21st Century Home Health Services logo
21st Century Home Health Services
Citrus Heights, California

Registered Nurse Case Manager, Level 2

Registered NurseIncludes callFull-Time

Listed compensation

Target Wage range Registered Nurse, Level 1: 135,000.00–160,000.00 plus 20,000.00 /yr Bonus, paid quarterly.

The week · per this posting · weekdays assumed

Ask the employer about weekend coverage, nights and shift pattern and time off.

Posted 3mo ago

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: Citrus Heights 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
  • you will have 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 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

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: 21hhs.com

AMD135,000 - AMD160,000 a year

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.

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: 21hhs.com

Key Responsibilities

Create and execute comprehensive care plans to promote wellness and prevent re-hospitalization for home health patients. Lead and oversee a team of two nurses while performing critical assessments and coordinating with interdisciplinary clinical teams.

Requirements

Requires a current CA RN license, BLS/CPR certification, and a valid driver's license. A minimum of one year of nursing experience is required, with home health case management and supervisory experience highly preferred.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient AssessmentInterdisciplinary CollaborationCritical ThinkingOrganizationClinical Documentation

Case Management — Registered Nurse Career Context

Of the 40 active Nurse Case Manager listings this role was benchmarked against, 23% are remote, 45% have no call, 68% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$148k midpoint carries the purchasing power of roughly $133k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Nurse Case Manager market look like in California?
MeasureThis jobMarket
Cost-of-living adjusted pay~$133k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Case Management listings in California136 active—live on WeekdayDoc, Nov 2026
All nurse case manager listings in California396 active5,684 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 23% remote · 45% no call · 68% no weekends40 benchmarked listings
Sign-on & loan repaymentsign-on bonusCalifornia registered nurse listings (all specialties): 10% state a sign-on bonus (median $8k) · 4% offer loan repayment396 active listings, Nov 2026
New Case Management RN listings1,108 in the last 30 days967 the 30 days before (+15%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. California figures use all nurse case managers: too few California Case Management postings state pay.

Top Nurse Case Manager Jobs

31 matches · ranked by pay

Salary Distribution

31 jobs · 18 employers
11
<$115k
5
$115k-150k
4
$150k-185k
10
$185k-220k
1
$228k

Annual compensation range

Benefits & Perks

19 jobs · 18 employers
401k / retirement match
100% this job
Sign-on bonus
21% this job
CME allowance
11%
Loan repayment
5%

Share of similar jobs offering each benefit

#1

RN Case Manager, Home Health

Sutter Health · San Mateo, California

$78.3-$109.62/hr
#2

RN Case Manager, Home Health

Sutter Health · Santa Cruz, California

$77.5-$103.74/hr
#3

Population Health RN Inpatient Case Manager - NBAX (Full Time, Day)

$82.3-$100.03/hr
#4

Population Health RN Inpatient Case Manager - NBMC (Full Time, Day)

$82.3-$100.03/hr
+ 29 more · ranked by pay

Work-life snapshot

median 3.9this job 1.5
Better work-life than 20% of Nurse Case Manager listings

Listing-based score, 0–10, across 2,789 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call
21st Century Home Health Services logo

About 21st Century Home Health Services

Hospitals and Health Care
Burlingame, California
201-500 employees

Benefits & Perks

401k with matching
Generous PTO
Medical, Dental, Life Insurance
Employee Assistance Program (EAP)
Flexible Spending Accounts (FSAs)
Pet Insurance
Incentive bonus program

Living in Citrus Heights

Typical 3-bedroom home value
$459k≈ 3.4× annual pay
Typical market rent
$1,883/mo≈ 17% of gross pay
Residents’ average commute
28 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.