Nursing Jobs in Dinuba, 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: Marin County 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 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. By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: https://21hhs.com/privacy-policy 
$91,249.60 - $120,910.40 / year
Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting to Health Access Enhanced Care Management Department Leadership, this position is responsible for working effectively with the Health Access Enhanced Care Management (ECM) Care Coordination team, members and families, other professionals, and the designated healthcare care organization (HCO) medical team to provide high quality, effective care management to IEHP members. This position focuses on a person-centered model of care which takes in to account the member’s medical, behavioral, and social needs. This position provides high quality, effective care management to IEHP members ensuring coordinated continuous care. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals, and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Enhanced Care Management program. This position, like all positions within the HA ECM team, is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community. This is a field-based position in which Care Team Members will meet with our highest risk/high utilizer population face to face, per member's consent. The individual in this position is to utilize their clinical expertise to support and engage members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transition of care experience. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits: Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account – Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities: Exercise independent clinical judgment and strategic planning in managing a caseload of members with medical needs according to department processes and procedures. Recommend care coordination strategies for members, including but not limited to: Utilize clinical tools and metrics (i.e., brief medical interventions) as necessary to inform interventions, manage caseloads, and escalate high-risk cases appropriately. Engage with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the member and his or her medical/behavioral team, as well as improving the member’s ability to manage and control their whole health. Conduct comprehensive, holistic assessment according to the scope of the RN license. Assimilate assessment information into an individualized care plan (ICP), communicate ICP with members, approved family or caregiver, and other members of the care team. Lead inter/transdisciplinary care team meetings to share information, update and inform care plan Coordinate with internal and external health partners to support Members comprehensive care needs Participate and lead care transition plan responsibilities Assist with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services. Coordinate care for members with complex medical and social needs, including across the physical, behavioral, and dental health delivery systems. Provide formal and informal training and support for Health Access Team Members on medical conditions, including treatments and evidence-based for treatment. Provide clinical consultation and support for Health Access ECM Team Members on physical health conditions, including evidence-based care. Represent the Enhanced Care Management team as the lead member when necessary. Develop interventions to improve the member’s ability to manage their own health. Support the clinical scope of responsibilities for non-clinically licensed care Team Members within the RN scope of practice. Cultivate and sustain productive partnerships with providers, team members, and community stakeholders. Employ advanced communication methods to strengthen collaboration across in-person, telephonic, and digital platforms. Model supportive and collaborative relationships with Members, co-workers, and community relations. Promote a collaborative and effective working environment within the Health Access Enhanced Care Management team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as arise, and collaborating on Member case discussions. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing performance indicator measures, HEDIS gaps, and other quality measures. Participate in staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership. Ensure documentation is accurate and in compliance with regulatory requirements and accreditation standards. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications: Education & Requirements Three (3) or more years of care management experience in a health care delivery setting required. Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory Experience in a Managed Care setting preferred Minimum of one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred Population of Focus Experience: Adults, unaccompanied youth & children, and families experiencing homelessness Adults, youth, and children who are at risk for avoidable hospital or ED care Adults, youth, and children with serious mental health and/or substance use disorder needs Adults living in the community and at risk for long-term care institutionalization Adult nursing facility residents transitioning to the community Children & youth enrolled in CCS or CCS Whole Child Model with additional needs beyond their CCS conditions Children & youth involved in child welfare (foster care) Adults & youth who are transitioning from incarceration Pregnant & postpartum individuals; birth equity population of focus Associate’s degree in Nursing from an accredited institution required Bachelor’s degree in Nursing from an accredited institution preferred Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required Certified Case Manager (CCM) preferred Key Qualifications Must have a valid California Driver’s license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points Strong knowledge and in-depth understanding of: Skill in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural community Self-management philosophies and practices, especially as they relate to chronic medical conditions Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Bilingual (English/ “Target Language”) preferred Highly skilled interpersonally, with excellent relationship skills Highly skilled in interpersonal communication, including resolving conflict with co-workers Skillful in informally and formally sharing expertise Must have skills to tolerate, manage and make effective use of a high level of ambiguity around new team models, new models of care, and new care management practices Start your journey towards a thriving future with IEHP and apply TODAY ! Work Model Location: Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership) Significant travel outside of the office to Providers offices, member’s homes, and out to the community. Must live within a 25-mile radius of the assigned service area and have reliable transport Pay Range: USD $91,249.60 - USD $120,910.40 /Yr. 
