosa Hospital - Anesthesiology - Full Time Day

Kaiser Permanente Larkfield-Wikiup, CA

Job Summary: In conjunction with Chief of Service, supervises staff of certified registered nurse anesthetists. Administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative reports on patient condition, and maintains records of anesthetics administered. Essential Responsibilities: Augments department leadership with assistance in hiring, training and supervision of certified registered nurse anesthetists. Develops schedules, department standards, policies and procedures; establishes and maintains quality of care and service standards. Implements, reinforces and ensures staff is in compliance with The Joint Commission, and other local, state and federal regulations. Assumes a proxy role for day-to-day clinical operations and administrative tasks to maintain department continuity in the absence of the Chief CRNA. Assists in monitoring budgets, resource allocation and department financial performance; identifies and implements strategies to reduce costs and improve quality of care/service. Reviews anesthetic evaluation of patients prior to surgeries and consults with anesthesiologists and/or surgeons as needed. Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses. Conducts pre-anesthesia evaluations according to KPs policies and procedures as well as the departmental protocols. Formulates anesthesia plans for proposed operations. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards. Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients. Evaluates patients to identify apparent difficulties with airway control. Starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. Develops, implements and evaluates according to departmental protocols, the care regimen of assigned patients and manages the patient care based on pre-anesthesia evaluation. Mixes solutions to required concentrations. Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite. Monitors patients vital signs. Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards. Charts procedures done outside of OR, such as intubation, arterial line placement on progress notes. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.